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Open Access 01-06-2017 | Gastrointestinal

The first joint ESGAR/ ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging

Authors: S. A. Taylor, F. Avni, C. G. Cronin, C. Hoeffel, S. H. Kim, A. Laghi, M. Napolitano, P. Petit, J. Rimola, D. J. Tolan, M. R. Torkzad, M. Zappa, G. Bhatnagar, C. A. J Puylaert, J. Stoker

Published in: European Radiology | Issue 6/2017

Abstract

Objectives

To develop guidelines describing a standardised approach to patient preparation and acquisition protocols for magnetic resonance imaging (MRI), computed tomography (CT) and ultrasound (US) of the small bowel and colon, with an emphasis on imaging inflammatory bowel disease.

Methods

An expert consensus committee of 13 members from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) and European Society of Paediatric Radiology (ESPR) undertook a six-stage modified Delphi process, including a detailed literature review, to create a series of consensus statements concerning patient preparation, imaging hardware and image acquisition protocols.

Results

One hundred and fifty-seven statements were scored for agreement by the panel of which 129 statements (82 %) achieved immediate consensus with a further 19 (12 %) achieving consensus after appropriate modification. Nine (6 %) statements were rejected as consensus could not be reached.

Conclusions

These expert consensus recommendations can be used to help guide cross-sectional radiological practice for imaging the small bowel and colon.

Key points

• Cross-sectional imaging is increasingly used to evaluate the bowel

• Image quality is paramount to achieving high diagnostic accuracy

• Guidelines concerning patient preparation and image acquisition protocols are provided

Panes J, Bouhnik Y, Reinisch W et al (2013) Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis 7:556–585CrossRefPubMed

Fitch K BS, Aguilar M et al (2001) The RAND/UCLA appropriateness method user’s manual. AHCPR Pub. No. 95– 0009. Public Health Service, US Department of Health and Human Service, Rockville.

Beets-Tan RG, Lambregts DM, Maas M et al (2013) Magnetic resonance imaging for the clinical management of rectal cancer patients: recommendations from the 2012 European Society of Gastrointestinal and Abdominal Radiology (ESGAR) consensus meeting. Eur Radiol 23:2522–2531CrossRefPubMed

Puylaert CA, Tielbeek JA, Bipat S, Stoker J (2015) Grading of Crohn's disease activity using CT, MRI, US and scintigraphy: a meta-analysis. Eur Radiol 25:3295–3313CrossRefPubMedPubMedCentral

Centre for Evidence Based Medicine, Oxford University, Oxford. http://www.cebm.net/ocebm-levels-of-evidence/

Jesuratnam-Nielsen K, Løgager VB, Rezanavaz-Gheshlagh B, Munkholm P, Thomsen HS (2015) Plain magnetic resonance imaging as an alternative in evaluating inflammation and bowel damage in inflammatory bowel disease--a prospective comparison with conventional magnetic resonance follow-through. Scand J Gastroenterol 50:519–527CrossRefPubMed

Ippolito D, Invernizzi F, Galimberti S, Panelli MR, Sironi S (2010) MR enterography with polyethylene glycol as oral contrast medium in the follow-up of patients with Crohn disease: comparison with CT enterography. Abdom Imaging 35:563–570CrossRefPubMed

Laghi A, Paolantonio P, Iafrate F et al (2003) MR of the small bowel with a biphasic oral contrast agent (polyethylene glycol): technical aspects and findings in patients affected by Crohn's disease. Radiol Med 106:18–27PubMed

Maccioni F, Viscido A, Marini M, Caprilli R (2002) MRI evaluation of Crohn's disease of the small and large bowel with the use of negative superparamagnetic oral contrast agents. Abdom Imaging 27:384–393CrossRefPubMed

10.

Markova I, Polakova K, Tucek P et al (2012) MR enterography with a new negative oral contrast solution containing maghemite nanoparticles. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 156:229–235CrossRefPubMed

11.

Ajaj W, Goehde SC, Schneemann H, Ruehm SG, Debatin JF, Lauenstein TC (2004) Oral contrast agents for small bowel MRI: comparison of different additives to optimize bowel distension. Eur Radiol 14:458–464CrossRefPubMed

12.

Ajaj W, Goehde SC, Schneemann H, Ruehm SG, Debatin JF, Lauenstein TC (2004) Dose optimization of mannitol solution for small bowel distension in MRI. J Magn Reson Imaging 20:648–653CrossRefPubMed

13.

