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01-01-2007 | Gastrointestinal

Pictorial review: magnetic resonance imaging of colonic diverticulitis

Authors: Orla Buckley, Tony Geoghegan, Grainne McAuley, Thara Persaud, Faisal Khosa, William C. Torreggiani

Published in: European Radiology | Issue 1/2007

Abstract

Magnetic resonance imaging (MRI) is rapidly emerging as a useful imaging modality for the evaluation of the gastrointestinal tract. Increasingly rapid sequences and improving hardware have significantly improved the visualisation of diseases of the colon. MRI has a major advantage over CT in that there is no ionising radiation. In our institution, MRI has increasingly been used as a complimentary imaging modality to CT in the diagnosis and evaluation of diverticulitis and its complications. In this review article, we illustrate the emerging role of MRI in the diagnosis and evaluation of colonic diverticulitis.

Ferzoco LB, Raptopulos V, Silen W (1998) Acute diverticulitis. N Eng J Med 338:1521–1526CrossRef

Painter NS, Burkitt DP (1971) Diverticular disease of the colon: a deficiency disease of Western civilisation. BMJ 450–454

Hinton JM, Lennard-Jones JE, Young AC (1969) A new method for studying gut transit times using radiopaque markers. Gut 10:842–847PubMedCrossRef

Waters DA, Smith AN, Eastwood MA, Anderson KC, Elton RA, Mugerwa JW (1985) Mechanical properties of the colon: comparison of the features of the African and European colon in vitro. Gut 26:384–392CrossRef

Young Fadok TM, Roberts PL, Spencer MP, Wolff BG (2000) Colonic diverticular disease. Curr Probl Surg 37:457–514PubMedCrossRef

Parks TS (1975) Natural history of diverticular disease of the colon. Clin Gastroenterol 4:53–59PubMed

Papagrigoriadis S, MAcey l, Bourantas N, Rennie JA (1999) Smoking may be associated with complications in diverticular disease. BR J Surg 86:923–926PubMedCrossRef

Ambrosetti P, Becker C, Terrier F (2002) Colonic diverticulitis: impact on surgical management; a prospective study of 452 patients. Eur Radiol 12:1145–1149PubMedCrossRef

Rao PM, Rhea JT (1998) Colonic diverticulitis: evaluation of the arrowhead sign and the inflamed diverticulum for CT diagnosis. Radiol 209:775–779

10.

Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhoum E, Bruel JM (1997) Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiol 205:503–512

11.

Retert H, Noldge G, Encke J, Richter GM, Dux M (2003) The value of CT for the diagnosis of acute diverticulitis. Radiologe 43:51–58CrossRef

12.

Buckley O, Geoghegan T, O Riordain DS, Lyburn ID, Torreggiani WC (2004) Computed tomography in the imaging of colonic diverticulitis. Clin Radiol 59:987–993CrossRef

13.

Boulos PB (2002) Complicated diverticulosis. Best Prac Res Clin Gastroenterol 16:649–662CrossRef

14.

Hollerweger A, Macheiner P, Rettenbacher T, Brunner W, Gritzmann N (2001) Colonic diverticulitis: diagnostic value and appearance of inflamed diverticula: sonographic evaluation. Eur Radiol 11:1956–1963PubMedCrossRef

15.

Bruel JM (2003) Acute colonic diverticulitis: CT or ultrasound? Eur Radiol 13:2557–2559PubMedCrossRef

16.

Werner A, Diehl SJ, Farag-Soliman M, Duber C (2003) Multi slice CT in the routine diagnosis of suspected acute diverticulitis. A prospective study of 120 patients. Eur Radiol 13:2557–2559CrossRef

17.

Kettritz U, Shoenut JP, Semelka RC (1995) MR imaging of the gastrointestinal tract. Magn Reson Imag Clin N Am 3:87–98

18.

