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Small bowel hydro-MR imaging for optimized ileocecal distension in Crohn's disease: Should an additional rectal enema filling be performed? by Waleed Ajaj; Thomas C. Lauenstein; Jost Langhorst; Christiane Kuehle; Mathias Goyen; Thomas Zoepf; Stefan G. Ruehm; Guido Gerken; Jorg F. Debatin; Susanne C. Goehde is a Medicine article available to read on EtoBox.
What is Small bowel hydro-MR imaging for optimized ileocecal distension in Crohn's disease: Should an additional rectal enema filling be performed? about?
## Abstract ## Purpose To assess the impact of an additional rectal enema filling in small bowel hydro‐MRI in patients with Crohn's disease. ## Materials and Methods A total of 40 patients with known Crohn's disease were analyzed retrospectively: 20 patients only ingested an oral contrast agent (group A), the other 20 subjects obtained an additional rectal water enema (group B). For small bowel distension, a solution containing 0.2% locust bean gum (LBG) and 2.5% mannitol was used. In all patients, a breathhold contrast‐enhanced T1w three‐dimensional volumetric interpolated breathhold examination (VIBE) sequence was acquired. Comparative analysis was based on image quality and bowel distension as well as signal‐to‐noise ratio (SNR) measurements. MR findings were compared with those of conventional colonoscopy, as available (__N__ = 25). ## Results The terminal ileum and rectum showed a significantly higher distension following the rectal administration of water. Furthermore, fewer artifacts were seen within group B. This resulted in a higher reader confidence for the diagnosis of bowel disease, not only in the colon, but also in the ileocecal region. Diagnostic accuracy in diagnosi
Who reads Small bowel hydro-MR imaging for optimized ileocecal distension in Crohn's disease: Should an additional rectal enema filling be performed??
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- Author
- Waleed Ajaj; Thomas C. Lauenstein; Jost Langhorst; Christiane Kuehle; Mathias Goyen; Thomas Zoepf; Stefan G. Ruehm; Guido Gerken; Jorg F. Debatin; Susanne C. Goehde
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 1053-1807)
- Published
- 2005
- Language
- EN
- Field
- Medicine (Health Sciences)