• 四川大學(xué)華西醫(yī)院放射科(成都,610041);

【摘要】 伴隨多層螺旋CT和MRI檢查技術(shù)的發(fā)展,多層螺旋CT和MRI在小腸克羅恩病的影像學(xué)研究和臨床應(yīng)用中日益增多,在評價小腸克羅恩病腸壁炎癥程度、腸周情況、腸系膜異常及周圍淋巴結(jié)腫大方面明顯優(yōu)于傳統(tǒng)X線小腸氣鋇雙重造影。多層螺旋CT和MRI被廣泛應(yīng)用于小腸克羅恩病的臨床診斷及治療后評價。

引用本文: 王成龍,伍兵. 小腸克羅恩病的CT和MRI研究進(jìn)展. 華西醫(yī)學(xué), 2011, 26(1): 133-135. doi: 復(fù)制

版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《華西醫(yī)學(xué)》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1.  Horsthuis K, Lavini Mphil C, Stoker J, et al. MRI in Crohn’s disease [J]. Magn Reson Imaging, 2005, 22(1): 1-12.
2.  Paulsen SR, Huprich JE, Fletcher JG, et al. CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases [J]. Radiographics, 2006, 26(3): 641-662.
3.  Miomrdi LM, Vecchioi A, Guidi L, et al. CT findings and clinical activity in Crohn’s disease [J]. Clinical Imaging, 2009, 33(2): 123-129.
4.  Zhang LH, Zhang SZ, Hu HJ. Multi-detector enterography with iso-osmotic mannitol as oral contrast for detecting small bowel disease [J]. World J Gastroenterol, 2005, 11(15): 2324-2329.
5.  張崤魏, 張士正, 任小軍. 磁共振成像小腸造影[J]. 中國醫(yī)學(xué)計(jì)算機(jī)成像雜志, 2008, 14(6): 578-580.
6.  Zamboni GA, Raptopouluos V. CT enterography [J]. Gastrointest Endosc Clin N Am, 2010, 20(2): 347-366.
7.  Hara AK, Russell SA, Heigh I, et al. Using enterography to monitor crohn’s disease activity: a preliminary study [J]. American Journal Radiology, 2008, 190(6): 1512-1516.
8.  Baker ME, Walter J, Obuchowski ME, et al. Mural attenuation in normal small bowel and active inflammatory Cronhn’s disease on CT enterography: location, absolute attenuation, relative attenuation, and the effect of wall thickness [J]. American Journal Radiology, 2009, 192: 417-423.
9.  Peset, Valencia, Eapana. Ultrasound, CT, and MRI in Crohn disease [J]. Radiologia, 2007, 49(2): 97-108.
10.  魯桂青, 劉林祥, 陳克敏, 等. 多層螺旋CT在小腸 Crohn病中的應(yīng)用研究[J]. 中華放射學(xué)雜志, 2009, 43(4): 373-377.
11.  Paolotoma P, Granata C, Magnano G, et al. CT and MRI of peadiatric Crohn disease [J]. Pediatrc Radiology, 2007, 37(11): 1083-1092.
12.  Marc D, Kohli D, Maglintel T. CT enteroclysis in small bowel Crohn’s disease [J]. European Journal Radiology, 2009, 69(3): 393-397.
13.  Fidler Jl, Guimaraes L, David M, et al. MR Imaging of the small bowel [J]. Radiographics, 2009, 29(6): 1811-25.
14.  Masselli G, Vcchiolo A, Guadi F, et al. Crohn disease of the small bowel: MR enteroclysis versus conventional enteroclysis [J]. Abdom Imagimg, 2006, 31 (4): 400-409.
15.  Papanikolaou N, Prassopoulos P, Grammatikskis J, et al. Optimization of a contrast medium suitable for conventionalenteroclysis, MR enteroclysis, and virtual MR enteroscopy [J]. Abdom Imaging, 2002, 27(5): 517-522.
16.  Daguia C, Sitchfield M, Kean M. Feasibility of 3-T MRI for the evaluation of Crohn disease in children [J]. Pediatr Radiology, 2010, 40(10): 1615-1624.
17.  Gourtsoyiannis Nc, Papanikolaou N, Karantanas A. Magnetic resonance enteroclysis in the diagnosis of small-intestinal Crohn’s disease [J]. Clinical Gastroenrerology, 2006, 47(10): 1008-1016.
18.  Florie J, Horsthuis KW, Hommes DW, et al. Magnetic resonance imaging compared with ileocolonoscopy in evaluating disease severity in Crohn’s disease [J], Clinical Gastroenterology Hepatology, 2005, 3(12): 1221-1228.
19.  Rottgen R, Grandkle T, Grieser C, et al. Measurement of MRI enhancement kinetics for evaluation of inflammatory activity in Crohn’s disease [J]. Clinical Imaging, 2010, 34(1): 29-35.
20.  Siddiki H, Fidler J. MR imaging of the small bowel in Crohn’s disease [J]. Uropean Jouenal Radiology, 2009, 69(3): 409-417.
21.  Maccioni F. Double-contrast magnetic resonance imaging of the small and large bowel effectiveness in the evaluation of inflammatory bowel disease [J]. Abdominal Imaging, 2008, 35(1): 31-40.
22.  Bruining DH, Siddki HA, Fletcher JG, et al. Prevalence of penetrating disease and extraintesinal manifestions of Crohn’s disease detected with CT enterography [J]. Inflammatory Bowel Diseases, 2008, 14(12): 1701-1706.
