Authors:
N. Papanikolaou1, P. Prassopoulos2, I. Grammatikakis3, G. Papamastorakis3, T. Maris3, N. Gourtsoyiannis1; 1Heraklion/GR, 2Alexandroupolis/GR, 3Iraklion/GR
DOI:
10.1594/ECR03/C-0125
Conclusion
In conclusion, MR imaging has a potential to change how we evaluate the small intestine, because of its superb soft tissue contrast and functional information it can provide, its direct multiplanar capabilities and the lack of radiation exposure. Adequate bowel distention, homogeneous lumen opacification, fast sequences with breath hold acquisition times, both T1- and T2-weighted imaging and contrast enhancement are cornerstones for an optimal MRI examination of the small bowel. A comprehensive MR Enteroclysis imaging protocol should comprise SSTSE, true FISP, HASTE and fat suppressed 3d FLASH sequences. SSTSE is utilized for monitoring the infusion process and performing MR fluoroscopy while true FISP and HASTE are mainly used for anatomic demonstration and detection of the pathology. 3d FLASH sequences after intravenous gadolinium injection may aid tissue characterization.