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Abdominal Imaging

, Volume 40, Issue 5, pp 1034–1049 | Cite as

Magnetic resonance enterography in post-operative inflammatory bowel disease

  • Jeffrey S. Quon
  • Phillip R. Quon
  • Christopher S. Lim
  • Nishard Abdeen
  • Nicola SchiedaEmail author
Pictorial Essay

Abstract

Objective

To describe the role of magnetic resonance enterography (MRE) in patients with inflammatory bowel disease (IBD), and to review the expected post-operative appearance, as well as, potential surgical complications in this unique patient population.

Conclusion

MRE compares favorably to CT Enterography (CTE) in terms of overall diagnostic accuracy and may provide better functional assessment of the small bowel through cine-MRI, diffusion-weighted imaging and dynamic contrast-enhancement. In the post-operative population, MRE provides critical information including: normal post-surgical anatomy, chronic strictures vs. active inflammation and disease/treatment-related complications. The post-operative IBD patient undergoes frequent repeated imaging and MRE may significantly reduce cumulative radiation dose while providing similar or improved diagnostic accuracy compared to CTE. MRE should be considered as an alternative imaging modality in this population.

Keywords

Magnetic resonance enterography Small bowel Inflammatory bowel disease Crohn’s disease Ulcerative colitis Surgery 

Supplementary material

Supplementary material 1 (WMV 4313 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Jeffrey S. Quon
    • 1
  • Phillip R. Quon
    • 2
  • Christopher S. Lim
    • 1
  • Nishard Abdeen
    • 3
  • Nicola Schieda
    • 1
    Email author
  1. 1.Department of Medical Imaging, The Ottawa HospitalThe University of OttawaOttawaCanada
  2. 2.Faculty of Medicine, 2J2.00 WC Mackenzie Health Sciences CentreThe University of AlbertaEdmontonCanada
  3. 3.Department of Medical Imaging, Children’s Hospital of Eastern OntarioThe University of OttawaOttawaCanada

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