Skip to main content

Advertisement

Log in

Pictorial review: magnetic resonance imaging of colonic diverticulitis

  • Gastrointestinal
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

Magnetic resonance imaging (MRI) is rapidly emerging as a useful imaging modality for the evaluation of the gastrointestinal tract. Increasingly rapid sequences and improving hardware have significantly improved the visualisation of diseases of the colon. MRI has a major advantage over CT in that there is no ionising radiation. In our institution, MRI has increasingly been used as a complimentary imaging modality to CT in the diagnosis and evaluation of diverticulitis and its complications. In this review article, we illustrate the emerging role of MRI in the diagnosis and evaluation of colonic diverticulitis.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Ferzoco LB, Raptopulos V, Silen W (1998) Acute diverticulitis. N Eng J Med 338:1521–1526

    Article  CAS  Google Scholar 

  2. Painter NS, Burkitt DP (1971) Diverticular disease of the colon: a deficiency disease of Western civilisation. BMJ 450–454

  3. Hinton JM, Lennard-Jones JE, Young AC (1969) A new method for studying gut transit times using radiopaque markers. Gut 10:842–847

    Article  PubMed  CAS  Google Scholar 

  4. Waters DA, Smith AN, Eastwood MA, Anderson KC, Elton RA, Mugerwa JW (1985) Mechanical properties of the colon: comparison of the features of the African and European colon in vitro. Gut 26:384–392

    Article  Google Scholar 

  5. Young Fadok TM, Roberts PL, Spencer MP, Wolff BG (2000) Colonic diverticular disease. Curr Probl Surg 37:457–514

    Article  PubMed  CAS  Google Scholar 

  6. Parks TS (1975) Natural history of diverticular disease of the colon. Clin Gastroenterol 4:53–59

    PubMed  CAS  Google Scholar 

  7. Papagrigoriadis S, MAcey l, Bourantas N, Rennie JA (1999) Smoking may be associated with complications in diverticular disease. BR J Surg 86:923–926

    Article  PubMed  CAS  Google Scholar 

  8. Ambrosetti P, Becker C, Terrier F (2002) Colonic diverticulitis: impact on surgical management; a prospective study of 452 patients. Eur Radiol 12:1145–1149

    Article  PubMed  CAS  Google Scholar 

  9. Rao PM, Rhea JT (1998) Colonic diverticulitis: evaluation of the arrowhead sign and the inflamed diverticulum for CT diagnosis. Radiol 209:775–779

    CAS  Google Scholar 

  10. Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhoum E, Bruel JM (1997) Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiol 205:503–512

    CAS  Google Scholar 

  11. Retert H, Noldge G, Encke J, Richter GM, Dux M (2003) The value of CT for the diagnosis of acute diverticulitis. Radiologe 43:51–58

    Article  Google Scholar 

  12. Buckley O, Geoghegan T, O Riordain DS, Lyburn ID, Torreggiani WC (2004) Computed tomography in the imaging of colonic diverticulitis. Clin Radiol 59:987–993

    Article  Google Scholar 

  13. Boulos PB (2002) Complicated diverticulosis. Best Prac Res Clin Gastroenterol 16:649–662

    Article  CAS  Google Scholar 

  14. Hollerweger A, Macheiner P, Rettenbacher T, Brunner W, Gritzmann N (2001) Colonic diverticulitis: diagnostic value and appearance of inflamed diverticula: sonographic evaluation. Eur Radiol 11:1956–1963

    Article  PubMed  CAS  Google Scholar 

  15. Bruel JM (2003) Acute colonic diverticulitis: CT or ultrasound? Eur Radiol 13:2557–2559

    Article  PubMed  Google Scholar 

  16. Werner A, Diehl SJ, Farag-Soliman M, Duber C (2003) Multi slice CT in the routine diagnosis of suspected acute diverticulitis. A prospective study of 120 patients. Eur Radiol 13:2557–2559

    Article  Google Scholar 

  17. Kettritz U, Shoenut JP, Semelka RC (1995) MR imaging of the gastrointestinal tract. Magn Reson Imag Clin N Am 3:87–98

    CAS  Google Scholar 

  18. Rieber A, Nussle K, Reinshagen M et al (2002) MRI of the abdomen with positive oral contrast agents for the diagnosis of inflammatory small bowel disease. Abdom Imaging 27 38:29–36

