Advanced International Journal for Research

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Role of Mr Enterography in Small Bowel Pathology: A Prospective Hospital-based Study

Author(s) Dr. Mohammed Anas, Syed Mohammed Zeemad, Dr. Ajmal Pasha, Bhagya HM, Dr. Mohammed Yaseen, PT
Country India
Abstract Background: Magnetic Resonance Enterography (MRE) is increasingly used as a radiation-free modality to evaluate small bowel pathology, especially inflammatory bowel disease.
Aim: To assess the diagnostic role of MRE in detecting small bowel pathology, with emphasis on Crohn’s disease.
Materials and Methods: This prospective hospital-based study (2018–2019) included 30 patients with suspected or confirmed small bowel pathology. Patients underwent a standardized MRE protocol after oral administration of 3% mannitol (1500–2000 ml) for bowel distension. Imaging sequences included T2-weighted HASTE (axial and coronal), balanced True FISP, T1-weighted VIBE with fat saturation, and diffusion-weighted imaging (b values 0, 50, 800 s/mm²). Intravenous gadoterate meglumine was administered when not contraindicated. Extramural findings were also evaluated.
Results: The median age was 11 years (range 5–17). Males comprised 70.8% (n=17) and females 29.2% (n=7). Isolated small bowel involvement was seen in 45.8% (n=11), ileocolonic in 16.7% (n=4), colonic in 12.5% (n=3), and terminal ileal in 8.3% (n=2). Perianal fistula was noted in 8.3% (n=2). Mesenteric lymphadenopathy (41.7%) and comb sign (54.2%) were common. MRE detected mural thickening, edema, stratified enhancement, and restricted diffusion.
Conclusion: MRE effectively identified mural and extramural pathology, supporting its role as a primary imaging modality in small bowel disease.
Keywords Magnetic Resonance Enterography; Small Bowel Pathology; Crohn’s Disease; Inflammatory Bowel Disease; Diffusion-Weighted Imaging; Mesenteric Lymphadenopathy; Comb Sign; Pediatric Imaging.
Field Medical / Pharmacy
Published In Volume 7, Issue 1, January-February 2026
Published On 2026-02-27
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