A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract

Abstract

The working group for abdominal and gastrointestinal diagnosis is a group of the German Radiological Society (DRG) focusing clinically and scientifically on the diagnosis and treatment of the gastrointestinal tract with all parenchymatous abdominal organs. In addition to the clinical and scientific further development of abdominal radiology, the education of radiologists within this core discipline of radiology is one of the major aims. In this article we give an up-to-date literature review of scientific radiological topics especially covered by German radiologists. This manuscript focuses on the most recent literature on the diagnosis of the stomach, small bowel, colon and rectum. The review with a focus on the most recent studies published by German radiologists concludes with a synopsis of mesenterial bleeding and ischemia followed by a critical appraisal of the current literature on conventional abdominal radiography.

Key Points:

• Based on recent literature and guidelines there is a change of paradigms regarding the diagnosis of esophagus and gastric cancer towards CT, which is considered equally to endosonography.

• For small bowel imaging in Crohn’s disease ultrasound as well as MRI with a new focus on DWI are the most important imaging modalities scientifically.

• For colonic diagnosis virtual colonoscopy has replaced the conventional radiological methods. For staging of rectal carcinoma as well as for therapeutic stratification a high resolution MRI of the pelvis is of paramount interest.

• Multislice CT is considered the most important modality to assess mesenteric ischemia or bleeding.

Citation Format:

• Schreyer AG, Wessling J, Kinner S et al. A Review of Scientific Topics and Literature in Abdominal Radiology in Germany – Part 1: Gastrointestinal Tract. Fortschr Röntgenstr 2016; 188: 134 – 145

Zusammenfassung

Die AG Abdominal- und Gastrointestinaldiagnostik ist die Arbeitsgemeinschaft der Deutschen Röntgengesellschaft (DRG), die sich klinisch und wissenschaftlich auf Diagnostik und Therapie des Gastrointestinaltraktes mit allen parenchymatösen Abdominalorganen fokussiert. Neben der klinischen und wissenschaftlichen Weiterentwicklung der abdominellen Radiologie ist die Weiterbildung aller Radiologen in diesem Kernfach ein Hauptziel der Arbeitsgruppe. Im vorliegenden Übersichtsartikel wird eine aktuelle Übersicht forschungsrelevanter Themengebiete vor allem der deutschsprachigen Radiologie, gegeben. Der Fokus dieses Artikels richtet sich dabei auf die Diagnostik des Magens, Dünndarms und Dickdarms mit Rektum. Abgeschlossen wird der Übersichtsartikel der aktuellen Literatur mit Betonung der radiologischen Entwicklungen im deutschsprachigen Raum mit einer Synopsis der mesenterialen Blutung und Ischämie gefolgt von einer kritischen Würdigung aktueller Literatur zum konventionellen abdominellen Röntgen.

Key words

abdomen - stomach - small bowel - colonoscopy - inflammation

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