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Schedule an MR Enterogram.

MR Enterograms for Crohn's & Colitis

More physicians are choosing MR for patients with Crohn's disease because its effectiveness is comparable to CT — without radiation.

MR Enterography (MRE) is critical to determining the extent, disease activity and presence of complications related to
Crohn’s Disease. With MRI technology innovations and Shields’ special protocols to shorten the length of the scan, MRE is now the imaging procedure of choice in multiple clinical settings.

The Benefits of MR Enterography

Patients with Crohn's disease often require repeat studies that in the past were performed using CT scans. CT scans require radiation and studies have shown that up to 10% of patients with Crohn's disease have had a dose of radiation that can actually lead to a secondary cancer. MRI is a much better technique than CT and is also much safer for the patient.

Zero radiation.

Many clinicians are now more likely to opt for MRE (over CT), particularly in younger patients who are more radiosensitive and will be getting more frequent exams over time.

Multiparametric imaging.

MRE provides three complementary techniques for evaluating the large and small bowel: T2- weighted images, diffusion-weighted images, and post-contrast images. This confers an advantage over CT for assessing for active inflammation.

Multiple phases of image acquisition over time for a more accurate diagnosis.

While CT images the bowel over an instant in time, MR is advantageous in that it acquires images repeatedly over a more prolonged period. CT, for instance, may suggest the presence of a stricture. MRI may demonstrate that this finding is a transient contraction based on a normal-appearing image acquired minutes later. Therefore, a false positive diagnosis of stricture may be avoided. The value of a longer MRE includes seeing more images, creating a full picture, and potentially ruling out false positives.

Dr. Stephen Sweriduk, Shields Chief Medical Officer and Radiologist, reviews the advantages of MR Enterography for patient's with Crohn's Disease.

Frequently Asked Questions

Enterography is often used to help confirm a Crohn’s diagnosis and assess the extent of disease. It can also assess disease activity and response to treatment, exclude penetrating complications, and evaluate for stricturing disease. Several studies have demonstrated that CTE or MRE alters management plans in up to 50% of Crohn’s Disease patients.

For a helpful list of clinical indications, click here.

On your order form, simply indicate MR Enterography. This is the same CPT code for both abdomen and pelvis, with and without  contrast.

CPT CODES:

  • Abdomen +/- contrast: 74183
  • Pelvis +/- contrast: 72197

Both CPT codes need to be authorized for the patient to be seen.

Typically insurances approve this scan when the ordering instructions above are followed. If you have any questions on insurances or coverage, please contact our customer care team at 800.258.4674.

What does the American College of Radiology say?

Using the American College of Radiology (ACR) Appropriateness Criteria, it shows clearly that in the majority of instances, MR Enterography is the imaging procedure of choice in multiple clinical settings.

See the advantages of MR Enterography.

Terminal Ileum Segment

Crohn’s Disease on MRI; showing inflamed
hyperenhancing segement of trminal ileum.

Focal inflammation of crohns

Focal active inflammation in Crohn’s Disease shown on
MRI that would not be visible on CT.

Our Team

Shields’ teams of dedicated physicians, technologists, and administrative staff are renowned for their professional expertise and commitment to patient care. Every member of Shields clinical team is highly skilled, often with multiple certifications in sub-specialties, and wholly dedicated to performing the best imaging exams while keeping patients comfortable and relaxed.

 

team

Stephen Sweriduk, M.D.

Chief Medical Officer
Specialties: MSK, Neurology, Body Imaging, Prostate
Klein

Steven A. klein, M.D.

Radiologist
Specialties: Body Imaging

Schedule an MR Enterogram today.

MR Enterogram locations

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Tufts Medical Center and Shields MRI (Tufts Campus)

800 Washington St, Boston, MA 02111, USA

Shields MRI at Emerson Health Center

133 Littleton Road Westford, MA 01886

Shields MRI at Emerson Hospital

133 Old Road to Nine Acre Corner Concord, MA 01742

Worcester – Shields MRI at UMass Memorial – University Campus

55 North Lake Avenue, Worcester, MA 01605, USA

Portsmouth – Shields MRI Portsmouth

Shields MRI Portsmouth, 1900 Lafayette Rd, Portsmouth, N.H. 03801, USA

Lowell – Shields MRI at Lowell General – Saints Campus

1 Hospital Dr., Lowell, MA 01854

Greenfield – Shields MRI at Baystate Franklin Medical Center

164 High St, Greenfield, MA 01301, USA

Worcester – Shields MRI at UMass Memorial – Shrewsbury St.

214 Shrewsbury St, Worcester, MA, USA

Framingham – Shields MRI Framingham

14 Cochituate Road, Framingham, MA, USA

Boston – Tufts Medical Center & Shields MRI – Dorchester/Milton

161 Granite Ave, Boston, Massachusetts, USA

Springfield – Shields Health and Baystate Health – Wason Ave

80 Wason Ave, Springfield, Massachusetts, USA

Yarmouth – Cape Cod MRI Yarmouth

2 Iyannough Rd, West Yarmouth, MA, USA

Wellesley – Shields MRI Wellesley

54 Washington Street, Wellesley, MA, USA

Lowell – Shields MRI at Lowell General Hospital

295 Varnum Avenue, Lowell, MA, USA

Dartmouth – Shields MRI Dartmouth

313 Faunce Corner Road, Dartmouth, MA, USA

Boston – Shields MRI Brighton

385 Western Avenue, Brighton, MA, USA

Woburn – Winchester Hospital-Shields MRI at Unicorn Park

200 Unicorn Park Drive, Woburn, MA, USA

Weymouth – Shields MRI Weymouth

26 Rockway Avenue, Weymouth, MA, USA

Newburyport – Shields MRI & PET/CT at Anna Jaques Hospital

25 Highland Avenue, Newburyport, MA, USA

Brockton – Shields MRI Brockton

265 Westgate Dr, Brockton, MA 02301

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