rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2025-28-3-231-236wlxanurosped-1654Research ArticleОБЗОРЫREVIEWSДиагностические возможности магнитно-резонансной томографии при воспалительных заболеваниях кишечника у детейDiagnostic possibilities of magnetic resonance imaging in inflammatory bowel diseases in childrenhttps://orcid.org/0000-0002-5152-6681ГореловаЕлена СергеевнаGorelovaElena S.

Ординатор 2-го года обучения по специальности «педиатрия» ФГАУ «НМИЦ здоровья детей» Минздрава России

e-mail: kozminysha@yandex.ru

Resident for second year of study on specialties pediatrics, National Medical Research Center for Children’s Health Federal state autonomous institution of the Russian Federation Ministry of Health

e-mail: kozminysha@yandex.ru

kozminysha@yandex.ruhttps://orcid.org/0000-0003-0362-6511АникинАнатолий ВладимировичAnikinAnatoly V.

Канд. мед. наук, зав. отделом лучевой диагностики ФГАУ «НМИЦ здоровья детей» Минздрава России

e-mail: anikin@nczd.ru

anikin@nczd.ruhttps://orcid.org/0000-0003-0661-6976УсольцеваОльга ВладимировнаUsoltsevaOlga V.

Канд. мед. наук, мл. науч. сотр., врач-педиатр, врач-гастроэнтеролог гастроэнтерологического отделения ФГАУ «НМИЦ здоровья детей» Минздрава России

e-mail: usoltseva.ov@nczd.ru

usoltseva.ov@nczd.ruhttps://orcid.org/0000-0003-4905-2373ПотаповАлександр СергеевичPotapovAlexander S.

Доктор мед. наук, проф., начальник центра воспалительных заболеваний кишечника у детей, зав. гастроэнтерологическим отделением ФГАУ «НМИЦ здоровья детей» Минздрава России; проф. каф. педиатрии и детской ревматологии Клинического института детского здоровья им. Н.Ф. Филатова ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)

e-mail: potapov@nczd.ru

potapov@nczd.ruФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава РоссииNational Medical Research Center for Children’s HealthФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)National Medical Research Center for Children’s Health; Sechenov First Moscow State Medical University (Sechenov University)202520072025283231236Copyright © Горелова Е.С., Аникин А.В., Усольцева О.В., Потапов А.С., 20252025Горелова Е.С., Аникин А.В., Усольцева О.В., Потапов А.С.Gorelova E.S., Anikin A.V., Usoltseva O.V., Potapov A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/1654Введение

Введение. Магнитно-резонансная томография (МРТ) является современным методом диагностики, направленным на выявление патологических изменений в тканях и внутренних органах. МРТ имеет значимый диагностический потенциал при воспалительных заболеваниях кишечника (ВЗК) у детей. Альтернативой эндоскопическому обследованию является МР-энтерография — неинвазивная методика, не связанная с ионизирующим излучением, которая позволяет определить не только состояние стенки кишки на всём протяжении, включая толщину и изменения просвета, но и выявить внекишечные осложнения, а также ответ на лечение. Цель работы — определить диагностические возможности МРТ при ВЗК. Для анализа литературы был проведён поиск в базах данных PubMed, MedLine, Google Scholar, eLIBRARY.RU за последние 10 лет. Важнейшим достоинством МРТ является её неинвазивность, что приветствуется при обследовании детей разного возраста. Для улучшения качества изображения при МРТ применяют контрастирование, а также используют различные режимы без контрастного агента. Индексы оценки воспалительной активности кишечника и перианальных осложнений при МРТ тесно коррелируют с эталонными эндоскопическими данными. МРТ широко применяют не только как инструмент диагностики ВЗК у детей, но и как метод динамического наблюдения за больными для оценки эффективности проводимой терапии.

Заключение

Заключение. МРТ является одним из наиболее точных и информативных методов диагностики наряду с эндоскопическим исследованием. Преимуществом метода является неинвазивность, что делает его более доступным к применению в клинической практике, особенно у детей, а также возможность оценки состояния трудно доступных для эндоскопа анатомических структур.

Участие авторов

Участие авторов: Горелова Е.С., Аникин А.В., Усольцева О.В., Потапов А.С. — концепция и дизайн исследования; Горелова Е.С. — сбор и обработка материала; Горелова Е.С., Аникин А.В. — написание текста; Горелова Е.С., Усольцева О.В., Аникин А.В., Потапов А.С. — редактирование. Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 22

Поступила 22.04.2025Принята к печати 20.05.2025Опубликована 27.06.2025

Introduction

Introduction. Magnetic resonance imaging (MRI) is a modern diagnostic method aimed at detecting pathological changes in tissues and internal organs. MRI possesses of significant diagnostic potential in inflammatory bowel diseases (IBD) in children. An alternative to endoscopic examination is MR enterography, a non-invasive technique that is not associated with ionizing radiation, which allows determining not only the condition of the intestinal wall throughout, including thickness and changes in the lumen, but also identifying extra-intestinal complications, as well as the response to treatment.

The aim of the work is to determine the diagnostic capabilities of magnetic resonance imaging in IBD in children. To analyze the literature, a search was conducted in the databases PubMed, MedLine, Google Scholar, and RSCI over the past 10 years. The most important advantage of MRI is its non-invasiveness, which is welcome when examining children of different ages. To improve the image quality during MRI, contrast is used, and various modes are used without a contrast agent. The indices for assessing intestinal inflammatory activity and perinatal complications on MRI closely correlate with the reference endoscopic data. MRI is widely used not only as a diagnostic tool for IBD in children, but also as a method of dynamic patient monitoring to evaluate the effectiveness of therapy.

Conclusion

Conclusion. MRI is one of the most accurate and informative diagnostic methods along with endoscopic examination. The advantage of the method is its non-invasiveness, which makes it more accessible for use in clinical practice, especially in children, as well as the ability to assess the condition of anatomical structures that are difficult to reach with an endoscope.

Contribution

Contribution: Gorelova E.S., Anikin A.V., Usoltseva O.V., Potapov A.S. — concept and design of the study; Gorelova E.S. — collection and processing of the material; Gorelova E.S., Anikin A.V. — writing the text; Gorelova E.S., Usoltseva O.V., Anikin A.V., Potapov A.S. — editing the text. All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: April 22, 2025Accepted: May 20, 2025Published: June 27, 2025

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The authors declare that there are no conflicts of interest present.