*Department of Radiology and Biomedical Imaging †Department of Pediatrics, University of California-San Francisco Benioff Children's Hospital, San Francisco, CA.
J Pediatr Gastroenterol Nutr. 2013 Oct;57(4):426-31. doi: 10.1097/MPG.0b013e3182a33d3d.
The chronic nature of inflammatory bowel disease (IBD) creates a lifelong effect on the morbidity of children affected by the disease. The ability to confidently identify and characterize complications resulting from IBD in the pediatric patient is of critical importance. Magnetic resonance enterography (MRE) is especially valuable in the diagnostic assessment of IBD; however, precise elucidation of complications including strictures can be difficult with standard MRE sequences. The recent development of faster MRI pulse sequences provides rapid, real-time imaging of the intestinal tract. In this review, we describe how the addition of cine MRE confidently pinpoints areas of stricture, aids in lesion detection and diagnosis, and provides valuable information on intestinal motility.
炎症性肠病(IBD)的慢性性质对患病儿童的发病率产生终身影响。能够自信地识别和描述儿科患者中由 IBD 引起的并发症具有至关重要的意义。磁共振肠造影术(MRE)在 IBD 的诊断评估中特别有价值;然而,使用标准 MRE 序列精确阐明包括狭窄在内的并发症可能具有一定难度。最近更快的 MRI 脉冲序列的发展为肠道的快速实时成像提供了可能。在这篇综述中,我们描述了 cine MRE 的加入如何能够自信地确定狭窄区域,有助于病变的检测和诊断,并提供有关肠道动力的有价值信息。