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Canadian Journal of Gastroenterology
Volume 27, Issue 8, Pages 476-480
http://dx.doi.org/10.1155/2013/624141
Review

Magnetic Resonance Imaging of the Perineum in Pediatric Patients with Inflammatory Bowel Disease

Douglas H Jamieson,2 Peter Shipman,5 and Kevan Jacobson1,3,4

1Division of Gastroenterology, Hepatology and Nutrition, University of British Columbia, Vancouver, British Columbia, Canada
2Department of Radiology, BC Children’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada
3Child and Family Research Institute, University of British Columbia, Vancouver, British Columbia, Canada
4Department of Cellular and Physiological Sciences, University of British Columbia, Vancouver, British Columbia, Canada
5Princess Margaret Children’s Hospital, Perth, Australia

Received 1 March 2013; Accepted 6 May 2013

Copyright © 2013 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Magnetic resonance imaging (MRI) has profoundly changed and improved the investigation of abdominal and pelvic inflammatory bowel disease (IBD) in pediatrics. Using an imaging modality without ionizing radiation is of particular advantage because the pediatric IBD population is young and often requires repeat evaluation. MRI of the pelvis has become the imaging gold standard for detecting and monitoring perianal disease while bowel-directed imaging techniques (eg, enterography, enteroclysis and colonography) can accurately evaluate bowel inflammation in IBD. With recent technological innovations leading to faster and higher resolution, the role of MRI in IBD will likely continue to expand. The present article focuses on MRI of the perineum in pediatric IBD.