Ajaj W, Goyen M, Schneemann H et al (2005) Oral contrast agents for small bowel distension in MRI: influence of the osmolarity for small bowel distention. Eur Radiol 15:1400–1406CrossRefPubMed

14.

Borthne AS, Abdelnoor M, Storaas T, Pierre-Jerome C, Klow NE (2006) Osmolarity: a decisive parameter of bowel agents in intestinal magnetic resonance imaging. Eur Radiol 16:1331–1336CrossRefPubMed

15.

Kuehle CA, Ajaj W, Ladd SC, Massing S, Barkhausen J, Lauenstein TC (2006) Hydro-MRI of the small bowel: effect of contrast volume, timing of contrast administration, and data acquisition on bowel distention. AJR Am J Roentgenol 187:W375–W385CrossRefPubMed

16.

Kinner S, Kuehle CA, Herbig S et al (2008) MRI of the small bowel: can sufficient bowel distension be achieved with small volumes of oral contrast? Eur Radiol 18:2542–2548CrossRefPubMed

17.

Friedrich C, Fajfar A, Pawlik M et al (2012) Magnetic resonance enterography with and without biphasic contrast agent enema compared to conventional ileocolonoscopy in patients with Crohn's disease. Inflamm Bowel Dis 18:1842–1848CrossRefPubMed

18.

Ajaj W, Lauenstein TC, Langhorst J et al (2005) Small bowel hydro-MR imaging for optimized ileocecal distension in Crohn's disease: should an additional rectal enema filling be performed? J Magn Reson Imaging 22:92–100CrossRefPubMed

19.

Narin B, Ajaj W, Göhde S et al (2004) Combined small and large bowel MR imaging in patients with Crohn's disease: a feasibility study. Eur Radiol 14:1535–1542CrossRefPubMed

20.

Rimola J, Rodriguez S, García-Bosch O et al (2009) Magnetic resonance for assessment of disease activity and severity in ileocolonic Crohn's disease. Gut 58:1113–1120CrossRefPubMed

21.

Cronin CG, Lohan DG, Browne AM, Roche C, Murphy JM (2010) Does MRI with oral contrast medium allow single-study depiction of inflammatory bowel disease enteritis and colitis? Eur Radiol 20:1667–1674CrossRefPubMed

22.

Cronin CG, Lohan DG, Mhuircheartaigh JN et al (2008) MRI small-bowel follow-through: prone versus supine patient positioning for best small-bowel distention and lesion detection. AJR Am J Roentgenol 191:502–506CrossRefPubMed

23.

Fiorino G, Bonifacio C, Padrenostro M et al (2013) Comparison between 1.5 and 3.0 Tesla magnetic resonance enterography for the assessment of disease activity and complications in ileo-colonic Crohn's disease. Dig Dis Sci 58:3246–3255CrossRefPubMed

24.

Jiang X, Asbach P, Hamm B, Xu K, Banzer J (2014) MR imaging of distal ileal and colorectal chronic inflammatory bowel disease—diagnostic accuracy of 1.5 T and 3 T MRI compared to colonoscopy. Int J Colorectal Dis 29:1541–1550CrossRefPubMed

25.

Grand DJ, Beland MD, Machan JT, Mayo-Smith WW (2012) Detection of Crohn's disease: Comparison of CT and MR enterography without anti-peristaltic agents performed on the same day. Eur J Radiol 81:1735–1741CrossRefPubMed

26.

Cronin CG, Dowd G, Mhuircheartaigh JN et al (2009) Hypotonic MR duodenography with water ingestion alone: feasibility and technique. Eur Radiol 19:1731–1735CrossRefPubMed

27.

Gutzeit A, Binkert CA, Koh DM et al (2012) Evaluation of the anti-peristaltic effect of glucagon and hyoscine on the small bowel: comparison of intravenous and intramuscular drug administration. Eur Radiol 22:1186–1194CrossRefPubMed

28.

Froehlich JM, Daenzer M, von Weymarn C, Erturk SM, Zollikofer CL, Patak MA (2009) Aperistaltic effect of hyoscine N-butylbromide versus glucagon on the small bowel assessed by magnetic resonance imaging. Eur Radiol 19:1387–1393CrossRefPubMed

29.

Maccioni F, Bruni A, Viscido A et al (2006) MR imaging in patients with Crohn disease: value of T2- versus T1-weighted gadolinium-enhanced MR sequences with use of an oral superparamagnetic contrast agent. Radiology 238:517–530CrossRefPubMed

30.

