Celiac disease MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahshid Mir, M.D. [2]

Overview

There are no MRI findings associated with celiac disease.MRI has a great specificity among all imaging modalities for celiac disease diagnosis, but the sensitivity of MRI differs based on the finding. MRI may be normal in less than 20% of cases. The most important intestinal findings of MRI include: Bowel dilatation, increased number of ileal folds, reversed fold pattern abnormality, increased intestinal wall thickness, intussusception, mesenteric lymphadenopathy, mesenteric vascular changes, ascites.

MRI

MRI has a great specificity among all imaging modalities for celiac disease diagnosis, but the sensitivity of MRI differs based on the finding. MRI may be normal in less than 20% of cases. The most important intestinal findings of MRI include:[1]

  • Bowel dilatation
  • Increased number of ileal folds
  • Reversed fold pattern abnormality
  • Increased intestinal wall thickness
  • Intussusception
  • Mesenteric lymphadenopathy
  • Mesenteric vascular changes
  • Ascites

References

  1. Tomei E, Semelka RC, Braga L, Laghi A, Paolantonio P, Marini M, Passariello R, Di Tola M, Sabbatella L, Picarelli A (2006). "Adult celiac disease: what is the role of MRI?". J Magn Reson Imaging. 24 (3): 625–9. doi:10.1002/jmri.20664. PMID 16888777.

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