Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis
Sigmoid diverticulitis is a common disease characterized by a well-standardized diagnostic approach and treatment. Colorectal cancer is the third most common malignancy worldwide, irrespective of gender. In 2020, CRC global-related mortality rate was estimated at 935 173 cases, with an incidence of...
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MDPI AG
2024-10-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1468&context=jmms |
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| author | Cornel Dragos Cheregi Teodora Gabriela Alexescu Andrei Vasile Pascalau Ovidiu Laurean Pop Calin Magheru Ioana Maria Muresan Nicoleta Ramona Suciu Maur Sebastian Horgos Mihai Stefan Muresan |
| author_facet | Cornel Dragos Cheregi Teodora Gabriela Alexescu Andrei Vasile Pascalau Ovidiu Laurean Pop Calin Magheru Ioana Maria Muresan Nicoleta Ramona Suciu Maur Sebastian Horgos Mihai Stefan Muresan |
| author_sort | Cornel Dragos Cheregi |
| collection | DOAJ |
| description | Sigmoid diverticulitis is a common disease characterized by a well-standardized diagnostic approach and treatment. Colorectal cancer is the third most common malignancy worldwide, irrespective of gender. In 2020, CRC global-related mortality rate was estimated at 935 173 cases, with an incidence of 9.3% in men and 9.5% in women. The diagnosis of acute diverticulitis is always made by performing a contrast-enhanced-computed tomography (CT) of the abdomen. Current diagnosis guidelines do not recommend the use of a magnetic resonance imaging (MRI) for further and more precise assessment of a suspected sigmoid diverticulitis diagnosed by CT. Early lower-gastrointestinal (lower-GI) endoscopy is rarely conducted; thus, the diagnosis delay could have a negative impact over the oncological outcome of the disease. Few and scarce data can be found related to this issue, with only a recent Swedish study paying attention towards early identification of neoplastic disease residing on a background of sigmoid diverticulitis, facilitated by MRI. The purpose of this study is to evaluate the feasibility of systematically performing an abdominal MRI included in the primary assessment of acute diverticulitis already diagnosed by CT, in order to argument in favor of an early lower-GI endoscopy where a positive MRI for neoplasia is found. |
| format | Article |
| id | doaj-art-d55d038e6d564d89b0d57f0777bd526b |
| institution | DOAJ |
| issn | 2392-7674 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-d55d038e6d564d89b0d57f0777bd526b2025-08-20T03:06:04ZengMDPI AGJournal of Mind and Medical Sciences2392-76742024-10-0111249650410.22543/2392-7674.1468Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitisCornel Dragos Cheregi0Teodora Gabriela Alexescu1Andrei Vasile Pascalau2Ovidiu Laurean Pop3Calin Magheru4Ioana Maria Muresan5Nicoleta Ramona Suciu6Maur Sebastian Horgos7Mihai Stefan Muresan8University of Oradea, Faculty of Medicine and Pharmacy, Department of Surgical Disciplines, Oradea, RomaniaIuliu Hatieganu University of Medicine and Pharmacy, 4th Medical Clinic, Cluj-Napoca, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Department of Morphological Disciplines, Oradea, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Department of Morphological Disciplines, Oradea, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Department of Surgical Disciplines, Oradea, RomaniaNiculae Stancioiu Heart Institute, Department of Radiology, Cluj-Napoca, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Department of Psycho Neuroscience and Recovery, Oradea, RomaniaUniversity of Oradea, Faculty of Medicine and Pharmacy, Department of Surgical Disciplines, Oradea, RomaniaIuliu Hatieganu University of Medicine and Pharmacy, Department of Surgery, Cluj-Napoca, RomaniaSigmoid diverticulitis is a common disease characterized by a well-standardized diagnostic approach and treatment. Colorectal cancer is the third most common malignancy worldwide, irrespective of gender. In 2020, CRC global-related mortality rate was estimated at 935 173 cases, with an incidence of 9.3% in men and 9.5% in women. The diagnosis of acute diverticulitis is always made by performing a contrast-enhanced-computed tomography (CT) of the abdomen. Current diagnosis guidelines do not recommend the use of a magnetic resonance imaging (MRI) for further and more precise assessment of a suspected sigmoid diverticulitis diagnosed by CT. Early lower-gastrointestinal (lower-GI) endoscopy is rarely conducted; thus, the diagnosis delay could have a negative impact over the oncological outcome of the disease. Few and scarce data can be found related to this issue, with only a recent Swedish study paying attention towards early identification of neoplastic disease residing on a background of sigmoid diverticulitis, facilitated by MRI. The purpose of this study is to evaluate the feasibility of systematically performing an abdominal MRI included in the primary assessment of acute diverticulitis already diagnosed by CT, in order to argument in favor of an early lower-GI endoscopy where a positive MRI for neoplasia is found. https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1468&context=jmmsdiverticulitis of the sigmoidsigmoid cancerdifferential diagnostic toolmri |
| spellingShingle | Cornel Dragos Cheregi Teodora Gabriela Alexescu Andrei Vasile Pascalau Ovidiu Laurean Pop Calin Magheru Ioana Maria Muresan Nicoleta Ramona Suciu Maur Sebastian Horgos Mihai Stefan Muresan Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis Journal of Mind and Medical Sciences diverticulitis of the sigmoid sigmoid cancer differential diagnostic tool mri |
| title | Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| title_full | Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| title_fullStr | Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| title_full_unstemmed | Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| title_short | Magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| title_sort | magnetic resonance used as a differential diagnostic tool between inflammatory cancer of the sigmoid and acute sigmoid diverticulitis |
| topic | diverticulitis of the sigmoid sigmoid cancer differential diagnostic tool mri |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1468&context=jmms |
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