Cinematographic techniques in the diagnostics of intestinal diseases using MRT enteroclysma

Rainer Röttgen, Kenneth Ocran, Herbert Lochs, Bernd Hamm
Clinical Imaging 2009, 33 (1): 25-32

PURPOSE: We investigated whether an additional cine sequence in MR enteroclysis examination is practicable and would provide additional findings in the diagnostics of patients with abdominal diseases.

MATERIALS AND METHODS: Seventeen consecutively presenting patients with known or presumed abdominal disease (known or presumed intestinal illness; age range, 21-57 years; mean age, 34.1 years; male:female ratio, 4:13) were retrospectively studied. All patients underwent MRI enteroclysis at 1.5 T subsequent to conventional ileocolonoscopy, which was used as reference standard. A gastroenterologist and a radiologist evaluated the MRI examinations together to see whether the additional cine sequences would provide any additional findings.

RESULTS: The cine sequences provided relevant diagnostic information in at least 11 of 17 patients (60.6%). In five patients, we were able to determine a stenosis as scarred; in two patients, normal peristalsis of the bowel was demonstrated, showing that the stenosis had not been scarred.

CONCLUSION: This study provides strong evidence that the implementation of cine sequences in MRI enteroclysis examination provides additional findings with clinical relevance, especially for distinguishing scarred and functional stenoses.

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