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Comparison of high-resolution ultrasound and MR-enterography in patients with inflammatory bowel disease

World Journal of Gastroenterology 2011年第8期17卷 1018-1025页

作者： Andreas G Schreyer Cynthia Menzel Chris Friedrich Florian Poschenrieder Lukas Egger Christian Dornia gabriela schill Lena M Dendl Doris Schacherer Christl Girlich Ernst-Michael Jung Ernst-Michael Jung Institute of Radiology University Medical Center Ernst-Michael Jung De-partment of Interdisciplinary Ultrasound University Medical Center

AIM:To compare the results of high-resolution ultrasound(HR-US) and magnetic resonance enterography(MRE) examinations in patients with inflammatory bowel disease(IBD).METHODS:The reports of 250 consecutive cases with known IBD,who had an MRE and HR-US examination,were retrospectively *** a patient-based approach we evaluated morphological disease features such as affected bowel wall,stenosis,abscess and *** comparison between the two modalities was based on the hypothesis,that any pathological change described in any imaging modality was a true finding,as no further standard of reference was available for complete ***:Two hundred and fifty examinations representing 207 different patients were *** modalities assessed similar bowel wall changes in 65% of the examinations,with more US findings in 11% and more MRE findings in 15%.When the reports were analyzed with regard to "bowel wall inflammation",US reported more findings in 2%,while MRE reported more findings in 53%.Stenoses were assessed to be identical in 8%,while US found more in 3% and MRE in 29%(P < 0.01).For abscess detection,US showed more findings in 2%(n = 4) while MRE detected more in 6%(n = 16).US detected more fistulas in 1%(n = 2),while MRE detected more in 13%(n = 32)(P < 0.001).The most common reason for no detected pathology by US was a difficult to assess anatomical region(lesser pelvis,n = 72).CONCLUSION:US can miss clinically relevant pathological changes in patients with IBD mostly due to difficulty in assessing certain anatomical regions.

关键词：高分辨率 MRE 肠壁患者超声炎症鸡传染性法氏囊病考试评估

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