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Volume 11
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10.22543/2392-7674.1468
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Magnetic Resonance Used as a Differential Diagnostic Tool Between Inflammatory Cancer of the Sigmoid and Acute Sigmoid Diverticulitis

by
Cornel Dragos Cheregi
1,
Teodora Gabriela Alexescu
2,*,
Andrei Vasile Pascalau
3,
Ovidiu Laurean Pop
3,
Calin Magheru
1,
Ioana Maria Muresan
4,
Nicoleta Ramona Suciu
5,
Maur Sebastian Horgos
1 and
Mihai Stefan Muresan
6
1
Department of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania
2
4th Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
3
Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania
4
Department of Radiology, Niculae Stancioiu Heart Institute, Cluj-Napoca, Romania
5
Department of Psycho Neuroscience and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania
6
Department of Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2024, 11(2), 496-504; https://doi.org/10.22543/2392-7674.1468
Submission received: 6 January 2024 / Revised: 6 February 2024 / Accepted: 25 March 2024 / Published: 30 October 2024

Abstract

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.
Keywords: diverticulitis of the sigmoid; sigmoid cancer; differential diagnostic tool; MRI diverticulitis of the sigmoid; sigmoid cancer; differential diagnostic tool; MRI

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MDPI and ACS Style

Cheregi, C.D.; Alexescu, T.G.; Pascalau, A.V.; Pop, O.L.; Magheru, C.; Muresan, I.M.; Suciu, N.R.; Horgos, M.S.; Muresan, M.S. Magnetic Resonance Used as a Differential Diagnostic Tool Between Inflammatory Cancer of the Sigmoid and Acute Sigmoid Diverticulitis. J. Mind Med. Sci. 2024, 11, 496-504. https://doi.org/10.22543/2392-7674.1468

AMA Style

Cheregi CD, Alexescu TG, Pascalau AV, Pop OL, Magheru C, Muresan IM, Suciu NR, Horgos MS, Muresan MS. Magnetic Resonance Used as a Differential Diagnostic Tool Between Inflammatory Cancer of the Sigmoid and Acute Sigmoid Diverticulitis. Journal of Mind and Medical Sciences. 2024; 11(2):496-504. https://doi.org/10.22543/2392-7674.1468

Chicago/Turabian Style

Cheregi, Cornel Dragos, Teodora Gabriela Alexescu, Andrei Vasile Pascalau, Ovidiu Laurean Pop, Calin Magheru, Ioana Maria Muresan, Nicoleta Ramona Suciu, Maur Sebastian Horgos, and Mihai Stefan Muresan. 2024. "Magnetic Resonance Used as a Differential Diagnostic Tool Between Inflammatory Cancer of the Sigmoid and Acute Sigmoid Diverticulitis" Journal of Mind and Medical Sciences 11, no. 2: 496-504. https://doi.org/10.22543/2392-7674.1468

APA Style

Cheregi, C. D., Alexescu, T. G., Pascalau, A. V., Pop, O. L., Magheru, C., Muresan, I. M., Suciu, N. R., Horgos, M. S., & Muresan, M. S. (2024). Magnetic Resonance Used as a Differential Diagnostic Tool Between Inflammatory Cancer of the Sigmoid and Acute Sigmoid Diverticulitis. Journal of Mind and Medical Sciences, 11(2), 496-504. https://doi.org/10.22543/2392-7674.1468

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