scholarly journals Magnetic Resonance Imaging of the Perineum in Pediatric Patients with Inflammatory Bowel Disease

2013 ◽  
Vol 27 (8) ◽  
pp. 476-480 ◽  
Author(s):  
Douglas H Jamieson ◽  
Peter Shipman ◽  
Kevan Jacobson

Magnetic resonance imaging (MRI) has profoundly changed and improved the investigation of abdominal and pelvic inflammatory bowel disease (IBD) in pediatrics. Using an imaging modality without ionizing radiation is of particular advantage because the pediatric IBD population is young and often requires repeat evaluation. MRI of the pelvis has become the imaging gold standard for detecting and monitoring perianal disease while bowel-directed imaging techniques (eg, enterography, enteroclysis and colonography) can accurately evaluate bowel inflammation in IBD. With recent technological innovations leading to faster and higher resolution, the role of MRI in IBD will likely continue to expand. The present article focuses on MRI of the perineum in pediatric IBD.

1994 ◽  
Vol 19 (1) ◽  
pp. 31-35 ◽  
Author(s):  
J Patrick Shoenut ◽  
Richard C. Semelka ◽  
Cynthia M. Magro ◽  
Richard Silverman ◽  
Clifford S. Yaffe ◽  
...  

2009 ◽  
Vol 39 (8) ◽  
pp. 791-797 ◽  
Author(s):  
Efthymia Alexopoulou ◽  
Eleftheria Roma ◽  
Dimitra Loggitsi ◽  
Nikos Economopoulos ◽  
Olympia Papakonstantinou ◽  
...  

Author(s):  
Raj Shah ◽  
Abbinaya Elangovan ◽  
David W Jordan ◽  
Jeffry Katz ◽  
Gregory S Cooper

Abstract Background Patients with inflammatory bowel disease (IBD) frequently undergo multiple computed tomography (CT) examinations. With the widespread availability of magnetic resonance imaging (MRI), it is unclear whether the use of CTs in IBD has declined. We aimed to analyze the trends of CT and MRI use in a large cohort of IBD patients in a 10-year period. Methods We retrospectively analyzed adults ≥18 years of age using a de-identified database, IBM Explorys. Patients with ≥1 CT of the abdomen (± pelvis) or MRI of the abdomen (± pelvis) at least 30 days after the diagnosis of Crohn’s disease (CD) or ulcerative colitis (UC) were included. We examined the factors associated with patients undergoing multiple CTs (≥5 CTs of the abdomen) and performed a trend analysis from 2010 to 2019. Results Among 176 110 CD and 143 460 UC patients, those with ≥1 CT of the abdomen annually increased from 2010 to 2019 with mean annual percentage change of +3.6% for CD and +4.9% for UC. Similarly, annual percentage change for patients with ≥1 MRI (CD: +15.6%; UC: +22.8%) showed a rising trend. There was a 3.8% increase in CD patients receiving ≥5 CTs of the abdomen annually compared with a 2.4% increase among UC patients in the 10-year period. Age ≥50 years, men, African Americans, public insurance payors, body mass index ≥30kg/m2, and smoking history were associated with ≥5 CTs. Conclusions There is a considerable increase in the number of CT scans performed in IBD patients. Further studies can explore factors influencing the use of CT and MRI of the abdomen in IBD patients.


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