    Google Scholar 

  19. Incesu L, Coskun A, Selcuk MB, Akan H, Sozubir S, Bernay F (1997) Acute appendicitis: MR imaging and sonographic correlation. Am J Roentgenol 168:669–674

    CAS  Google Scholar 

  20. Van Breda Vriesman AC, Kole BJ, Puylaert JBCM (2003) Effect of ultrasonography and optional computed tomography on the outcome of appendicectomy. Eur Radiol 13:2278–2282

    Article  Google Scholar 

  21. Cobben LPJ, Groot I, Blickman JG, Puylaert M (2003) Right colonic diverticulitis: MR appearance. Abdom Imaging 28:794–798

    Article  PubMed  CAS  Google Scholar 

  22. Heverhagen JT, Ishaque N, Zielke A, Bohrer T, Sitter H, Berthold LD, Klose KJ (2001) Feasabilitiy of MRI in the diagnosis of acute diverticulitis: initial results. MAGMA 12:4–9

    Article  PubMed  CAS  Google Scholar 

  23. Heverhagen JT, Zielke A, Ishaque N, Bohrer T, El-Sheik M, Klose KJ (2001) Acute colonic diverticulitis: Visualisation in magnetic resonance imaging. Mag Res Im 19:1275–1277

    Article  CAS  Google Scholar 

  24. Horton KM, Corl FM, Fishman EK (2000) CT evaluation of colon: inflammatory disease. Radiographics 20:399–418

    PubMed  CAS  Google Scholar 

  25. Hulnick DH, Megibow AJ, Baltazar EJ, Naidich DP, Bosniak MA (1984) Computerised Tomography in the evaluation of diverticulitis. Radiology 152:491–495

    PubMed  CAS  Google Scholar 

  26. Balthazar EJ, Meigbow A, Schinella RA, Gordon R (1990) Limitations in the CT diagnosis of acute diverticulitis: comparison of CT, contrast enema and pathological findings in 16 patients. Am J Roentgenol 154:281

    CAS  Google Scholar 

  27. Ajaj W, Ruehm SG, Lauenstein T, Goehde S, Huehle C, Herborn C, Langhorst J, Zoepf T, Gerken G, Goyen M (2005) Dark-lumen magnetic resonance colonography in patients with suspected sigmoid diverticulitis: a feasibility study. Eur Radiol 15:2316–2322

    Article  PubMed  Google Scholar 

  28. Fiocca R, Ceppa P (2003) Endoscopic biopsies. J Clin Pathol 56:321–322

    Article  PubMed  CAS  Google Scholar 

  29. Schreyer AG, Furst A, Agha A, Sheibl K, Scholmerich J, Herfarth H, Seitz J (2004) Magnetic resonance imaging based colonography for diagnosis and assessment of diverticulosis and diverticulitis. Int J Colorectal Dis 19:474–480

    Article  PubMed  Google Scholar 

  30. Schreyer AG, Rath HC, Kikinis R et al (2005) Comparison of magnetic resonance imaging colonography with conventional colonoscopy for the assessment of intestinal inflammation in patients with inflammatory bowel disease: a feasibility study. Gut 54:250–256

    Article  PubMed  CAS  Google Scholar 

  31. Ajaj W, Debatin JF, Lauenstein T (2005) Colonography by magnetic resonance imaging. Eur J Gastroenterol Hepatol 17:815–820

    Article  PubMed  Google Scholar 

  32. Hinks RS, Bronskill MJ, Kucharczyk W, Bernstein M, Collick BD, Henkelman RM (1998) MR systems for image-guided therapy. JMRI 18:19–25

    Article  Google Scholar 

  33. Mueller PR, Stark DD, Simeone JF, et al (1986) MR-guided aspiration biopsy: needle design and clinical trials. Radiology 161:605–609

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to William C. Torreggiani.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buckley, O., Geoghegan, T., McAuley, G. et al. Pictorial review: magnetic resonance imaging of colonic diverticulitis. Eur Radiol 17, 221–227 (2007). https://doi.org/10.1007/s00330-006-0236-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-006-0236-z

Keywords

Navigation