{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:56:44Z","timestamp":1775473004167,"version":"3.50.1"},"reference-count":35,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2018,1,25]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;To determine capabilities and potential of contrast enhanced magnetic resonance imaging (MRI) enterography in order to establish the diagnosis and to evaluate severity and activity of intestinal inflammation. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Fifty-five patients with suspicion for presence of Crohn&amp;#039;s disease were evaluated. All patients underwent contrast enhanced MRI enterography and diffusion weighted imaging (DWI), and subsequently endoscopic examination or surgical treatment. Four parameters were analysed: thickening of the bowel wall, and presence of abscess, fistula and lymphadenopathy. &amp;lt;strong&amp;gt;Results&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;Comparing results of DWI and contrast enhanced MRI enterography a significant difference between results given through diffusion and histopathological test was found, e.g. a significant difference between results obtained through diffusion and MRI enterography was found. MRI enterography sensitiveness for bowel wall thickening was 97.7% and specificity 70%, whilst DWI sensitivity for bowel wall thickening was 84% and specificity 100%. The diagnostics of abscess and fistula showed no significant difference between DWI and MRI, while in lymphadenopathy significant difference between contrast enhanced MRI enterography and DWI was found. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Contrast enhanced MRI enterography in combination with DWI allows for excellent evaluation of disease activity, but also problems or complications following it. The examination can be repeated, controlled, and it can contribute to monitoring of patients with this disease.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/945-18","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:20:46Z","timestamp":1713694846000},"page":"145-151","source":"Crossref","is-referenced-by-count":1,"title":["Significance of diffusion weighted imaging (DWI) as an improving factor in contrast enhanced magnetic resonance imaging (MRI) enterography in evaluation of patients with Crohn\u2019s disease"],"prefix":"10.17392","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0941-6593","authenticated-orcid":false,"given":"Bilal","family":"Im\u0161irovi\u0107","sequence":"first","affiliation":[{"name":"General Hospital \u201cPrim. dr. Abdulah Naka\u0161\u201d","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Department of Radiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enver","family":"Zerem","sequence":"additional","affiliation":[{"name":"University Clinical Centre Tuzla","place":["Tuzla,Bosnia and Herzegovina"],"department":["Department of Gastroenterology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alma","family":"Efendi\u0107","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Zenica","place":["Zenica,Bosnia and Herzegovina"],"department":["Department of Radiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alma","family":"Meki\u0107 Abazovi\u0107","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Zenica","place":["Zenica,Bosnia and Herzegovina"],"department":["Department of Oncology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Zerem","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Tuzla","place":["Tuzla,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhamed","family":"Djedovi\u0107","sequence":"additional","affiliation":[{"name":"Clinical Centre, University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Department of Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"ref1","first-page":"917","article-title":"Inflammatory bowel disease imaging: current practice and future directions","author":"AKilcoyneA","year":"2016","unstructured":"Kilcoyne A, Kaplan JL, Gee MS. 