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Indications and selection of MR enterography vs. MR enteroclysis with emphasis on patients who need small bowel MRI and general anaesthesia : results of a survey

Torkzad, Michael R., 1968- (author)
Uppsala universitet,Radiologi
Masselli, Gabriele (author)
Sapienza Univ, Umberto Hosp 1, Dept Radiol, Rome, Italy.
Halligan, Steve (author)
UCL, Ctr Med Imaging, London, England.
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Oto, Aytek (author)
Univ Chicago, Dept Radiol, Chicago, IL 60637 USA.
Neubauer, Henning (author)
Univ Hosp Wuerzburg, Dept Paediat Radiol, Wurzburg, Germany.
Taylor, Stuart (author)
UCL, Ctr Med Imaging, London, England.
Gupta, Arun (author)
St Marks Hosp, Intestinal Imaging, Harrow, Middx, England.
Frokjaer, Jens Brondum (author)
Aalborg Univ Hosp, Dept Radiol, Aalborg, Denmark.
Lawrance, Ian C. (author)
Univ Western Australia, Sch Med & Pharmacol, Fremantle, WA, Australia.;Fremantle Hosp, Ctr Inflammatory Bowel Dis, Fremantle, WA, Australia.
Welman, Christopher J. (author)
Fremantle Hosp, Dept Radiol, Fremantle, WA, Australia.
Negard, Anne (author)
Akershus Univ Hosp, Dept Radiol, Abdominal & Childrens Radiol, Lorenskog, Norway.
Ekberg, Olle (author)
Lund Univ, Dept Clin Sci Med Radiol, Malmö, Sweden.;Lund Univ, Diagnost Ctr Imaging & Funct Med, Skane Univ Hosp, Malmö, Sweden.
Patak, Michael (author)
Klin Hirslanden, Witellikerstr 40, Zurich, Austria.
Lauenstein, Thomas (author)
Univ Hosp Essen, Dept Diagnost & Intervent Radiol & Neuroradiol, Essen, Germany.
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 (creator_code:org_t)
2015-04-09
2015
English.
In: Insights into Imaging. - : SPRINGER HEIDELBERG. - 1869-4101. ; 6:3, s. 339-346
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Aims To survey the perceived indications for magnetic resonance imaging of the small bowel (MRE) by experts, when MR enteroclysis (MREc) or MR enterography (MREg) may be chosen, and to determine how the approach to MRE is modified when general anaesthesia (GA) is required. Materials and methods Selected opinion leaders in MRE completed a questionnaire that included clinical indications (MREg or MREc), specifics regarding administration of enteral contrast, and how the technique is altered to accommodate GA. Results Fourteen responded. Only the diagnosis and follow-up of Crohn's disease were considered by over 80 % as a valid MRE indication. The remaining indications ranged between 35.7 % for diagnosis of caeliac disease and unknown sources of gastrointestinal bleeding to 78.6 % for motility disorders. Themajority chose MREg over MREc for all indications (from 100 % for follow-up of caeliac disease to 57.7 % for tumour diagnosis). Fifty per cent of responders had needed to consider MRE under GA. The most commonly recommended procedural change was MRI without enteral distention. Three had experience with intubation under GA (MREc modification). Conclusion Views were variable. Requests for MRE under GA are not uncommon. Presently most opinion leaders suggest standard abdominal MRI when GA is required. Main messages Experts are using MRE for various indications. Requests for MRE under general anaesthesia are not uncommon. Some radiologists employ MREc under general anaesthesia; others do not distend the small bowel.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)

Keyword

Small bowel
MRI
Crohn's disease
General anaesthesia

Publication and Content Type

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art (subject category)

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