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磁共振小肠造影:克罗恩病之后的下一步是什么?

MR enterography: what is next after Crohn's disease?

作者信息

Cicero Giuseppe, Ascenti Giorgio, Bottari Antonio, Catanzariti Francesca, Blandino Alfredo, Mazziotti Silvio

机构信息

Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy.

出版信息

Jpn J Radiol. 2019 Jul;37(7):511-517. doi: 10.1007/s11604-019-00838-y. Epub 2019 Apr 9.

Abstract

Within the gastrointestinal system, the small bowel represents the most difficult site to approach with imaging modalities. During the last decades, magnetic resonance enterography has reached an increasing interest, up to be considered an essential part in the diagnostic framework of Crohn's disease patients. Nevertheless, the distention of the intestinal loops provided by the administration of oral contrast medium, the possibility of a dynamic evaluation, and the lack of radiation exposure are huge advantages that can be exploited for the assessment of other clinical conditions affecting the small bowel. Physicians and radiologists should be aware of the possibilities offered by this technique, looking at it as a trustful alternative to the well-worn radiological examinations. In this respect, the purpose of this work is to show some uncommon clinical conditions that can be assessed with magnetic resonance enterography and that fall within the various differential diagnosis of the intestinal disorders.

摘要

在胃肠系统中,小肠是最难通过成像方式进行检查的部位。在过去几十年里,磁共振小肠造影越来越受到关注,甚至被视为克罗恩病患者诊断框架中的重要组成部分。然而,口服造影剂使肠袢扩张、可进行动态评估以及无辐射暴露等优点,使其在评估影响小肠的其他临床病症时具有很大的应用价值。医生和放射科医生应了解该技术的优势,将其视为传统放射学检查的可靠替代方法。在这方面,本研究的目的是展示一些可用磁共振小肠造影评估的罕见临床病症,这些病症属于肠道疾病的不同鉴别诊断范畴。

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