Low RN, Sebrechts CP, Politoske DA et al (2002) Crohn disease with endoscopic correlation: single-shot fast spin-echo and gadolinium-enhanced fat-suppressed spoiled gradient-echo MR imaging. Radiology 222:652–660CrossRefPubMed

31.

Rimola J, Ordás I, Rodriguez S et al (2011) Magnetic resonance imaging for evaluation of Crohn's disease: validation of parameters of severity and quantitative index of activity. Inflamm Bowel Dis 17:1759–1768CrossRefPubMed

32.

Makanyanga JC, Pendsé D, Dikaios N et al (2014) Evaluation of Crohn's disease activity: initial validation of a magnetic resonance enterography global score (MEGS) against faecal calprotectin. Eur Radiol 24:277–287CrossRefPubMed

33.

Froehlich JM, Waldherr C, Stoupis C, Erturk SM, Patak MA (2010) MR motility imaging in Crohn's disease improves lesion detection compared with standard MR imaging. Eur Radiol 20:1945–1951CrossRefPubMed

34.

Hahnemann ML, Nensa F, Kinner S et al (2015) Improved detection of inflammatory bowel disease by additional automated motility analysis in magnetic resonance imaging. Invest Radiol 50:67–72CrossRefPubMed

35.

Menys A, Atkinson D, Odille F et al (2012) Quantified terminal ileal motility during MR enterography as a potential biomarker of Crohn's disease activity: a preliminary study. Eur Radiol 22:2494–2501CrossRefPubMed

36.

Bickelhaupt S, Froehlich JM, Cattin R et al (2013) Differentiation between active and chronic Crohn's disease using MRI small-bowel motility examinations - initial experience. Clin Radiol 68:1247–1253CrossRefPubMed

37.

Cullmann JL, Bickelhaupt S, Froehlich JM et al (2013) MR imaging in Crohn's disease: correlation of MR motility measurement with histopathology in the terminal ileum. Neurogastroenterol Motil 25:749–e577CrossRefPubMed

38.

Bickelhaupt S, Pazahr S, Chuck N et al (2013) Crohn's disease: small bowel motility impairment correlates with inflammatory-related markers C-reactive protein and calprotectin. Neurogastroenterol Motil 25:467–473CrossRefPubMed

39.

Plumb AA, Menys A, Russo E et al (2015) Magnetic resonance imaging-quantified small bowel motility is a sensitive marker of response to medical therapy in Crohn's disease. Aliment Pharmacol Ther 42:343–355CrossRefPubMed

40.

Oto A, Zhu F, Kulkarni K, Karczmar GS, Turner JR, Rubin D (2009) Evaluation of diffusion-weighted MR imaging for detection of bowel inflammation in patients with Crohn's disease. Acad Radiol 16:597–603CrossRefPubMedPubMedCentral

41.

Oussalah A, Laurent V, Bruot O et al (2010) Diffusion-weighted magnetic resonance without bowel preparation for detecting colonic inflammation in inflammatory bowel disease. Gut 59:1056–1065CrossRefPubMed

42.

Buisson A, Joubert A, Montoriol PF et al (2013) Diffusion-weighted magnetic resonance imaging for detecting and assessing ileal inflammation in Crohn's disease. Aliment Pharmacol Ther 37:537–545CrossRefPubMed

43.

Caruso A, DʼIncà R, Scarpa M et al (2014) Diffusion-weighted magnetic resonance for assessing ileal Crohn's disease activity. Inflamm Bowel Dis 20:1575–1583CrossRefPubMed

44.

Tielbeek JA, Ziech ML, Li Z et al (2014) Evaluation of conventional, dynamic contrast enhanced and diffusion weighted MRI for quantitative Crohn's disease assessment with histopathology of surgical specimens. Eur Radiol 24:619–629CrossRefPubMed

45.

Buisson A, Hordonneau C, Goutte M, Boyer L, Pereira B, Bommelaer G (2015) Diffusion-weighted magnetic resonance imaging is effective to detect ileocolonic ulcerations in Crohn's disease. Aliment Pharmacol Ther 42:452–460CrossRefPubMed

46.

Seo N, Park SH, Kim KJ et al (2016) MR Enterography for the Evaluation of Small-bowel inflammation in Crohn disease by using diffusion-weighted imaging without intravenous contrast material: a prospective noninferiority study. Radiology 278:762–772CrossRefPubMed

47.

