Dark Lumen Magnetic Resonance Colonography: Comparison With Conventional Colonoscopy For The Detection of Colorectal Pathology

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Journal Title, Volume, Page: 
Gut 2003;52:1738-1743 doi:10.1136/gut.52.12.1738
Year of Publication: 
2003
Authors: 
W Ajaj
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
Current Affiliation: 
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
G Pelster
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
U Treichel
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
F M Vogt
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
J F Debatin
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
S G Ruehm
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
T C Lauenstein
Department of Diagnostic and Interventional Radiology, University Hospital, Essen, Germany
Preferred Abstract (Original): 

Background: The purpose of this study was to assess the feasibility and usefulness of a new magnetic resonance (MR) colonography technique for the detection of colorectal pathology in comparison with conventional colonoscopy as the standard of reference.
Patients and methods: A total of 122 subjects with suspected colorectal disease underwent ‘‘dark lumen’’ MR colonography. A contrast enhanced T1w three dimensional VIBE sequence was collected after rectal administration of water. The presence of colorectal masses and inflammatory lesions were documented. Results were compared with those of a subsequently performed colonoscopy.
Results: MR colonography was found to be accurate regarding detection of clinically relevant colonic lesions exceeding 5 mm in size, with sensitivity and specificity values of 93%/100%.
Conclusion: Dark lumen MR colonography can be considered as a promising alternative method for the detection of colorectal disease. In addition, it allows assessment of extraluminal organs.

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