Original Article
Feasibility of an optimized MR enterography protocol in the evaluation of pediatric inflammatory bowel disease
Authors:
T Bosemani ,
Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA, US
A Ozturk,
Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA, US
A Tekes,
Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA, US
MO Hemker,
Division of Pediatric Gastroenterology and Nutrition, Johns Hopkins Hospital, Baltimore, MD,
USA, US
TAGM Huisman
Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA, US
Abstract
Cross-sectional imaging forms an important alternative and complimentary tool to endoscopy in aiding the clinician with diagnosis and management of pediatric inflammatory bowel disease (IBD). The purpose of the study was to evaluate the feasibility of an optimized Magnetic Resonance Enterography (MRE) protocol in the evaluation of patients with suspected IBD. 31 children (18 boys and 13 girls) were evaluated by a pediatric gastroenterologist prior to MRE and given a grading for clinical severity of disease. Imaging was then performed with oral contrast and a tailored protocol using fast T1/T2 weighted pulse sequences. Additionally, contrast and glucagon were administered intravenously. Imaging findings were then correlated with the clinical data. Excellent distension was achieved in the small bowel. The majority of the studies were of diagnostic quality with no motion artifacts. Imaging findings showed statistically significant correlation with disease activity.
An optimized pediatric MRE protocol is feasible and correlates well with clinical disease activity. This in turn aids the clinician in the management of children with this chronic debilitating disease.
How to Cite:
Bosemani T, Ozturk A, Tekes A, Hemker M, Huisman T. Feasibility of an optimized MR enterography protocol in the evaluation of pediatric inflammatory bowel disease. Journal of the Belgian Society of Radiology. 2013;96(4):196–202. DOI: http://doi.org/10.5334/jbr-btr.274
Published on
01 Jul 2013.
Peer Reviewed
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