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Il Giornale Italiano di Radiologia Medica 2019 Novembre-Dicembre;6(6):580-5

DOI: 10.23736/S2283-8376.19.00212-2

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English, Italian

Structured reporting in magnetic resonance enterography: our experience

Sara ZANARDI 1 , Alberta CAPPELLI 2, Francesca COPPOLA 2, Nunzia CAPOZZI 2, Monica GARATTONI 2, Rita GOLFIERI 2

1 Unit of Radiology, Maggiore Carlo Alberto Pizzardi Hospital, Ausl Bologna, Bologna, Italy; 2 Prof. Golfieri Radiology Unit, Department of Diagnostic and Prevention Medicine, Sant’Orsola-Malpighi Hospital, Bologna, Italy


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Nowadays the importance of the radiology reports for patients’ management is clearly established. The aim of our Center was to introduce the structured reporting (SR) in different radiological fields, beginning from the field of the inflammatory bowel diseases (IBD) and overall of the Crohn’s disease (CD). We introduced the standardization of the reports both for the computed tomography-enterography and magnetic resonance-enterography (MRE) mostly used to investigate IBD patients. The SR is formed by multiple sections. The first part is dedicated to the patient’s anamnesis, including the clinical and surgical history, the recent symptomatology, laboratory test and medical treatment. Then, we focus on the patient preparation, on the execution technique, on the quality of the examination, on the grade and method of bowel distension, on the use and quantity of spasmolytic, on the use, quantity and speed of endovenous contrast media administration. The third part is dedicated to MRE protocol. Regarding the section dedicated to the features of CD, we describe the type and extension of the lesions and in particular we report the wall thickening and lumen narrowing, the presence of prestenotic dilation, the presence of ulcers, the submucosal fat deposition, the type of contrast enhancement (homogeneous/layered). The last section is dedicated to any other extra-enteric finding, such as the presence of fluid collections and other collateral findings. Finally we are able to attach the significant images to emphasize the main radiological findings and facilitate communication to referring physicians. In conclusion, according to our experience, SR has proven to be a valuable tool for the radiologist, especially if not dedicated, discouraging the drafting of non-conclusive or confuse reports in order to emphasize only the most relevant findings.


KEY WORDS: Crohn disease; Magnetic resonance imaging; Inflammatory bowel diseases

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