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Introduction

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MR Enterography

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Abstract

The prevalence of small bowel diseases is low, and their clinical diagnosis is often complicated by the presence of aspecific symptoms. Moreover, the small intestine has always been a challenging area to investigate by clinical or radiographic means due to its anatomy, location, and relatively tortuosity. The upper gastrointestinal tract, comprising the esophagus, stomach, and duodenum, is accessible by direct endoscopy, as the colon is. The small bowel, however, is beyond the reach of the most flexible endoscopes.

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References

  1. Furukawa A, Saotome T, Yamasaki M et al (2004) Cross-sectional imaging in Crohn’s disease. Radiographics 24:689–702

    Article  PubMed  Google Scholar 

  2. Fletcher JG, Fidler JL, Bruining DH et al (2011) New concepts in intestinal imaging for inflammatory bowel diseases. Gastroenterology 140:1795–1806

    Article  PubMed  Google Scholar 

  3. Bremner AR, Pridgeon J, Fairhurst J et al (2004) Ultrasound scanning may reduce the need for barium radiology in the assessment of small bowel Crohn’s disease. Acta Paediatr 93:479–481

    Article  CAS  PubMed  Google Scholar 

  4. Parente F, Macconi G, Bollani S (2002) Bowel ultrasound in the assessment of Crohn’s disease and detection of related small bowel strictures: a prospective comparative study versus x-ray and intraoperative findings. Gut 50:490–495

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Parente F, Greco S, Molteni M et al (2003) Role of early ultrasound in detecting inflammatory intestinal disorders and identifying their anatomical location within the bowel. Aliment Pharmacol Ther 18:1009–1016

    Article  CAS  PubMed  Google Scholar 

  6. Fraquelli M, Colli A, Casazza G et al (2005) Role of US in detection of Crohn disease: meta-analysis. Radiology 236:85–101

    Article  Google Scholar 

  7. Parente F, Greco S, Molteni M et al (2005) Imaging inflammatory bowel disease using bowel ultrasound. Eur J Gastroenterol Hepatol 17:283–291

    Article  PubMed  Google Scholar 

  8. Paredes JM, Ripollés T, Cortés X et al (2013) Contrast-enhanced ultrasonography: usefulness in the assessment of postoperative recurrence of Crohn’s disease. J Crohns Colitis 7:192–201

    Article  PubMed  Google Scholar 

  9. De Franco A, Marzo M, Felice C et al (2012) Ileal Crohn’s disease: CEUS determination of activity. Abdom Imaging 37:359–368

    Article  PubMed  Google Scholar 

  10. De Franco A, Di Veronica A, Armuzzi A et al (2012) Ileal Crohn disease: mural microvascularity quantified with contrast-enhanced US correlates with disease activity. Radiology 262:680–688

    Article  PubMed  Google Scholar 

  11. Bozkurt T, Richter F, Lux G (1994) Ultrasonography as a primary diagnostic tool in patients with inflammatory disease and tumors of the small intestine and large bowel. J Clin Ultrasound 22:85–91

    Article  CAS  PubMed  Google Scholar 

  12. Hollerbach S, Geissler A, Schiegl H et al (1998) The accuracy of abdominal ultrasound in the assessment of bowel disorders. Scand J Gastroenterol 33:1201–1208

    Article  CAS  PubMed  Google Scholar 

  13. Tarjan Z, Toth G, Gyorke T et al (2000) Ultrasound in Crohn’s disease of the small bowel. Eur J Radiol 35:176–182

    Article  CAS  PubMed  Google Scholar 

  14. Maconi G, Parente F, Bollani S et al (1996) Abdominal ultrasound in the assessment of extent and activity of Crohn’s disease: clinical significance and implication of bowel wall thickening. Am J Gastroenterol 91:1604–1609

    CAS  PubMed  Google Scholar 

  15. Rollandi GA, Curone PF, Biscaldi E et al (1999) Spiral CT of the abdomen after distension of small bowel loops with transparent enema in patients with Crohn’s disease. Abdom Imaging 24:544–549