Kim KJ, Lee Y, Park SH et al (2015) Diffusion-weighted MR enterography for evaluating Crohn's disease: how does it add diagnostically to conventional MR enterography? Inflamm Bowel Dis 21:101–109CrossRefPubMed

48.

Shenoy-Bhangle AS, Nimkin K, Aranson T, Gee MS (2016) Value of diffusion-weighted imaging when added to magnetic resonance enterographic evaluation of Crohn disease in children. Pediatr Radiol 46:34–42CrossRefPubMed

49.

Pazahr S, Blume I, Frei P et al (2013) Magnetization transfer for the assessment of bowel fibrosis in patients with Crohn's disease: initial experience. MAGMA 26:291–301CrossRefPubMed

50.

Lee SJ, Park SH, Kim AY et al (2011) A prospective comparison of standard-dose CT enterography and 50% reduced-dose CT enterography with and without noise reduction for evaluating Crohn disease. AJR Am J Roentgenol 197:50–57CrossRefPubMed

51.

Schindera ST, Nelson RC, DeLong DM et al (2007) Multi-detector row CT of the small bowel: peak enhancement temporal window—initial experience. Radiology 243:438–444CrossRefPubMed

52.

Kambadakone AR, Chaudhary NA, Desai GS, Nguyen DD, Kulkarni NM, Sahani DV (2011) Low-dose MDCT and CT enterography of patients with Crohn disease: feasibility of adaptive statistical iterative reconstruction. AJR Am J Roentgenol 196:W743–W752CrossRefPubMed

53.

Vandenbroucke F, Mortelé KJ, Tatli S et al (2007) Noninvasive multidetector computed tomography enterography in patients with small-bowel Crohn's disease: is a 40-second delay better than 70 seconds? Acta Radiol 48:1052–1060CrossRefPubMed

54.

Huprich JE, Barlow JM, Hansel SL, Alexander JA, Fidler JL (2013) Multiphase CT enterography evaluation of small-bowel vascular lesions. AJR Am J Roentgenol 201:65–72CrossRefPubMed

55.

Huprich JE, Fletcher JG, Alexander JA, Fidler JL, Burton SS, McCullough CH (2008) Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography—initial experience. Radiology 246:562–571CrossRefPubMed

56.

Desmond AN, O'Regan K, Curran C et al (2008) Crohn's disease: factors associated with exposure to high levels of diagnostic radiation. Gut 57:1524–1529CrossRefPubMed

57.

Peloquin JM, Pardi DS, Sandborn WJ et al (2008) Diagnostic ionizing radiation exposure in a population-based cohort of patients with inflammatory bowel disease. Am J Gastroenterol 103:2015–2022CrossRefPubMedPubMedCentral

58.

Palmer L, Herfarth H, Porter CQ, Fordham LA, Sandler RS, Kappelman MD (2009) Diagnostic ionizing radiation exposure in a population-based sample of children with inflammatory bowel diseases. Am J Gastroenterol 104:2816–2823CrossRefPubMedPubMedCentral

59.

Sauer CG, Kugathasan S, Martin DR, Applegate KE (2011) Medical radiation exposure in children with inflammatory bowel disease estimates high cumulative doses. Inflamm Bowel Dis 17:2326–2332CrossRefPubMed

60.

Ciáurriz-Munuce A, Fraile-González M, León-Brito H et al (2012) Ionizing radiation in patients with Crohn's disease. Estimation and associated factors. Rev Esp Enferm Dig 104:452–457CrossRefPubMed

61.

Estay C, Simian D, Lubascher J, Figueroa C, O'Brien A, Quera R (2015) Ionizing radiation exposure in patients with inflammatory bowel disease: are we overexposing our patients? J Dig Dis 16:83–89CrossRefPubMed

62.

Guimaraes LS, Fletcher JG, Yu L et al (2010) Feasibility of dose reduction using novel denoising techniques for low kV (80 kV) CT enterography: optimization and validation. Acad Radiol 17:1203–1210CrossRefPubMedPubMedCentral

63.

Craig O, O'Neill S, O'Neill F et al (2012) Diagnostic accuracy of computed tomography using lower doses of radiation for patients with Crohn's disease. Clin Gastroenterol Hepatol 10:886–892CrossRefPubMed

64.

