title: MR enterography: how to deliver added value.
abstract: MR enterography (MRE) is increasingly vital to the diagnosis and follow-up of children with Crohn disease. This diagnostic test, which can provide valuable information regarding the presence of intestinal inflammation, intestinal and intra-abdominal complications, and extra-intestinal disease-related manifestations, has the potential to directly impact both medical and surgical decision-making. Consequently, it is imperative that the interpretation and reporting of these examinations provide as much clinical information as possible. This article reviews specific ways radiologists can provide added value when interpreting MRE examinations in the setting of pediatric Crohn disease by (1) establishing the true extent of disease involvement, (2) subjectively and objectively assessing response to medical treatment and (3) accurately characterizing disease-related complications.
authors.affiliation: Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA. jonathan.dillman@cchmc.org.
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Dillman
authors.affiliation: Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA.
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Trout
authors.affiliation: Department of Radiology, University of Michigan Health System, Section of Pediatric Radiology, C.S. Mott Children's Hospital, Ann Arbor, MI, USA.
authors.forename: Ethan A
authors.initials: EA
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D002648:Child; D003424:Crohn Disease / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D041981:Gastrointestinal Tract / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*
keywords: Children; Crohn disease; Inflammation; Magnetic resonance enterography; Magnetic resonance imaging; Small bowel