Enterclysis versus enterography: the unsettled issue
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As radiologists interested in abdominal imaging with MRI, we read the interesting work by Masselli et al.  in the March issue of European Radiology. We have been using MR enterography (MREg) for quite some time and we have felt that we have had no need to use MR enteroclysis (MREc) in patients with Crohn’s disease. Reading the article by Masselli and co-workers, therefore, was very fascinating. In their work, they found a significant difference between the accuracy of MREc and MREg in finding mucosal lesions compared with conventional enteroclysis (CE), which served as the ‘gold standard’. There remain, however, some unanswered questions.
The authors have made two sets of comparisons, one directly between MREc and MREg, and the other indirectly by comparing them with CE. When comparing MREc and MREg directly, one has to either preferably choose the same population, or at least ensure that the two populations are not statistically different. The authors...
KeywordsMetoclopramide Capsule Endoscopy Mucosal Lesion Small Bowel Distension European Radiology
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