The role of DWI sequences in preclinical investigations of the sacroiliac joints anomalies in patients with Crohn's disease. Our experience

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2016

Poster Number:

C-0501

Type:

Educational Exhibit

Keywords:

Small bowel, Gastrointestinal tract, Musculoskeletal joint, MR-Diffusion/Perfusion, MR, Imaging sequences, Colonography MR, Inflammation, Pathology

Authors:

M. Costanzo, A. Di Piazza, S. Serraino, F. Vernuccio, D. Picone, V. M. Ricceri, F. Midiri, S. Salerno, G. Lo Re; Palermo/IT

DOI:

10.1594/ecr2016/C-0501

DOI-Link:

https://dx.doi.org/10.1594/ecr2016/C-0501

Fig. 1: Initial signs of sacroiliitis in a patient with MC - fibrotic substenotic...

Fig. 2: Evaluation of the ADC maps in a patient with MC - fistulizing pattern...

Fig. 3: Evaluation of the ADC maps in a patient with MC to pattern - fibrotic and...

Learning objectives

The purpose of this study is to establish the role to confer to diffusion weighted sequences (DWI) in the detection of early stage of sacroileitis in patients with Crohn's Disease (CD).

Background

0 false 14 18 pt 18 pt 0 0 false false false DWI sequences, useful to recognize the inflammatory component of the wall and to get "qualitative" informations about the state of the disease, may also play a role to identify the possible pathological involvement of the sacro-iliac joints in pre-clinical phase.

Findings and procedure details

A slag free diet was followed by the patients during the three days before the examination; meantime, the previous day, a cathartic preparation, meaning the assumption of 4000 ml of water solution of polyethylene, was performed, in order to remove faecal rests and to simplify the progression of the oral contrast agent. All patients with a positive histological data of CD were analyzed through colonoscopy. 0 false 14 18 pt 18 pt 0 0 false false false The examination took approximately 40 minutes, being able...

Conclusion

0 false 14 18 pt 18 pt 0 0 false false false Our experience suggests that DWI integration and ADC mapping, performed during ENTERO MRI study, in patients analyzed to follow up CD, provide important additional informations for the sacroileitis diagnosis, being able to explain any change in early stage of pathology.

Personal information

References

Kasper D, Fauci A, Longo D, BRaunwal E, Hauser S, Jameson J (2005). Harrison’s Principi di Medicina Interna. McGraw Hill (2005); 2003-2016; 2244-2248. Sheila L. Arvikar, Mark C. Fisher (2011); Inflammatory bowel disease associated arthropathy. Curr rev Muscoloskelet Med (2011); 4: 123-131. John R. Leyendecker, Richard S. Bloomfeld, David J. DiSantis, Gregory S.Waters, Ryan Mott, Robert E. Bechtold; MR enterography in the management of patients with Crohn disease. Radiographics, volume 29, n. 6 (2009). Matthew L Stoll, Ashish S Patel, Marilynn Punaro, Molly Dempsey-Robertson (2012);...