Catarina Afonso Silva MD, Presenter: Nothing to Disclose

Dean Daniel T. Maglinte MD, Abstract Co-Author: Consultant, Cook Group Incorporated

Review the technical aspects and clinical indications of each technique Tips and tricks to avoid pitfalls Discuss the pros and cons of each technique  

The diagnostic evaluation of small-bowel (SB) diseases has changed profoundly during the past few decades. The role of radiology in the investigation of SB diseases remains poorly understood by the referring physicians and radiologists who perform the examinations. Progress in imaging of the SB during the past few decades is due largely to refinements in the application of orally ingested conventional abdominal and pelvic CT or MR imaging with intravenous contrast. CT-enterography (CTe) and enteroclysis (CTE) improve visualization of the small bowel mucosa and wall in comparison with traditional CT and fluoroscopic studies. Evidence- and experience-based analyses have shown that examinations that distend the SB diagnose smaller, early lesions and allow confident exclusion of SB disease. Knowing the pros and cons of both tests is essential to avoid delays in the diagnosis which can influence prognosis A pictorial review of SB pathology is presented for each method highlighting the pitfalls and shortcomings of each technique. How they performed, when and why they should be applied and what should we look for in each examination, to reach for the diagnosis is thoroughly reviewed.

http://abstract.rsna.org/uploads/2014/14017234/14017234_36n1.pdf

Silva, C, Maglinte, D, CT-Enteroclysis and Enterography: How, When, Why and What.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017234.html