Minowa Okito, Ozaki Yutaka, Sumi Yukiharu
Department of Radiology, Juntendo University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 2002 Feb;62(2):73-8.
We performed MR imaging of the small bowel (MRSB) in 20 patients using water as an oral contrast agent, to improve the demonstrability of pathologic conditions without a large amount of intestinal fluid. Bowel lumen and folds were clearly visualized: duodenum in 13(65%), jejunal loops in 14 (70%), ileal loops in 15(75%), and ileocecum in 8 (40%) cases. Furthermore, conventional enteroclysis was performed in 16 of 20 patients, and the MRSB findings were comparable with those of conventional enteroclysis. If conventional enteroclysis is used as the gold standard, MRSB visualized luminal stenosis in 11 of 13(84.6%), displacement or extrinsic compression in 4 of 5(80%), polypoid lesion in 3 of 4(75%), and fistula formation in one of one cases. None of four ulcerative lesions could be visualized by MRSB. Our MRSB technique is a noninvasive, easy method that does not require a long time. Accordingly, MRSB can be used in addition to the conventional MR sequence. MRSB has potential usefulness for evaluating small-bowel disease without radiation exposure.
我们对20例患者使用水作为口服对比剂进行了小肠磁共振成像(MRSB),以在无大量肠液的情况下提高病理状况的可显示性。肠腔和肠襞清晰可见:十二指肠显示清晰的有13例(65%),空肠袢14例(70%),回肠袢15例(75%),回盲部8例(40%)。此外,20例患者中有16例进行了传统小肠灌肠造影,MRSB的结果与传统小肠灌肠造影相当。若将传统小肠灌肠造影作为金标准,MRSB显示13例中有11例(84.6%)存在管腔狭窄,5例中有4例(80%)有移位或外在压迫,4例中有3例(75%)有息肉样病变,1例中有1例存在瘘管形成。4例溃疡性病变MRSB均未显示。我们的MRSB技术是一种无创、简便且无需长时间操作的方法。因此,MRSB可作为传统磁共振序列的补充。MRSB在无辐射暴露的情况下评估小肠疾病具有潜在的实用价值。