M. Siva Sridhar 1 , D. Sai Raghavendra 2 , D. Sowjanya 3 , Manjula Sridha
ABSTRACT: OBJECTIVE: The objective of our study is to find out the validity of Multi–detector row helical CT (MDCT) enteroclysis and Magnetic resonance (MR) enteroclysis findings with enteroscopy, histopathology, and clinical diagnosis taken as reference standard. SUBJECTS AND METHODS: The study group for this blinded prospective study was composed of 64 patients with suspected small bowel disease. CT and MR enterocylsis examinations were performed on same patient and studies were interpreted by two radiologists. The reference standard for the presence of small bowel disease is based on the final clinical diagnosis after reviewing all of the available information. RESULTS: All 64 patients underwent CT and MR enteroclysis. The sensitivity and specificity of CT enteroclysis are 95% and 100% respectively. The sensitivity and specificity of MR enteroclysis are 90% and 100% respectively. Good interobserver agreement noted between CT and MR enteroclysis in evaluation of various parameters of small bowel diseases like bowel wall thickening, bowel wall enhancement and lymphadenopathy. CONCLUSION: CT and MR Enteroclysis examinations are reliable investigations in the evaluation of small bowel disease. Enteroclysis should supplement and precede enteroscopy to rule out luminal narrowing. Enteroclysis could differentiate crohns from intestinal tuberculosis in majority of cases
