MR enterography: how to deliver added value

Abstract

MR enterography (MRE) is increasingly vital to the diagnosis and follow-up of children with Crohn disease. This diagnostic test, which can provide valuable information regarding the presence of intestinal inflammation, intestinal and intra-abdominal complications, and extra-intestinal disease-related manifestations, has the potential to directly impact both medical and surgical decision-making. Consequently, it is imperative that the interpretation and reporting of these examinations provide as much clinical information as possible. This article reviews specific ways radiologists can provide added value when interpreting MRE examinations in the setting of pediatric Crohn disease by (1) establishing the true extent of disease involvement, (2) subjectively and objectively assessing response to medical treatment and (3) accurately characterizing disease-related complications.

Evaluation of noncontrast MR enterography for pediatric inflammatory bowel disease assessment

“…Magnetic resonance enterography (MRE) has become the imaging modality of choice for the assessment of inflammatory bowel disease (IBD) activity in both adults and children . MRE is useful to assess bowel inflammation and complications such as penetrating and fibrostenosing disease .…”

Oral Contrast Agents for Pediatric CT and MR Enterography: It’s a Matter of Good Taste

“…Because "most pediatricians [given the frequency] will treat children with inflammatory bowel disease in their practices" (1), radiologists across all practice types are also likely to care for this population of children. Diagnostic imaging plays a critical role in initial diagnosis, defining the nature and extent of involvement and surveillance, and addressing complications both extraenteric and enteric (2)(3)(4)(5).…”