European Radiology

, Volume 16, Issue 9, pp 1915–1925

Imaging of small intestinal Crohn’s disease: comparison between MR enteroclysis and conventional enteroclysis

  • Nicholas C. Gourtsoyiannis
  • John Grammatikakis
  • George Papamastorakis
  • John Koutroumbakis
  • Panos Prassopoulos
  • Maria Rousomoustakaki
  • Nickolas Papanikolaou
Gastrointestinal

DOI: 10.1007/s00330-006-0248-8

Cite this article as:
Gourtsoyiannis, N.C., Grammatikakis, J., Papamastorakis, G. et al. Eur Radiol (2006) 16: 1915. doi:10.1007/s00330-006-0248-8

Abstract

The purpose of this study was to compare MR enteroclysis (MRE) with conventional enteroclysis (CE) in patients with small intestinal Crohn’s disease. Fifty-two consecutive patients with known or suspected Crohn’s disease underwent MR and conventional enteroclysis, which was considered the gold standard. Eleven imaging features, classified in three groups, mucosal, transmural and extraintestinal, were subjectively evaluated by two experienced radiologists. MRE and CE were in full agreement in revealing, localizing and estimating the length of all involved segments of the small bowel. The sensitivity of MRE for the detection of superficial ulcers, fold distortion and fold thickening was 40, 30 and 62.5%, respectively. The sensitivity of MRE for the detection of deep ulcers, cobble-stoning pattern, stenosis and prestenostic dilatation was 89.5, 92.3, 100 and 100%, respectively. Additional findings demonstrated on MRE images included fibrofatty proliferation in 15 cases and mesenteric lymphadenopathy in 19 cases. MRE strongly correlates with CE in the detection of individual lesions expressing small intestinal Crohn’s disease. It provides additional information from the mesenteries; however, its capability to detect subtle lesions is still inferior to conventional enteroclysis.

Keywords

Crohn’s Comparative studies–MR enteroclysis Conventional enteroclysis 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Nicholas C. Gourtsoyiannis
    • 1
  • John Grammatikakis
    • 1
  • George Papamastorakis
    • 1
  • John Koutroumbakis
    • 2
  • Panos Prassopoulos
    • 3
  • Maria Rousomoustakaki
    • 2
  • Nickolas Papanikolaou
    • 1
  1. 1.Department of Radiology, University of Crete Faculty of MedicineUniversity Hospital of HeraklionHeraklionGreece
  2. 2.Department of Gastroenterology, University Hospital of HeraklionUniversity of CreteHeraklionGreece
  3. 3.Department of Radiology, University Hospital of AlexandroupoliUniversity of ThraceAlexandroupoliGreece

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