Keywords:
Abdomen, Small bowel, MR, MR-Diffusion/Perfusion, Diagnostic procedure, Inflammation
Authors:
A. Viviani1, E. Ricci1, C. Guerra2, S. Santini3; 1PESCIA/IT, 2Foggia/IT, 3empoli/IT
DOI:
10.26044/ecr2019/C-2442
Aims and objectives
MR enterography has become the primary imaging modality in the assessment of Crohn's disease in both children and adults.
With the introduction of mulecule-targeted biologic agents into the clinical setting MR enterography is increasingly utilized to evaluate disease activity and response to therapy.
Now the use of diffusion-weighted imaging is useful in detecting occult disease activity evaluating early treatment response/resistance and differentiating inflammatory from fibrotic strictures.
The lesions are usually transmural.
A about two thirds of patients with Crohn's disease will develop complications within 10 years.
Immunosuppressive drugs can decrease disease activity,
maintain remission and prevent relapse.
Eventually 90% of patients with ileocolic disease require surgery.