Kaza RK, Platt JF, Al-Hawary MM, Wasnik A, Liu PS, Pandya A (2012) CT enterography at 80 kVp with adaptive statistical iterative reconstruction versus at 120 kVp with standard reconstruction: image quality, diagnostic adequacy, and dose reduction. AJR Am J Roentgenol 198:1084–1092CrossRefPubMed

65.

O'Neill SB, Mc Laughlin PD, Crush L et al (2013) A prospective feasibility study of sub-millisievert abdominopelvic CT using iterative reconstruction in Crohn's disease. Eur Radiol 23:2503–2512CrossRefPubMed

66.

Murphy KP, Crush L, Twomey M et al (2015) Model-Based Iterative Reconstruction in CT Enterography. AJR Am J Roentgenol 205:1173–1181CrossRefPubMed

67.

Murphy KP, Crush L, McLaughlin PD et al (2015) The role of pure iterative reconstruction in conventional dose CT enterography. Abdom Imaging 40:251–257CrossRefPubMed

68.

McLaughlin PD, Murphy KP, Twomey M et al (2016) Pure Iterative Reconstruction Improves Image Quality in Computed Tomography of the Abdomen and Pelvis Acquired at Substantially Reduced Radiation Doses in Patients With Active Crohn Disease. J Comput Assist Tomogr 40:225–233CrossRefPubMed

69.

Lee S, Yoon SW, Yoo SM et al (2011) Comparison of image quality and radiation dose between combined automatic tube current modulation and fixed tube current technique in CT of abdomen and pelvis. Acta Radiol 52:1101–1106CrossRefPubMed

70.

Kalra MK, Maher MM, Toth TL, Kamath RS, Halpern EF, Saini S (2004) Comparison of Z-axis automatic tube current modulation technique with fixed tube current CT scanning of abdomen and pelvis. Radiology 232:347–353CrossRefPubMed

71.

Parente F, Greco S, Molteni M et al (2004) Oral contrast enhanced bowel ultrasonography in the assessment of small intestine Crohn's disease. A prospective comparison with conventional ultrasound, x ray studies, and ileocolonoscopy. Gut 53:1652–1657CrossRefPubMedPubMedCentral

72.

Chatu S, Pilcher J, Saxena SK, Fry DH, Pollok RC (2012) Diagnostic accuracy of small intestine ultrasonography using an oral contrast agent in Crohn's disease: comparative study from the UK. Clin Radiol 67:553–559CrossRefPubMed

73.

Pallotta N, Civitelli F, Di Nardo G et al (2013) Small intestine contrast ultrasonography in pediatric Crohn's disease. J Pediatr 163:778–784.e1CrossRefPubMed

74.

Esteban JM, Maldonado L, Sanchiz V, Minguez M, Benages A (2001) Activity of Crohn's disease assessed by colour Doppler ultrasound analysis of the affected loops. Eur Radiol 11:1423–1428CrossRefPubMed

75.

Heyne R, Rickes S, Bock P, Schreiber S, Wermke W, Lochs H (2002) Non-invasive evaluation of activity in inflammatory bowel disease by power Doppler sonography. Z Gastroenterol 40:171–175CrossRefPubMed

76.

Rogoveanu I, Săftoiu A, Cazacu S, Ciurea T (2003) Color Doppler transabdominal ultrasonography for the assessment of the patients with inflammatory bowel disease during treatment. Rom J Gastroenterol 12:277–281PubMed

77.

Drews BH, Barth TF, Hänle MM et al (2009) Comparison of sonographically measured bowel wall vascularity, histology, and disease activity in Crohn's disease. Eur Radiol 19:1379–1386CrossRefPubMed

78.

Gaitini D, Kreitenberg AJ, Fischer D, Maza I, Chowers Y (2011) Color-coded duplex sonography compared to multidetector computed tomography for the diagnosis of crohn disease relapse and complications. J Ultrasound Med 30:1691–1699CrossRefPubMed

79.

Thomson M, Rao P, Berger L, Rawat D (2012) Graded compression and power Doppler ultrasonography versus endoscopy to assess paediatric Crohn disease activity pre- and posttreatment. J Pediatr Gastroenterol Nutr 54:404–408CrossRefPubMed

80.

Guidi L, De Franco A, De Vitis I et al (2006) Contrast-enhanced ultrasonography with SonoVue after infliximab therapy in Crohn's disease. Eur Rev Med Pharmacol Sci 10:23–26PubMed

81.

Ma X, Li Y, Jia H et al (2015) Contrast-enhanced ultrasound in the diagnosis of patients suspected of having active Crohn's disease: meta-analysis. Ultrasound Med Biol 41:659–668CrossRefPubMed

82.