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Evaluation of diffusion-weighted MR \nimaging for detection of bowel inflammation in \npatients with Crohn's disease. Acad Radiol 2009; \n16:597-603.","journal-title":"Acad Radiol"},{"key":"ref17","first-page":"615","article-title":"Active Crohn's disease in the small bowel: evaluation by diffusion weighted imaging and quantitative dynamic contrast enhanced MR imaging","author":"AOtoA","year":"2011","unstructured":"Oto A, Kayhan A, Williams JT, Fan X, Yun L, Arka-\nni S, Rubin DT. Active Crohn's disease in the small \nbowel: evaluation by diffusion weighted imaging \nand quantitative dynamic contrast enhanced MR \nimaging. J Magn Reson Imaging 2011; 33:615-24.","journal-title":"J Magn Reson Imaging"},{"key":"ref18","first-page":"40","article-title":"DWI at MR enterography for evaluating bowel inflammation in Crohn disease","author":"SParkS","year":"2016","unstructured":"Park SH. DWI at MR enterography for evaluating \nbowel inflammation in Crohn disease. AJR Am J Ro-\nentgenol 2016; 207:40-8.","journal-title":"AJR Am J Roentgenol"},{"key":"ref19","first-page":"71","article-title":"Diffusion theory in biology: a relic of mechanistic materialism","author":"PAgutterP","year":"2000","unstructured":"Agutter PS, Malone PC, Wheatley DN. Diffusion \ntheory in biology: a relic of mechanistic materialism. \nJ Hist Biol 2000; 33:71-111.","journal-title":"J Hist Biol"},{"key":"ref20","first-page":"1832","article-title":"Correlation of the endoscopic and magnetic resonance scoring systems in the deep small intestine in Crohn's disease","author":"KTakenakaK","year":"2015","unstructured":"Takenaka K, Ohtsuka K, Kitazume Y, Nagahori M, \nFujii T, Saito E, Fujioka T, Matsuoka K, Naganu-\nma M, Watanabe M. Correlation of the endoscopic \nand magnetic resonance scoring systems in the deep \nsmall intestine in Crohn's disease. Inflamm Bowel \nDis 2015; 21:1832-8.","journal-title":"Inflamm Bowel Dis"},{"key":"ref21","first-page":"132","article-title":"Magnetic resonance imaging of the small bowel in patients with Crohn's disease","author":"MEllenM","year":"2011","unstructured":"Ellen MZ, Mahmoud MAH. Magnetic resonance \nimaging of the small bowel in patients with Crohn's \ndisease. Curr Opin Gastroenterol 2011; 27:132-8.","journal-title":"Curr Opin Gastroenterol"},{"key":"ref22","first-page":"1384","article-title":"Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn's disease","author":"JFlorieJ","year":"2006","unstructured":"Florie J, Wasser MN, Arts-Cieslik K, Akkerman EM, \nSiersema PD, Stoker J. Dynamic contrast-enhanced \nMRI of the bowel wall for assessment of disease \nactivity in Crohn's disease. AJR Am J Roentgenol \n2006; 186:1384-92.","journal-title":"AJR Am J Roentgenol"},{"key":"ref23","first-page":"86","article-title":"Small intestinal contrast ultrasonography for the detection of small bowel complications in Crohn's disease: correlation with intraoperative findings and magnetic resonance enterography","author":"SKumarS","year":"2015","unstructured":"Kumar S, Hakim A, Alexakis C, Chhaya V, Tzias D, \nPilcher J, Vlahos J, Pollok R. Small intestinal con-\ntrast ultrasonography for the detection of small bowel \ncomplications in Crohn's disease: correlation with \nintraoperative findings and magnetic resonance en-\nterography. J Gastroenterol Hepatol 2015; 30:86-91.","journal-title":"J Gastroenterol Hepatol"},{"key":"ref24","first-page":"16","article-title":"Clinical, biological and epidemiological aspects of inflammatory bowel diseases in north-east Romania","author":"DAchiteiD","year":"2013","unstructured":"Achitei D, Gologan E, Stef\u0103nescu G, Balan G. Cli-\nnical, biological and epidemiological aspects of in-\nflammatory bowel diseases in north-east Romania. \nRev Med Chir Soc Med Nat Iasi 2013; 117:16-22.","journal-title":"Rev Med Chir Soc Med Nat Iasi"},{"key":"ref25","first-page":"537","article-title":"Diffusion-weighted magnetic resonance imaging for detecting and assessing ileal inflammation in Crohn's disease","author":"ABuissonA","year":"2013","unstructured":"Buisson A, Joubert A, Montoriol PF, Ines DD, Hor-\ndonneau C, Pereira B, Garcier JM, Bommelaer G, \nPetitcolin V. Diffusion-weighted magnetic reso-\nnance imaging for detecting and