    Article  CAS  PubMed  Google Scholar 

  16. Bruining DH, Siddiki HA, Fletcher JG et al (2008) Prevalence of penetrating disease and extraintestinal manifestations of Crohn’s disease detected with CT enterography. Inflamm Bowel Dis 14:1701–1706

    Article  PubMed  Google Scholar 

  17. Booya F, Akram S, Fletcher J et al (2009) CT enterography and fistulizing Crohn’s disease: clinical benefit and radiographic findings. Abdom Imaging 34:467–475

    Article  PubMed  Google Scholar 

  18. Kroeker KI, Lam S, Birchall I et al (2011) Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: a five-year study. J Clin Gastroenterol 45:34–39

    Article  PubMed  Google Scholar 

  19. Palmer L, Herfarth H, Porter CQ et al (2009) Diagnostic ionizing radiation exposure in a population-based sample of children with inflammatory bowel diseases. Am J Gastroenterol 104:2816–2823

    Article  PubMed Central  PubMed  Google Scholar 

  20. Desmond AN, O’Regan K, Curran C et al (2008) Crohn’s disease: factors associated with exposure to high levels of diagnostic radiation. Gut 57:1524–1529

    Article  CAS  PubMed  Google Scholar 

  21. Mazziotti S, Ascenti G, Scribano E et al (2011) Guide to magnetic resonance in Crohn’s disease: from common findings to the more rare complicances. Inflamm Bowel Dis 17:1209–1222

    Article  PubMed  Google Scholar 

  22. Freiman M, Perez-Rossello JM, Callahan MJ et al (2013) Characterization of fast and slow diffusion from diffusion-weighted MRI of pediatric Crohn’s disease. J Magn Reson Imaging 37:156–163

    Article  PubMed Central  PubMed  Google Scholar 

  23. Tielbeek JA, Ziech MLV, Li Z et al (2013) Evaluation of conventional, dynamic contrast enhanced and diffusion weighted MRI for quantitative Crohn’s disease assessment with histopathology of surgical specimens. Eur Radiol. doi:10.1007/s0330-013-3015-7

    PubMed  Google Scholar 

  24. Sharman A, Zealley IA, Greenhalgh R et al (2009) MRI of small bowel Crohn’s disease: determining the reproducibility of bowel wall gadolinium enhancement measurements. Eur Radiol 19:1960–1967

    Article  CAS  PubMed  Google Scholar 

  25. Menys A, Atkinson D, Odille F et al (2012) Quantified terminal ileal motility during MR enterography as a potential biomarker of Crohn’s disease activity: a preliminary study. Eur Radiol 22:2494–2501

    Article  PubMed  Google Scholar 

  26. Froelich JM, Waldherr C, Stoupis C et al (2010) MR motility in Crohn’s disease improves lesion detection compared with standard MR imaging. Eur Radiol 20:1945–1951

    Article  Google Scholar 

  27. Wakamiya M, Furukawa A, Kanasaki S et al (2011) Assessment of small bowel motility function with cine-MRI using balanced steady-state free precession sequences. J Magn Reson Imaging 33:1235–1240

    Article  PubMed  Google Scholar 

  28. Fidler J (2007) MR imaging of the small bowel. In: Carucci LR (ed) Advances in gastrointestinal imaging. Elsevier Saunders, Philadelphia, pp 317–331

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiological Sciences, University of Messina, Messina, Italy

    Silvio Mazziotti & Alfredo Blandino

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  1. Silvio Mazziotti
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  2. Alfredo Blandino
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Mazziotti, S., Blandino, A. (2014). Introduction. In: MR Enterography. Springer, Milano. https://doi.org/10.1007/978-88-470-5675-6_1

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  • DOI: https://doi.org/10.1007/978-88-470-5675-6_1

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5670-1

  • Online ISBN: 978-88-470-5675-6

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