Skip to main content

Diseases of the Small Bowel, Including the Duodenum — MRI

  • Chapter
Diseases of the Abdomen and Pelvis 2010–2013
  • 1001 Accesses

Abstract

For decades, barium fluoroscopy studies have been the standard of reference to investigate small bowel diseases. Since the small bowel was not accessible to endoscopic techniques, these studies represented the only non-invasive diagnostic approach to the intestine. Both bowel follow-through and small bowel enteroclysis yielded fairly good results, with sensitivities and specificities of, respectively, 98.3% and 99.3% for Crohn’s disease (CD) [1] and 61–95% for neoplastic disease [2], notably in the assessment of the intestinal mucosa due to the high spatial resolution obtained with these techniques. However, their limitations are that they provide almost exclusively intraluminal information and are associated with considerably high radiation exposure, up to 10–18 mSv. The technical advances in cross-sectional imaging achieved with computed tomography (CT) and magnetic resonance imaging (MRI) over the past 10 years have tremendously improved image quality in the abdomen, thus encouraging small bowel imaging.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Maglinte DD, Chernish SM, Kelvin FM et al (1992) Crohn disease of the small intestine: accuracy and relevance of enteroclysis. Radiology 184:541–545

    CAS  PubMed  Google Scholar 

  2. Bessette JR, Maglinte DD, Kelvin FM, Chernish SM (1989) Primary malignant tumors in the small bowel: a comparison of the small-bowel enema and conventional follow-through examination. AJR Am J Roentgenol 153:741–744

    CAS  PubMed  Google Scholar 

  3. Lee SS, Kim AY, Yang SK et al (2009) Crohn disease of the small bowel: comparison of CT enterography, MR enterography, and small-bowel follow-through as diagnostic techniques. Radiology 251:751–761

    Article  PubMed  Google Scholar 

  4. Kim KW, Ha HK (2004) MRI for small bowel diseases. Magn Reson Imaging Clin N Am 12:637–650

    Article  Google Scholar 

  5. Maglinte DDT, Gourtsoyiannis N, Rex D et al (2003) Classification of small bowel Crohn’s subtypes based on multimodality imaging. Radiol Clin North Am 41:285–303

    Article  PubMed  Google Scholar 

  6. Sempere GAJ, Sanjuan VM, Chulia EM et al (2005) MRI evaluation of inflammatory activity in Crohn’s disease. AJR Am J Roentgenol 184:1829–1835

    PubMed  Google Scholar 

  7. Maccioni F, Bruni A, Viscido A et al (2006) MR imaging in patients with Crohn disease: value of T2-versus T1-weighted gadolinium-enhanced MR sequences with use of an oral superparamagnetic contrast agent. Radiology 238:517–530

    Article  PubMed  Google Scholar 

  8. Gourtsoyiannis N, Papanikolaou N, Grammatikakis J et al (2004) Assessment of Crohn’s disease activity in the small bowel with MR and conventional enteroclysis: preliminary results. Eur Radiol 14:1017–1024

    Article  PubMed  Google Scholar 

  9. Prassopoulos P, Papanikolaou N, Grammatikakis J et al (2003) MR enteroclysis imaging of Crohn disease. Radiographics 21 Spec No:S161–172

    Google Scholar 

  10. Punwani S, Rodriguez-Justo M, Bainbridge A et al (2009) Mural inflammation in Crohn disease: location-matched histologic validation of MR imaging features. Radiology 252:712–720

    Article  PubMed  Google Scholar 

  11. Tillack C, Seiderer J, Brand S et al (2008) Correlation of magnetic resonance enteroclysis (MRE) and wireless capsule endoscopy (CE) in the diagnosis of small bowel lesions in crohn’s disease. Inflamm Bowel Dis 14:1219–1228

    Article  PubMed  Google Scholar 

  12. Seiderer J, Herrmann K, Diepolder H et al (2007) Double-balloon enteroscopy versus magnetic resonance enteroclysis in diagnosing suspected small-bowel Crohn’s disease: results of a pilot study. Scand J Gastroenterol 42:1376–1385

    Article  PubMed  Google Scholar 

  13. Herrmann KA, Michaely HJ, Zech CJ et al (2006) Internal fistulas in Crohn disease: magnetic resonance enteroclysis. Abdom Imaging 31:675–687

    Article  CAS  PubMed  Google Scholar 

  14. Herrmann KA, Michaely HJ, Seiderer J et al (2006) The “starsign” in magnetic resonance enteroclysis: a characteristic finding of internal fistulae in Crohn’s disease. Scand J Gastroenterol 41:239–241

    Article  PubMed  Google Scholar 

  15. Masselli G, Polettini E, Casciani E et al (2009) Small-bowel neoplasms: prospective evaluation of MR enteroclysis. Radiology 251:743–50

    Article  PubMed  Google Scholar 

  16. Horton KM, Kamel I, Hofmann L, Fishman EK (2004) Carcinoid tumors of the small bowel: a multi-technique imaging approach. AJR Am J Roentgenol 182:559–567

    PubMed  Google Scholar 

  17. Schmid-Tannwald C, Zech CJ, Panteleon A et al (2009). Characteristic imaging features of carcinoid tumors of the small bowel in MR enteroclysis. Radiologe 49:242–245

    Article  CAS  PubMed  Google Scholar 

  18. Burkill GJ, Badran M, Al-Muderis O et al (2003) Malignant Gastrointestinal Stromal Tumor: Distribution imaging features and pattern of metastatic spread. Radiology 226:527–532

    Article  PubMed  Google Scholar 

  19. Schlemmer M, Sourbron SP, Schinwald N et al (2009) Perfusion patterns of metastatic gastrointestinal stromal tumor lesions under specific molecular therapy. Eur J Radiol 27: 278–284

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Verlag Italia

About this chapter

Cite this chapter

Herrmann, K.A. (2010). Diseases of the Small Bowel, Including the Duodenum — MRI. In: Hodler, J., Zollikofer, C.L., Von Schulthess, G.K. (eds) Diseases of the Abdomen and Pelvis 2010–2013. Springer, Milano. https://doi.org/10.1007/978-88-470-1637-8_5

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1637-8_5

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1636-1

  • Online ISBN: 978-88-470-1637-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics