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Endoscopie et IRM: une collaboration nécessaire

Endoscopy and MRI: a necessary cooperation

  • Techniques Endoscopiques Endoscopic Techniques
  • Published:
Acta Endoscopica

Résumé

Depuis la découverte des rayons X il y a 100 ans, l’imagerie par résonance magnétique (IRM) est appelée à jouer un des rôles les plus importants du diagnostic médical. L’efficacité de l’IRM a été démontrée dans une grande variété de troubles gastro-intestinaux. L’attention du gastro-entérologue est couramment centrée sur les maladies des voies bilio-pancréatiques et intestinales. La cholangiopancréatographie par résonance magnétique (CPRM) est devenue une technique d’imagerie compétitive et assue même le remplacement du diagnostic par CPRE dans un grand nombre de pathologies hépato-biliaires et pancréatiques. L’entéroscopie en IRM s’impose comme la méthode de choix dans l’évaluation de la totalité de l’intestin grêle, tandis qu’en revanche la coloscopie virtuelle est loin d’être promue au rang d’examen de dépistage en cas de suspicion d’affections coliques.

L’IRM a marqué un tournant historique en gastroentérologie et devrait devenir une technique interdisciplinaire, par exemple, dans la coopération entre radiologues et gastro-entérologues qui, par leurs approches différentes et variées, apportent une indication précise et un interprétation correcte.

Summary

Magnetic resonance imaging (MRI) has been considered as the most important development in medical diagnosis since the discovery of the x-ray more than 100 years ago. The effectiveness of MRI has been expanded to a variety of gastrointestinal disorders. The gastroenterologist’s attention is currently focussed on bilio-pancreatic and bowel diseases. Magnetic resonance cholangiopancreatography (MRCP) has become a competitive replacement for diagnostic ERCP in a variety of hepatobiliary and pancreatic diseases. MR enteroscopy has a potential to become the preferable method for evaluating the entire small bowel, while on the other hand virtual colonoscopy is far from being promoted as a tool for general screening purposes in suspected colon diseases. In summary whether or not the survival of endoscopy is under debate, MRI could mark a historic turning point in gastroenterology. So MRI hardware might be interdisciplinary used by, for example, radiologists and gastreenterologists.

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  1. Department of Medicine C, Klinikum Ludwigshafen, Academic Hospital of the Johannes Gutenberg-University of Mainz, Bremserstrasse 79, D-67063, Ludwigshafen, Germany

    D. Hartmann & J. F. Riemann

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  1. D. Hartmann
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  2. J. F. Riemann
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Hartmann, D., Riemann, J.F. Endoscopie et IRM: une collaboration nécessaire. Acta Endosc 32, 797–804 (2002). https://doi.org/10.1007/BF03028484

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  • DOI: https://doi.org/10.1007/BF03028484

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