Endoscopy 2000; 32(5): 406-410
DOI: 10.1055/s-2000-639
Review

Georg Thieme Verlag Stuttgart · New York

Magnetic Resonance Imaging in Gastroenterology: Time to Say Good-bye to All That Endoscopy?

H. E. Adamek 1 , H. Breer 2 , T. Karschkes 2 , J. Albert 1 , J. F. Riemann 1
  • 1 Dept. of Medicine, Klinikum Ludwigshafen, Academic Hospital of the Johannes Gutenberg University of Mainz, Ludwigshafen, Germany
  • 2 Dept. of Radiology, Klinikum Ludwigshafen, Academic Hospital of the Johannes Gutenberg University of Mainz, Ludwigshafen, Germany
Further Information

Publication History

Publication Date:
31 December 2000 (online)

Magnetic resonance imaging (MRI) has been described as the most important development in medical diagnosis since the discovery of the roentgen ray more than 100 years ago. The effectiveness of MRI has been extended to make it applicable in a wide variety of gastrointestinal disorders. The attention of gastroenterologists is currently focusing on pancreaticobiliary and bowel diseases. Magnetic resonance cholangiopancreatography (MRCP) has become a competitive alternative to diagnostic endoscopic retrograde cholangiopancreatography in a variety of hepatobiliary and pancreatic diseases. Magnetic resonance enteroscopy has the potential to become the preferable method for evaluating the entire small bowel; virtual colonoscopy, on the other hand, is far from the stage at which it could be promoted as a tool for general screening purposes in suspected colonic diseases. Its drawbacks include problems with standardization, implementation of the techniques in generalized settings, and patient acceptance.

References

  • 1 Wallner B K, Schumacher K A, Weidenmaier W, et al. Dilated biliary tract: evaluation with MR cholangiography with a T2-weighted contrast enhanced fast sequence.  Radiology. 1991;  181 805-808
  • 2 Soto J A, Barish M A, Yucel E K, et al. Magnetic resonance cholangiography: comparison with endoscopic retrograde cholangiopancreatography.  Gastroenterology. 1996;  110 589-597
  • 3 Zidi S H, Prat F, Le Guen O, et al. Use of magnetic resonance cholangiography in the diagnosis of choledocholithiasis: prospective comparison with a reference imaging method.  Gut. 1999;  44 118-122
  • 4 Adamek H E, Albert J, Weitz M, et al. A prospective evaluation of magnetic resonance cholangiopancreatography in patients with suspected bile duct obstruction.  Gut. 1988;  43 680-683
  • 5 Kubo S, Hamba H, Hirohashi K, et al. Magnetic resonance cholangiography in hepatolithiasis.  Am J Gastroenterol. 1997;  92 629-631
  • 6 Hintze R E, Adler A, Veltzke W, et al. Clinical significance of magnetic resonance cholangiopancreatography (MRCP) compared with ERCP.  Endoscopy. 1997;  29 182-187
  • 7 Matos C, Metens T, Devière J, et al. Pancreatic duct: morphologic and functional evaluation with dynamic MR pancreatography after secretin stimulation.  Radiology. 1997;  203 435-441
  • 8 Lecesne R, Taourel P, Bret P M, et al. Acute pancreatitis: interobserver agreement and correlation of CT and MR cholangiopancreatography with outcome.  Radiology. 1999;  211 727-735
  • 9 Sica G T, Braver J, Cooney M J, et al. Comparison of endoscopic retrograde cholangiopancreatography with MR cholangiopancreatography in patients with pancreatitis.  Radiology. 1999;  210 605-610
  • 10 Sugiyama M, Atomi Y, Hachiya J. Intraductal papillary tumors of the pancreas: evaluation with magnetic resonance cholangiopancreatography.  Am J Gastroenterol. 1998;  93 156-159
  • 11 Barish M A, Yucel E C, Ferrucci J T. Current concepts: magnetic resonance cholangiopancreatography.  N Engl J Med. 1999;  341 258-264
  • 12 Adamek H E, Weitz M, Breer H, et al. Value of magnetic resonance cholangiopancreatography (MRCP) after unsuccessful ERCP.  Endoscopy. 1997;  29 741-744
  • 13 Lomas D J, Graves M J. Small bowel MRI using water as a contrast medium.  Br J Radiol. 1999;  72 994-997
  • 14 Luboldt W, Bauerfeind P, Steiner P, et al. Preliminary assessment of three-dimensional magnetic resonance imaging for various colonic disorders.  Lancet. 1997;  349 1288-1291
  • 15 Hara A K, Johnson C D, Reed J E, et al. Detection of colorectal polyps by computed tomographic colography: feasibility of a novel technique.  Gastroenterology. 1996;  110 284-290
  • 16 Fenlon H M, Nunes D P, Schroy P C, et al. A comparison of virtual and conventional colonoscopy for the detection of colorectal polyps.  N Engl J Med. 1999;  341 1496-1503
  • 17 Rex D K, Vining D, Kopecky K K. An initial experience with screening for colon polyps using spiral CT with and without CT colography.  Gastrointest Endosc. 1999;  50 309-313
  • 18 McFarland E G, Brink J A. Helical CT colonography (virtual colonoscopy): the challenge that exists between advancing technology and generalizability.  Am J Roentgenol. 1999;  173 549-559
  • 19 Hara A K, Johnson C D, Reed J E, et al. Reducing data size and radiation dose for CT colonography.  Am J Roentgenol. 1997;  169 1181-1184
  • 20 Akerkar G A, Hung R K, Yee J, et al. Virtual colonoscopy: real pain.  Gastroenterology. 1999;  116 A44 (abstract)
  • 21 Debatin J F, Luboldt W, Bauerfeind P. Virtual colonoscopy in 1999: computed tomography or magnetic resonance imaging?.  Endoscopy. 1999;  31 174-179
  • 22 Luboldt W, Frohlich J M, Schneider N, et al. MR colonography: optimized enema composition.  Radiology. 1999;  212 265-269
  • 23 Brown G, Richards C J, Newcombe R G, et al. Rectal carcinoma: thin-section MR imaging for staging in 28 patients.  Radiology. 1999;  211 215-222
  • 24 Fenlon H M, McAneny D B, Nunes D P, et al. Occlusive colon carcinoma: virtual colonoscopy in the preoperative evaluation of the proximal colon.  Radiology. 1999;  210 423-428

H. E. Adamek, M.D.

Med. Klinik C Klinikum Ludwigshafen

Bremserstrasse 79 67063 Ludwigshafen Germany

Fax: Fax:+ 49-621-5034112

Email: E-mail:medclu@t-online.de

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