Diagnostic accuracy of magnetic resonance enteroclysis for Crohn's disease taking histopathology as gold standard

Background: crohn disease diagnosis is not easy and some radiological technique is being used to explore the crohn's disease,mri enteroclysis is important because the lack of ionizing radiation facilitates its use in younger patients as well as repetitive use,required in crohn's disease. aim: to conclude the diagnostic accuracy of mr enteroclysis in crohn's disease,so that these particular patients may be provided with non-invasive technique in early finding and timely action of crohn's disease in order to decrease patient morbidity due to complications. methods: a total of 128 suspected cases of crohn's disease with age ranges from 10-40 years of both gender were included in the study. patients with h/o abdominal surgery,chemotherapy,pregnant females and significant small bowel obstruction were excluded. all these patients were undergone mr enteroclysis and looked for presence or absence of crohn's disease. then all these patients had undergone biopsy and histopathology report was correlated with mr enteroclysis findings. results: mean age was 33.67±4.23 years. out of these 128 patients,60.16% were male and 39.84% were females with ratio of 1.5:1. mr enteroclysis findings have shown 52 true positive,10 false positive,08 false negative and 58 true negative cases. the sensitivity,specificity,positive predictive value,negative predictive value and diagnostic accuracy of mr enteroclysis in crohn's disease were 86.59%,85.29%,83.87%,87.88% and 85.94% respectively conclusion: this study concluded that mr enteroclysis is a simple and non-invasive imaging modality of choice with a high diagnostic accuracy in diagnosing crohn's disease.