Indications and selection of MR enterography vs. MR enteroclysis with emphasis on patients who need small bowel MRI and general anaesthesia: results of a survey

Please always quote using this URN: urn:nbn:de:bvb:20-opus-149847
  • Aims To survey the perceived indications for magnetic resonance imaging of the small bowel (MRE) by experts, when MR enteroclysis (MREc) or MR enterography (MREg) may be chosen, and to determine how the approach to MRE is modified when general anaesthesia (GA) is required. Materials and methods Selected opinion leaders in MRE completed a questionnaire that included clinical indications (MREg or MREc), specifics regarding administration of enteral contrast, and how the technique is altered to accommodate GA. Results Fourteen responded.Aims To survey the perceived indications for magnetic resonance imaging of the small bowel (MRE) by experts, when MR enteroclysis (MREc) or MR enterography (MREg) may be chosen, and to determine how the approach to MRE is modified when general anaesthesia (GA) is required. Materials and methods Selected opinion leaders in MRE completed a questionnaire that included clinical indications (MREg or MREc), specifics regarding administration of enteral contrast, and how the technique is altered to accommodate GA. Results Fourteen responded. Only the diagnosis and follow-up of Crohn’s disease were considered by over 80 % as a valid MRE indication. The remaining indications ranged between 35.7 % for diagnosis of caeliac disease and unknown sources of gastrointestinal bleeding to 78.6 % for motility disorders. The majority chose MREg over MREc for all indications (from 100 % for follow-up of caeliac disease to 57.7 % for tumour diagnosis). Fifty per cent of responders had needed to consider MRE under GA. The most commonly recommended procedural change was MRI without enteral distention. Three had experience with intubation under GA (MREc modification). Conclusion Views were variable. Requests for MRE under GA are not uncommon. Presently most opinion leaders suggest standard abdominal MRI when GA is required.show moreshow less

Download full text files

Export metadata

Additional Services

Share in Twitter Search Google Scholar Statistics
Metadaten
Author: Michael R. Torkzad, Gabriele Masselli, Steve Halligan, Aytek Oto, Henning Neubauer, Stuart Taylor, Arun Gupta, Jens Brøndum Frøkjær, Ian C. Lawrance, Christopher J. Welman, Anne Negård, Olle Ekberg, Michael Patak, Thomas Lauenstein
URN:urn:nbn:de:bvb:20-opus-149847
Document Type:Journal article
Faculties:Medizinische Fakultät / Institut für diagnostische und interventionelle Radiologie (Institut für Röntgendiagnostik)
Language:English
Parent Title (English):Insights into Imaging
Year of Completion:2015
Volume:6
Issue:3
Pagenumber:339-346
Source:Insights into Imaging (2015) 6:3, 339-346. DOI: 10.1007/s13244-015-0384-2
DOI:https://doi.org/10.1007/s13244-015-0384-2
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=PMC4444793
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Tag:Crohn’s disease; general anaesthesia; small bowel MRI
Release Date:2019/01/22
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International