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MR enterography of IBD patient on Achieva 1.5T

Case Study
Al-Hawary, Mahmoud, M.D. University of Michigan Health System • USA

Patient history

A patient with Inflammatory bowel disease (IBD) presented at the University of Michigan Health System for an MR examination of the bowel.

MR examination

The patient was examined on Achieva 1.5T with the SENSE XL Torso coil. A dedicated MR enterography exam was performed.

View ExamCard used:

Images and findings

 Axial SSh TSE Coronal SSh TSE Axial T1 gradient echo with fat saturation
Axial SSh TSE
Coronal SSh TSE
Axial T1 gradient echo with fat saturation

Axial and coronal T2-weighted single shot TSE images show circumferential bowel wall thickening with high signal intensity in the bowel wall suggestive of bowel wall edema. Axial 3D T1-weighted gradient echo images with fat saturation show striated mural signal intensity consistent with active inflammation.

Clinical impact of using MRE for IBD patients

MRE in Crohn’s disease is often done to try to differentiate patients with active inflammatory disease from those with stenosing disease to help determine if either medical therapy or surgical resection should be considered. It can also help to visualize other Crohn’s disease complications, including penetrating disease with abscesses and fistulae.

Because of the lack of ionizing radiation in MR, MR enterography could be a suitable modality for patients with Crohn’s disease, in particular in younger patients and patients who require frequent follow-up examinations, to reduce the cumulative radiation dose acquired from multiple CT examinations.

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Dec 17, 2013

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Case Study
Achieva 1.5T
Release 3
Body, Bowel, Crohn's disease, DWI, MR enterography, MRE, SENSE XL Torso coil, Torso coil

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