Girlich C, Jung EM, Iesalnieks I et al (2009) Quantitative assessment of bowel wall vascularisation in Crohn's disease with contrast-enhanced ultrasound and perfusion analysis. Clin Hemorheol Microcirc 43:141–148PubMed

83.

Girlich C, Jung EM, Huber E et al (2011) Comparison between preoperative quantitative assessment of bowel wall vascularization by contrast-enhanced ultrasound and operative macroscopic findings and results of histopathological scoring in Crohn's disease. Ultraschall Med 32:154–159CrossRefPubMed

84.

Wong DD, Forbes GM, Zelesco M, Mason R, Pawlik J, Mendelson RM (2012) Crohn's disease activity: quantitative contrast-enhanced ultrasound assessment. Abdom Imaging 37:369–376CrossRefPubMed

85.

Medellin-Kowalewski A, Wilkens R, Wilson A, Ruan J, Wilson SR (2016) Quantitative contrast-enhanced ultrasound parameters in Crohn disease: their role in disease activity determination with ultrasound. AJR Am J Roentgenol 206:64–73CrossRefPubMed

86.

Ripollés T, Martínez MJ, Paredes JM, Blanc E, Flors L, Delgado F (2009) Crohn disease: correlation of findings at contrast-enhanced US with severity at endoscopy. Radiology 253:241–248CrossRefPubMed

87.

Ripollés T, Rausell N, Paredes JM, Grau E, Martínez MJ, Vizuete J (2013) Effectiveness of contrast-enhanced ultrasound for characterisation of intestinal inflammation in Crohn's disease: a comparison with surgical histopathology analysis. J Crohns Colitis 7:120–128CrossRefPubMed

88.

Paredes JM, Ripollés T, Cortés X et al (2013) Contrast-enhanced ultrasonography: usefulness in the assessment of postoperative recurrence of Crohn's disease. J Crohns Colitis 7:192–201CrossRefPubMed

89.

Moreno N, Ripollés T, Paredes JM et al (2014) Usefulness of abdominal ultrasonography in the analysis of endoscopic activity in patients with Crohn's disease: changes following treatment with immunomodulators and/or anti-TNF antibodies. J Crohns Colitis 8:1079–1087CrossRefPubMed

90.

Sohn B, Kim MJ, Koh H, Han KH, Lee MJ (2014) Intestinal lesions in pediatric Crohn disease: comparative detectability among pulse sequences at MR enterography. Pediatr Radiol 44:821–830CrossRefPubMed

91.

Barber JL, Lozinsky AC, Kiparissi F, Shah N, Watson TA (2016) Detecting inflammation in the unprepared pediatric colon - how reliable is magnetic resonance enterography? Pediatr Radiol 46:646–652CrossRefPubMed

92.

Dillman JR, Smith EA, Khalatbari S, Strouse PJ (2013) I.v. glucagon use in pediatric MR enterography: effect on image quality, length of examination, and patient tolerance. AJR Am J Roentgenol 201:185–189CrossRefPubMed

93.

Absah I, Bruining DH, Matsumoto JM et al (2012) MR enterography in pediatric inflammatory bowel disease: retrospective assessment of patient tolerance, image quality, and initial performance estimates. AJR Am J Roentgenol 199:W367–W375CrossRefPubMed

94.

Maccioni F, Al Ansari N, Mazzamurro F et al (2014) Detection of Crohn disease lesions of the small and large bowel in pediatric patients: diagnostic value of MR enterography versus reference examinations. AJR Am J Roentgenol 203:W533–W542CrossRefPubMed

95.

Flood TF, Stence NV, Maloney JA, Mirsky DM (2016) Pediatric brain: repeated exposure to linear gadolinium-based contrast material is associated with increased signal intensity at unenhanced T1-weighted MR imaging. Radiology. doi:10.1148/radiol.2016160356:160356 PubMed

Title: The first joint ESGAR/ ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging
Authors: S. A. Taylor
F. Avni
C. G. Cronin
C. Hoeffel
S. H. Kim
A. Laghi
M. Napolitano
P. Petit
J. Rimola
D. J. Tolan
M. R. Torkzad
M. Zappa
G. Bhatnagar
C. A. J Puylaert
J. Stoker
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 6/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-016-4615-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The first joint ESGAR/ ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging

Abstract

Objectives

Methods

Results

Conclusions

Key points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key points

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