Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Department of Internal Medicine, Gastroenterology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Am J Gastroenterol. 2014 Apr;109(4):497-509; quiz 510. doi: 10.1038/ajg.2013.452. Epub 2014 Jan 7.
Magnetic resonance imaging (MRI) is well established for imaging the solid organs of the abdomen and pelvis. In recent years it has been having an increasingly important role in the evaluation of the gastrointestinal (GI) tract. Fluoroscopy and abdominal computed tomography, the traditional mainstays of bowel imaging, remain valuable; however, the contemporary emphasis on decreasing patient radiation exposure is driving practice toward non-ionizing modalities such as MRI. The inherent dynamic properties of MRI, its superior tissue contrast, and cross-sectional capabilities offer additional advantages. Here we review, from esophagus to anus, techniques and indications for MRI of the GI lumen with an emphasis on the normal MRI appearance of the GI tract and commonly encountered pathology.
磁共振成像(MRI)在腹部和骨盆的实体器官成像方面已经得到了很好的确立。近年来,它在胃肠道(GI)的评估中发挥了越来越重要的作用。透视和腹部计算机断层扫描(CT)仍然是肠道成像的传统主要手段,但目前强调降低患者的辐射暴露,促使人们倾向于使用非电离方式,如 MRI。MRI 固有的动态特性、优越的组织对比度和横断面成像能力提供了额外的优势。在这里,我们从食管到肛门综述了 GI 管腔 MRI 的技术和适应证,重点介绍了 GI 道的正常 MRI 表现和常见的病变。