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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

Zitieren Sie bitte immer diese 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.zeige mehrzeige weniger

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Metadaten
Autor(en): 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
Dokumentart:Artikel / Aufsatz in einer Zeitschrift
Institute der Universität:Medizinische Fakultät / Institut für diagnostische und interventionelle Radiologie (Institut für Röntgendiagnostik)
Sprache der Veröffentlichung:Englisch
Titel des übergeordneten Werkes / der Zeitschrift (Englisch):Insights into Imaging
Erscheinungsjahr:2015
Band / Jahrgang:6
Heft / Ausgabe:3
Seitenangabe:339-346
Originalveröffentlichung / Quelle: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:https://pubmed.ncbi.nlm.nih.gov/PMC4444793
Allgemeine fachliche Zuordnung (DDC-Klassifikation):6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Freie Schlagwort(e):Crohn’s disease; general anaesthesia; small bowel MRI
Datum der Freischaltung:22.01.2019
Lizenz (Deutsch):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International