Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases

Lang, R. A.; Buhmann, Sonja; Hopman, Alexander; Steitz, H. O.; Lienemann, Andreas; Reiser, Maximilian; Jauch, Karl‐Walter; Hüttl, T. P.

doi:10.1007/s00464-008-9763-9

Cited by 49 publications

(30 citation statements)

References 30 publications

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“…As a result, other noninvasive diagnostic tools have been examined among these cine MRI [6,[20][21][22][23]. Compared with TAU, cine MRI not only enables one to visualize abdominal wall adhesions, but also adhesions between adjacent organs.…”

Section: Discussionmentioning

confidence: 99%

Detection of abdominal wall adhesions using visceral slide

et al. 2010

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This study represents the first comparative study of TAU and cine MRI as noninvasive methods in detecting adhesions to the abdominal wall. Both methods are specific in detecting adhesion-free areas, and may serve as a diagnostic tool for future planning of laparoscopic surgery, elucidation of adhesion-related symptoms, and as a tool in the follow-up after ventral hernia repair with implantation of intraperitoneal mesh.

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Section: Discussionmentioning

confidence: 99%

Detection of abdominal wall adhesions using visceral slide

et al. 2010

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“…The most recent article was by Lang et al [32]. In their study, 89 patients with suspected adhesion-related complaints were enrolled and underwent cine MRI before surgery.…”

Section: Cine Mrimentioning

confidence: 99%

Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature

2010

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“…Radiological diagnosis of intra-abdominal adhesions is challenging. While previous reports showed that cine MRI and transabdominal ultrasonography detected adhesions to the abdominal wall fairly specifically, both carry a low sensitivity [14][15][16][17] .…”

Section: Discussionmentioning

confidence: 96%

Intra-Abdominal Adhesions Make the Interpretation of Magnetic Resonance Enterography in Crohn's Disease More Difficult

Aaltonen¹,

Keränen²,

Carpelan-Holmström³

et al. 2016

Dig Surg

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Aims: The present study compares preoperative magnetic resonance enterography (MRE) accuracy in diagnosing stenoses, abscesses and fistulas to intraoperative findings in Crohn's disease patients, and determines whether discordance between these methods alter surgical plans. Methods: Our study included 55 consecutive patients scheduled for elective surgery due to Crohn's disease in a single institution between January 2011 and May 2015, whose surgical findings were also compared to preoperative MREs. Data were retrospectively analyzed. Results: Among these 55 patients, we found 80 stenoses, 5 abscesses and 18 fistulas during surgery. The MRE sensitivity, specificity and accuracy, respectively, reached 100, 77.8 and 96.4% for stenoses; 80.0, 90.0 and 89.1% for abscesses; and 77.8, 83.8 and 81.8% for fistulas. The operative plan was modified for 7 patients (12.7%) due to erroneous MRE diagnoses. No patient needed conversion or an unplanned stoma placement due to an incorrect diagnosis using MRE. The MRE diagnosis did not agree with the surgical findings for 36 lesions, 16 of which resulted from adhesions that explained the incorrect MRE diagnoses. Conclusions: Hence, while MRE is a useful diagnostic tool preoperatively in Crohn's disease patients, the presence of intra-abdominal adhesions may cause erroneous diagnosis through MRE.

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Cine-MRI detection of intraabdominal adhesions: correlation with intraoperative findings in 89 consecutive cases

Cited by 49 publications

References 30 publications

Detection of abdominal wall adhesions using visceral slide

Detection of abdominal wall adhesions using visceral slide

Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature

Intra-Abdominal Adhesions Make the Interpretation of Magnetic Resonance Enterography in Crohn's Disease More Difficult

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