assessing ileal in-\nflammation in Crohn's disease. Aliment Pharmacol \nTher 2013; 37:537-45.","journal-title":"Aliment Pharmacol Ther"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1148\/radiol.2471070611","article-title":"Inflammatory bowel disease diagnosed with US, MR, scintigraphy, and CT: meta-analysis of prospective studies","author":"KHorsthuisK","year":"2008","unstructured":"Horsthuis K, Bipat S, Bennink RJ, Stoker J. In-\nflammatory bowel disease diagnosed with US, MR, \nscintigraphy, and CT: meta-analysis of prospective \nstudies. Radiology 2008; 247:64-79.","journal-title":"Radiology"},{"key":"ref27","first-page":"533","article-title":"Detection of Crohn disease lesions of the small and large bowel in pediatric patients: diagnostic value of MR enterography versus reference examinations","author":"FMaccioniF","year":"2014","unstructured":"Maccioni F, Al Ansari N, Mazzamurro F, Civitelli \nF, Viola F, Cucchiara S, Catalano C. 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Gut 2010; 59:1056-65.","journal-title":"Gut"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1097\/MIB.0b013e3182802b87","article-title":"Noninvasive diagnosis of small bowel Crohn's disease: direct comparison of bowel sonography and magnetic resonance enterography","author":"FCastiglioneF","year":"2013","unstructured":"Castiglione F, Mainenti PP, De Palma GD, Testa \nA, Bucci L, Pesce G, Camera L, Diaferia M, Rea \nM, Caporaso N, Salvatore M, Rispo A. Noninvasi-\nve diagnosis of small bowel Crohn's disease: direct \ncomparison of bowel sonography and magnetic re-\nsonance enterography. 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Pediatr Radiol 2014; 44:1370-8.","journal-title":"Pediatr Radiol"},{"key":"ref33","first-page":"667","article-title":"Magnetic resonance enterocolonography in detecting erosion and redness in intestinal mucosa of patients with Crohn's disease","author":"HSatoH","year":"2015","unstructured":"Sato H, Tamura C, Narimatsu K, Shimizu M, Ta-\nkajyo T, Yamashita M, Inoue Y, Ozaki H, Furuhashi \nH, Maruta K, Yasutake Y, Yoshikawa K, Watanabe \nC, Komoto S, Tomita K, Nagao S, Miura S, Shinmo-\nto H, Hokari R. Magnetic resonance enterocolono-\ngraphy in detecting erosion and redness in intestinal \nmucosa of patients with Crohn's disease. J Gastroen-\nterol Hepatol 2015; 30:667-73.","journal-title":"J Gastroenterol Hepatol"},{"key":"ref34","first-page":"89","article-title":"Diffusion-weighted magnetic resonance imaging in ileocolonic Crohn's disease: validation of quantitative index of activity","author":"CHordonneauC","year":"2014","unstructured":"Hordonneau C, Buisson A, Scanzi J, Goutorbe F, \nPereira B, Borderon C, Da Ines D, Montoriol PF, \nGarcier JM, Boyer L, Bommelaer G, Petitcolin V. \nDiffusion-weighted magnetic resonance imaging \nin ileocolonic Crohn's disease: validation of quan-\ntitative index of activity. Am J Gastroenterol 2014; \n109:89-98.","journal-title":"Am J Gastroenterol"},{"key":"ref35","first-page":"619","article-title":"Evaluation of conventional, dynamic contrast enhanced and diffusion weighted MRI for quantitative Crohn's disease assessment with histopathology of surgical specimens","author":"JTielbeekJ","year":"2014","unstructured":"Tielbeek JA, Ziech ML, Li Z, Lavini C, Bipat S, Be-\nmelman WA, Roelofs JJ, Ponsioen CY, Vos FM, Sto-\nker J. Evaluation of conventional, dynamic contrast \nenhanced and diffusion weighted MRI for quantita-\ntive Crohn's disease assessment with histopathology \nof surgical specimens. Eur Radiol 2014; 24:619-29.","journal-title":"Eur Radiol"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/251\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/251\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:43:39Z","timestamp":1775468619000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/90\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,25]]},"references-count":35,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,1,25]]},"published-print":{"date-parts":[[2018,1,25]]}},"URL":"https:\/\/doi.org\/10.17392\/945-18","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1,25]]}}}