23.  Horsthuis K, Bipat S, Bennink RJ, et al. Inflammatory bowel didsease diagnosed with US, MR, scintigraphy, and CT: meta-analysis of prospective studies [J]. Radiology, 2008, 247(1): 64-79.
  1. 1.  Horsthuis K, Lavini Mphil C, Stoker J, et al. MRI in Crohn’s disease [J]. Magn Reson Imaging, 2005, 22(1): 1-12.
  2. 2.  Paulsen SR, Huprich JE, Fletcher JG, et al. CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases [J]. Radiographics, 2006, 26(3): 641-662.
  3. 3.  Miomrdi LM, Vecchioi A, Guidi L, et al. CT findings and clinical activity in Crohn’s disease [J]. Clinical Imaging, 2009, 33(2): 123-129.
  4. 4.  Zhang LH, Zhang SZ, Hu HJ. Multi-detector enterography with iso-osmotic mannitol as oral contrast for detecting small bowel disease [J]. World J Gastroenterol, 2005, 11(15): 2324-2329.
  5. 5.  張崤魏, 張士正, 任小軍. 磁共振成像小腸造影[J]. 中國醫(yī)學(xué)計(jì)算機(jī)成像雜志, 2008, 14(6): 578-580.
  6. 6.  Zamboni GA, Raptopouluos V. CT enterography [J]. Gastrointest Endosc Clin N Am, 2010, 20(2): 347-366.
  7. 7.  Hara AK, Russell SA, Heigh I, et al. Using enterography to monitor crohn’s disease activity: a preliminary study [J]. American Journal Radiology, 2008, 190(6): 1512-1516.
  8. 8.  Baker ME, Walter J, Obuchowski ME, et al. Mural attenuation in normal small bowel and active inflammatory Cronhn’s disease on CT enterography: location, absolute attenuation, relative attenuation, and the effect of wall thickness [J]. American Journal Radiology, 2009, 192: 417-423.
  9. 9.  Peset, Valencia, Eapana. Ultrasound, CT, and MRI in Crohn disease [J]. Radiologia, 2007, 49(2): 97-108.
  10. 10.  魯桂青, 劉林祥, 陳克敏, 等. 多層螺旋CT在小腸 Crohn病中的應(yīng)用研究[J]. 中華放射學(xué)雜志, 2009, 43(4): 373-377.
  11. 11.  Paolotoma P, Granata C, Magnano G, et al. CT and MRI of peadiatric Crohn disease [J]. Pediatrc Radiology, 2007, 37(11): 1083-1092.
  12. 12.  Marc D, Kohli D, Maglintel T. CT enteroclysis in small bowel Crohn’s disease [J]. European Journal Radiology, 2009, 69(3): 393-397.
  13. 13.  Fidler Jl, Guimaraes L, David M, et al. MR Imaging of the small bowel [J]. Radiographics, 2009, 29(6): 1811-25.
  14. 14.  Masselli G, Vcchiolo A, Guadi F, et al. Crohn disease of the small bowel: MR enteroclysis versus conventional enteroclysis [J]. Abdom Imagimg, 2006, 31 (4): 400-409.
  15. 15.  Papanikolaou N, Prassopoulos P, Grammatikskis J, et al. Optimization of a contrast medium suitable for conventionalenteroclysis, MR enteroclysis, and virtual MR enteroscopy [J]. Abdom Imaging, 2002, 27(5): 517-522.
  16. 16.  Daguia C, Sitchfield M, Kean M. Feasibility of 3-T MRI for the evaluation of Crohn disease in children [J]. Pediatr Radiology, 2010, 40(10): 1615-1624.
  17. 17.  Gourtsoyiannis Nc, Papanikolaou N, Karantanas A. Magnetic resonance enteroclysis in the diagnosis of small-intestinal Crohn’s disease [J]. Clinical Gastroenrerology, 2006, 47(10): 1008-1016.
  18. 18.  Florie J, Horsthuis KW, Hommes DW, et al. Magnetic resonance imaging compared with ileocolonoscopy in evaluating disease severity in Crohn’s disease [J], Clinical Gastroenterology Hepatology, 2005, 3(12): 1221-1228.
  19. 19.  Rottgen R, Grandkle T, Grieser C, et al. Measurement of MRI enhancement kinetics for evaluation of inflammatory activity in Crohn’s disease [J]. Clinical Imaging, 2010, 34(1): 29-35.
  20. 20.  Siddiki H, Fidler J. MR imaging of the small bowel in Crohn’s disease [J]. Uropean Jouenal Radiology, 2009, 69(3): 409-417.
  21. 21.  Maccioni F. Double-contrast magnetic resonance imaging of the small and large bowel effectiveness in the evaluation of inflammatory bowel disease [J]. Abdominal Imaging, 2008, 35(1): 31-40.
  22. 22.  Bruining DH, Siddki HA, Fletcher JG, et al. Prevalence of penetrating disease and extraintesinal manifestions of Crohn’s disease detected with CT enterography [J]. Inflammatory Bowel Diseases, 2008, 14(12): 1701-1706.
  23. 23.  Horsthuis K, Bipat S, Bennink RJ, et al. Inflammatory bowel didsease diagnosed with US, MR, scintigraphy, and CT: meta-analysis of prospective studies [J]. Radiology, 2008, 247(1): 64-79.