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MR imaging of distal ileal and colorectal chronic inflammatory bowel disease—diagnostic accuracy of 1.5 T and 3 T MRI compared to colonoscopy

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to investigate the diagnostic accuracy of MR enterography (MRE) for detection of distal ileal and colorectal inflammatory bowel disease (IBD) and to evaluate whether 3 T MRI can provide a higher diagnostic performance compared to 1.5 T.

Methods

A retrospective review of patients with known or suspected IBD who underwent MRE and colonoscopy within 3 months was performed. For analysis, the bowel was divided into six segments. Compared with colonoscopy, the accuracy values for MRI diagnosis of overall and each magnetic field strength were calculated, and the differences between 1.5 T and 3.0 T were compared. The image quality was scored separately for both field strengths and compared.

Results

Eighty-eight patients were included in the study. On a patient basis, MRE had an overall sensitivity of 92.1 % and specificity of 72.0 %. On a segment basis, the sensitivity and specificity were 79.1 % and 93.6 %, respectively. Concerning severely inflamed segments, per-segment sensitivity increased from 79.1 to 94.7 %. The comparison of accuracy values between the two field strengths showed no statistically significant difference. B1 homogeneity and overall artifacts were not significantly different between 3.0 T and 1.5 T imaging. Compared to colonoscopy, MRI found four more fistulas confirmed at subsequent surgery.

Conclusions

MRI has a high diagnostic accuracy for detection of distal ileal and colorectal IBD. 3 T MRI can be considered equivalent but not superior compared to 1.5 T imaging in this context. In addition, our findings suggest MRE to be a valuable tool in detecting surgically relevant pathologies (fistulas) with higher accuracy than colonoscopy.

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Authors and Affiliations

  1. Department of Radiology, The First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, 110001, Shenyang, China

    Xuyuan Jiang & Ke Xu

  2. Department of Radiology, Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin, 12203, Berlin, Germany

    Xuyuan Jiang, Patrick Asbach, Bernd Hamm & Jan Banzer

Authors
  1. Xuyuan Jiang
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  2. Patrick Asbach
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  3. Bernd Hamm
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  4. Ke Xu
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  5. Jan Banzer
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Correspondence to Ke Xu.

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Jiang, X., Asbach, P., Hamm, B. et al. MR imaging of distal ileal and colorectal chronic inflammatory bowel disease—diagnostic accuracy of 1.5 T and 3 T MRI compared to colonoscopy. Int J Colorectal Dis 29, 1541–1550 (2014). https://doi.org/10.1007/s00384-014-2037-1

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  • DOI: https://doi.org/10.1007/s00384-014-2037-1

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