Costa-Silva Luciana, Brandão Alice C
Department of Anatomy and Imaging, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Magn Reson Imaging Clin N Am. 2013 May;21(2):365-83. doi: 10.1016/j.mric.2013.01.005. Epub 2013 Feb 19.
This article focuses on MR enterography in the evaluation of small bowel diseases, including the protocol, enteric contrast agents, imaging timing and sequence selection. It is becoming the first-line radiological investigation to evaluate the small bowel in patients diagnosed with Crohn disease, particularly in young adults, in whom ionizing radiation is a concern. A key question in the management of such patients is the assessment of disease activity. Knowledge of the location, severity, and presence of complications may assist in providing patients with appropriate treatment options. Other small bowel diseases beyond Crohn disease will also be discussed.
本文重点介绍磁共振小肠造影在小肠疾病评估中的应用,包括检查方案、肠道对比剂、成像时机及序列选择。它正成为评估克罗恩病患者小肠的一线影像学检查方法,尤其是对于那些担心电离辐射的年轻成年人。此类患者管理中的一个关键问题是疾病活动度的评估。了解病变部位、严重程度及并发症情况有助于为患者提供合适的治疗方案。本文还将讨论除克罗恩病之外的其他小肠疾病。