Rieber A, Nussle K, Reinshagen M et al (2002) MRI of the abdomen with positive oral contrast agents for the diagnosis of inflammatory small bowel disease. Abdom Imaging 27 38:29–36

19.

Incesu L, Coskun A, Selcuk MB, Akan H, Sozubir S, Bernay F (1997) Acute appendicitis: MR imaging and sonographic correlation. Am J Roentgenol 168:669–674

20.

Van Breda Vriesman AC, Kole BJ, Puylaert JBCM (2003) Effect of ultrasonography and optional computed tomography on the outcome of appendicectomy. Eur Radiol 13:2278–2282CrossRef

21.

Cobben LPJ, Groot I, Blickman JG, Puylaert M (2003) Right colonic diverticulitis: MR appearance. Abdom Imaging 28:794–798PubMedCrossRef

22.

Heverhagen JT, Ishaque N, Zielke A, Bohrer T, Sitter H, Berthold LD, Klose KJ (2001) Feasabilitiy of MRI in the diagnosis of acute diverticulitis: initial results. MAGMA 12:4–9PubMedCrossRef

23.

Heverhagen JT, Zielke A, Ishaque N, Bohrer T, El-Sheik M, Klose KJ (2001) Acute colonic diverticulitis: Visualisation in magnetic resonance imaging. Mag Res Im 19:1275–1277CrossRef

24.

Horton KM, Corl FM, Fishman EK (2000) CT evaluation of colon: inflammatory disease. Radiographics 20:399–418PubMed

25.

Hulnick DH, Megibow AJ, Baltazar EJ, Naidich DP, Bosniak MA (1984) Computerised Tomography in the evaluation of diverticulitis. Radiology 152:491–495PubMed

26.

Balthazar EJ, Meigbow A, Schinella RA, Gordon R (1990) Limitations in the CT diagnosis of acute diverticulitis: comparison of CT, contrast enema and pathological findings in 16 patients. Am J Roentgenol 154:281

27.

Ajaj W, Ruehm SG, Lauenstein T, Goehde S, Huehle C, Herborn C, Langhorst J, Zoepf T, Gerken G, Goyen M (2005) Dark-lumen magnetic resonance colonography in patients with suspected sigmoid diverticulitis: a feasibility study. Eur Radiol 15:2316–2322PubMedCrossRef

28.

Fiocca R, Ceppa P (2003) Endoscopic biopsies. J Clin Pathol 56:321–322PubMedCrossRef

29.

Schreyer AG, Furst A, Agha A, Sheibl K, Scholmerich J, Herfarth H, Seitz J (2004) Magnetic resonance imaging based colonography for diagnosis and assessment of diverticulosis and diverticulitis. Int J Colorectal Dis 19:474–480PubMedCrossRef

30.

Schreyer AG, Rath HC, Kikinis R et al (2005) Comparison of magnetic resonance imaging colonography with conventional colonoscopy for the assessment of intestinal inflammation in patients with inflammatory bowel disease: a feasibility study. Gut 54:250–256PubMedCrossRef

31.

Ajaj W, Debatin JF, Lauenstein T (2005) Colonography by magnetic resonance imaging. Eur J Gastroenterol Hepatol 17:815–820PubMedCrossRef

32.

Hinks RS, Bronskill MJ, Kucharczyk W, Bernstein M, Collick BD, Henkelman RM (1998) MR systems for image-guided therapy. JMRI 18:19–25CrossRef

33.

Mueller PR, Stark DD, Simeone JF, et al (1986) MR-guided aspiration biopsy: needle design and clinical trials. Radiology 161:605–609PubMed

Title: Pictorial review: magnetic resonance imaging of colonic diverticulitis
Authors: Orla Buckley
Tony Geoghegan
Grainne McAuley
Thara Persaud
Faisal Khosa
William C. Torreggiani
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: European Radiology / Issue 1/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-006-0236-z

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Pictorial review: magnetic resonance imaging of colonic diverticulitis

Abstract

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