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Shooting a Moving Target: Use of Real-Time Cine Magnetic Resonance Imaging in Assessment of the Small Bowel

Courtier, Jesse*; Ohliger, Michael*; Rhee, Sue J.; Terreblanche, Owen*; Heyman, Melvin B.; MacKenzie, John D.*

Journal of Pediatric Gastroenterology & Nutrition: October 2013 - Volume 57 - Issue 4 - p 426–431
doi: 10.1097/MPG.0b013e3182a33d3d
Invited Reviews

ABSTRACT: The chronic nature of inflammatory bowel disease (IBD) creates a lifelong effect on the morbidity of children affected by the disease. The ability to confidently identify and characterize complications resulting from IBD in the pediatric patient is of critical importance. Magnetic resonance enterography (MRE) is especially valuable in the diagnostic assessment of IBD; however, precise elucidation of complications including strictures can be difficult with standard MRE sequences. The recent development of faster MRI pulse sequences provides rapid, real-time imaging of the intestinal tract. In this review, we describe how the addition of cine MRE confidently pinpoints areas of stricture, aids in lesion detection and diagnosis, and provides valuable information on intestinal motility.

*Department of Radiology and Biomedical Imaging

Department of Pediatrics, University of California–San Francisco Benioff Children's Hospital, San Francisco, CA.

Address correspondence and reprint requests to Jesse Courtier, MD, 505 Parnassus Ave, M396, San Francisco, CA 94143 (e-mail: Jesse.courtier@ucsf.edu).

Received 4 January, 2013

Accepted 20 May, 2013

Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal's Web site (www.jpgn.org).

The authors report no conflicts of interest.

© 2013 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,