title: Evaluation of bowel peristalsis by dynamic cine MRI: detection of relevant functional disturbances--initial experience.
abstract: OBJECTIVE
  To investigate the diagnostic performance of a cine magnetic resonance imaging (MRI) sequence in the visualization and detection of impaired bowel peristalsis.
  
  
  METHODS
  In all, 91 consecutive patients (mean age 45 years) were prospectively examined on a 1.5 T system and stratified into a surgery group (n = 22) and a nonsurgery group (n = 69). A coronal fast imaging with steady-state precession (TrueFISP) sequence with 30 acquisitions per slice covered the abdomen in 10-15 slices each 7-12 mm thick (temporal resolution: 6-8 sec per frame). Image evaluation for reduced bowel peristalsis and relevant bowel stenosis was compared to surgical findings or clinical follow-up.
  
  
  RESULTS
  Cine MRI reached 96% accuracy (94% sensitivity; 100% specificity) in detecting a relevant reduction in bowel peristalsis and 85% of relevant stenosis was identified in the surgery group. Twenty of 69 patients of the nonsurgery group showed reduced peristalsis on cine MR which was attributed to underlying disease; 49/69 patients in this group had no findings on cine MR and were uneventfully followed up.
  
  
  CONCLUSIONS
  Cine MRI of the bowel provides functional information of bowel passage. The visualization of a reduction in peristalsis may improve the assessment of the functional impact of suspected bowel adhesions or stenosis. Standard bowel MR protocols can be easily complemented by cine MR, extending scan time by <4 minutes.
authors.affiliation: Diagnostische und Interventionelle Radiologie, Radiologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Germany. tobias.heye@med.uni-heidelberg.de
authors.forename: Tobias
authors.initials: T
authors.lastname: Heye
authors.forename: Daniel
authors.initials: D
authors.lastname: Stein
authors.forename: Dalibor
authors.initials: D
authors.lastname: Antolovic
authors.forename: Margret
authors.initials: M
authors.lastname: Dueck
authors.forename: Hans-Ulrich
authors.initials: HU
authors.lastname: Kauczor
authors.forename: Waldemar
authors.initials: W
authors.lastname: Hosch
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000473:pathology* / Q000503:physiopathology*; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010528:Peristalsis; D010865:Pilot Projects; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D055815:Young Adult