Small Bowel Imaging from Stepchild of Roentgenology to MR Enterography, Part II: The Reliable Disclosure of Crohn’s Disease and Non-Inflammatory Small Bowel Disorder Plot through MRI Findings

Author:

Pierro Antonio1,Minordi Laura Maria2,Larosa Luigi2ORCID,Cipri Carla2,Guerri Giulia2,Quinto Fabio3,Rotondi Fabio4,Marcellino Annalisa5,Basilico Raffaella6,Iezzi Roberto2ORCID,Cilla Savino7ORCID

Affiliation:

1. Radiology Unit, San Timoteo Hospital, 86039 Termoli, Italy

2. Radiology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy

3. Angiography Unit, “L. Bonomo” Hospital, 70031 Andria, Italy

4. Oncological Surgery Unit, Responsible Research Hospital, 86100 Campobasso, Italy

5. ASReM, Azienda Sanitaria Regionale del Molise, Via Ugo Petrella 1, 86100 Campobasso, Italy

6. Department of Neurosciences, Imaging and Clinical Studies, “Gabriele D’Annunzio” University, 66100 Chieti, Italy

7. Medical Physics Unit, Responsible Research Hospital, 86100 Campobasso, Italy

Abstract

MRE has become a standard imaging test for evaluating patients with small bowel pathology, but a rigorous methodology for describing and interpreting the pathological findings is mandatory. Strictures, abscess, inflammatory activity, sinus tract, wall edema, fistula, mucosal lesions, strictures, and mesentery fat hypertrophy are all indicators of small bowel damage in inflammatory and non-inflammatory small bowel disease, and they are all commonly and accurately explained by MRE. MRE is a non-invasive modality that accurately assesses the intra-luminal, parietal, and extra-luminal small bowel. Differential MRE appearance allows us to distinguish between Crohn’s disease and non-inflammatory small bowel disorder. The purpose of this paper is to present the MRE pathological findings of small bowel disorder.

Publisher

MDPI AG

Subject

Paleontology,Space and Planetary Science,General Biochemistry, Genetics and Molecular Biology,Ecology, Evolution, Behavior and Systematics

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