Skip to main content

Advertisement

Log in

MR enterography: what is next after Crohn’s disease?

  • Pictorial Essay
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Within the gastrointestinal system, the small bowel represents the most difficult site to approach with imaging modalities. During the last decades, magnetic resonance enterography has reached an increasing interest, up to be considered an essential part in the diagnostic framework of Crohn’s disease patients. Nevertheless, the distention of the intestinal loops provided by the administration of oral contrast medium, the possibility of a dynamic evaluation, and the lack of radiation exposure are huge advantages that can be exploited for the assessment of other clinical conditions affecting the small bowel. Physicians and radiologists should be aware of the possibilities offered by this technique, looking at it as a trustful alternative to the well-worn radiological examinations. In this respect, the purpose of this work is to show some uncommon clinical conditions that can be assessed with magnetic resonance enterography and that fall within the various differential diagnosis of the intestinal disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Amzallag-Bellenger E, Oudjit A, Ruiz A, Cadiot G, Soyer PA, Hoeffel CC. Effectiveness of MR enterography for the assessment of small-bowel diseases beyond Crohn disease. Radiographics. 2012;32(5):1423–44.

    Article  PubMed  Google Scholar 

  2. Schreyer AG, Menzel C, Friedrich C, Poschenrieder F, Egger L, Dornia C, et al. Comparison of high-resolution ultrasound and MR-enterography in patients with inflammatory bowel disease. WJG. 2011;17(8):1018–25.

    PubMed  Google Scholar 

  3. Mazziotti S, Ascenti G, Scribano E, Gaeta M, Pandolfo A, Bombaci F, et al. Guide to magnetic resonance in Crohn's disease: from common findings to the more rare complicances. Inflamm Bowel Dis. 2011;17(5):1209–22.

    Article  PubMed  Google Scholar 

  4. Paulson EK, Thompson WM. Review of small-bowel obstruction: the diagnosis and when to worry. Radiology. 2015;275(2):332–42.

    Article  PubMed  Google Scholar 

  5. Silva AC, Pimenta M, Guimarães LS. Small bowel obstruction: what to look for. Radiographics. 2009;29(2):423–39.

    Article  PubMed  Google Scholar 

  6. Nicolaou S, Kai B, Ho S, Su J, Ahamed K. Imaging of acute small-bowel obstruction. AJR. 2005;185(4):1036–44.

    Article  PubMed  Google Scholar 

  7. Jennette J, Falk R, Bacon P, Basu N, Cid M, Ferrario F, et al. Revised international Chapel Hill consensus conference nomenclature of vasculitides. Arthritis Rheum. 2013;65:1–11.

    Article  CAS  Google Scholar 

  8. Gong EJ, Kim D, Chun JH, Ahn JY, Choi KS, Jung KW, et al. Endoscopic findings of upper gastrointestinal involvement in primary vasculitis. Gut Liver. 2016;10(4):542–8.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Quartuccio L, De Vita S. Gastrointestinal involvement in systemic vasculitis. In: Ramos-Casals M, Khamashta M, Britó-Zeron P, Atzeni F, Rodés Teixidor J, editors. Handbook of systemic autoimmune diseases. New York: Elsevier; 2017. p. 293–320.

    Google Scholar 

  10. Hokama A, Kishimoto K, Ihama Y, Kobashigawa C, Nakamoto M, Hirata T, et al. Endoscopic and radiographic features of gastrointestinal involvement in vasculitis. World J Gastrointest Endosc. 2012;4(3):50–6.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Rha SE, Ha HK, Lee S-H, Kim J-H, Kim J-K, Kim JH, et al. CT and mr imaging findings of bowel ischemia from various primary causes. RadioGraphics. 2000;20(1):29–422.

    Article  CAS  PubMed  Google Scholar 

  12. D'Angelo T, Gallizzi R, Romano C, Cicero G, Mazziotti S. Magnetic resonance enterography findings of intestinal Behçet disease in a child. Case Rep Radiol. 2017;2017:8061648.

    PubMed  PubMed Central  Google Scholar 

  13. Cicero G, Blandino A, D'Angelo T, Bottari A, Cavallaro M, Ascenti G, Mazziotti S. Magnetic resonance enterography appraisal of lupus enteritis: a case report. Radiol Case Rep. 2018;13(5):915–9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ha HK, Lee SH, Rha SE, Kim J-H, Byun JY, Lim HK, et al. Radiologic features of vasculitis involving the gastrointestinal tract. RadioGraphics. 2000;20(3):779–94.

    Article  CAS  PubMed  Google Scholar 

  15. Georgiades CS, Neyman EG, Barish MA, Fishman EK. Amyloidosis: review and CT manifestations. Radiographics. 2004;24(2):405–16.

    Article  PubMed  Google Scholar 

  16. Howard S, Jagannathan J, Krajewski K, Giardino A, Zukotynski K, O'Regan K, et al. Multimodality imaging in amyloidosis. Cancer Imaging. 2012;12(1):109–17.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giuseppe Cicero.

Ethics declarations

Conflict of interest

The authors declare that and they have no conflict of interest.

Ethical standards

This work was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cicero, G., Ascenti, G., Bottari, A. et al. MR enterography: what is next after Crohn’s disease?. Jpn J Radiol 37, 511–517 (2019). https://doi.org/10.1007/s11604-019-00838-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-019-00838-y

Keywords

Navigation