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MR enterography of IBD patient on Ingenia 3.0T

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 Ingenia 3.0T with the dS Torso coil. A dedicated MR enterography exam was performed.

View ExamCard used:

Images and findings

 T2W SSh TSE 3D T1W with fat saturation
3D T1W with fat saturation
 B-TFE 3D T1W with fat saturation
3D T1W with fat saturation

Coronal T2-weighted single shot TSE images show circumferential wall thickening in the descending colon with high signal intensity in the bowel wall suggestive of bowel wall edema. Axial Balanced TFE shows the same thickened abnormal bowel segment with stranding of the surrounding fat suggesting perienteric inflammation. Axial and coronal 3D gradient echo T1-weighted images with fat saturation show striated mural signal 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.

Related reading:

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Dec 17, 2013

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Case Study
Ingenia 3.0T
Release 4
Anterior coil, Body, Bowel, Crohn's disease, dS Torso coil, dStream, DWI, MR enterography, MRE

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