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Revising MR Enterography Protocol May Reduce Costs, Complexity While Maintaining Effective Crohn’s Disease Diagnosis

By MedImaging International staff writers
Posted on 18 Jul 2011
A new study has found that magnetic resonance enterography (MRE) without the use of an antiperistaltic agent was as effective as computed tomography enterography (CTE) in determining the presence of Crohn’s disease. Moreover, MRE reduces the patient’s exposure to ionizing radiation.

The study was published online in June 2011 advance of print in the European Journal of Radiology. Lead author David J. Grand, MD, director of the body MRI program at Rhode Island Hospital (Providence, USA) found that MR enterography without anti-peristaltic agents results in high diagnostic confidence for the presence or absence of Crohn’s disease when compared to CT enterography. To limit exposure to ionizing radiation in young patients, MR enterography may be considered a first-line study for the assessment of known or suspected Crohn’s disease.

“This is an important discovery in the diagnostic process for Crohn’s disease,” said Dr. Grand. “This information will help us to develop safer approaches toward testing, helping to lower patients’ exposure to radiation, while still maintaining the integrity of diagnosis.”

The study included 26 patients to be tested for known or suspected Crohn’s disease. The patients underwent CTE immediately followed by MRE without the use of an antiperistaltic agent. Two fellowship-trained abdominal imagers evaluated each study on a 10-point scale for exam quality, level of diagnostic confidence and presence of Crohn’s disease. The CTE and MRE images were reviewed in random order with at least two weeks separating interpretation of the test results of a single patient.

Whereas the quality of the MRE scans was ranked slightly lower than the quality of the CTEs, both tests were judged with similarly high rankings for level of confidence in interpretation.

Crohn’s disease, a form of inflammatory bowel disease (IBD), is a chronic, relapsing, autoimmune disorder that may affect any portion of the gastrointestinal tract, most typically the terminal ileum. The incidence of IBD has increased 31 percent in the US since 1991. Cross-sectional imaging is currently a mainstay of evaluation of patients with Crohn’s disease due to its ability to assess the entire bowel and extra-luminal complications including fistula and abscess. However, MRE has shown excellent effectiveness both in detection of Crohn’s disease as well as in differentiation of active from chronic small bowel changes.

While CTE has proven to be an effective tool in diagnosing Crohn’s disease, the radiation dose the patient receives is up to five times higher than that of small-bowel follow through, the modality it has largely replaced. In one population-based study, diagnostic imaging exams exposed the majority of Crohn’s patients to an additional annual radiation does equal to the annual background radiation in the United States, while a subset of patients received up to 11 times this additional dosage.

MRE can eliminate ionizing radiation exposure in the population of patients who frequently present while young and undergo multiple imaging exams throughout their lives.

Moreover, all published literature to date has used a pharmacologic antiperistaltic agent to minimize motion artifacts. While the agents may improve subjective image quality, their use has not been shown to be diagnostically necessary and administration complicates exam protocol and increases expense. This study demonstrates, according to the researcher, that the antiperistaltic agents may not be necessary, and suggests a simplified protocol of MRE that maintains diagnostic yield while decreasing complexity and expense.

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88 (51.021575927734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736119 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (58.889389038086): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (746.9654083252): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (901.93748474121): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (576.97296142578): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (!!!!! 3772.9740142822): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (324.01084899902): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (537.15705871582): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (!!!!! 1729.9652099609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
105 (!!!!! 1057.8632354736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
106 (101.08947753906): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (787.97340393066): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (476.83715820312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
109 (!!!!! 1138.9255523682): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
110 (296.11587524414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (!!!!! 1152.0385742188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (977.99301147461): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (!!!!! 1285.0761413574): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (657.08160400391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
115 (645.87593078613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
116 (!!!!! 2835.0353240967): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
117 (!!!!! 5813.1217956543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
118 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
119 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
120 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
121 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
122 (347.13745117188): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 81887.006759644): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (693.08280944824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736119 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736119 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 45310.974121094): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (701.904296875): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (334.02442932129): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (142.81272888184): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (658.98895263672): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (!!!!! 2924.919128418): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (!!!!! 4829.8835754395): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (!!!!! 1121.0441589355): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (355.00526428223): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (88.930130004883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (!!!!! 1518.9647674561): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (452.04162597656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (!!!!! 1943.1114196777): SELECT name FROM jos_deeppockets WHERE id=212
138 (!!!!! 1868.0095672607): SELECT name FROM jos_deeppockets WHERE id=212
139 (!!!!! 1533.031463623): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (732.1834564209): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
142 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
143 (!!!!! 18551.111221313): TRUNCATE TABLE jos_trademed_module
144 (512.83836364746): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (226.02081298828): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294736119 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (674.00932312012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (414.84832763672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (216.96090698242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
149 (334.02442932129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
150 (!!!!! 2170.0859069824): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (!!!!! 2905.8456420898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
152 (833.03451538086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
153 (63.180923461914): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736119 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736119 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (43.869018554688): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
155 (39.815902709961): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
156 (70.810317993164): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (!!!!! 2595.1862335205): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
158 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736119 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736119 AND published='1' LIMIT 1
159 (78.201293945312): select jos_twitters.link from jos_twitters where cat=10
160 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10
161 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10
162 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10
163 (!!!!! 1014.9478912354): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1557.1117401123): insert into jos_banners_delta values (14615,'2025-06-27 07:10:35','216.73.216.249','view'),(14202,'2025-06-27 07:10:35','216.73.216.249','view'),(14203,'2025-06-27 07:10:35','216.73.216.249','view')