State-of-the-Art Small Bowel Imaging: Review and Hands-on Tutorial Presented on Laptop Workstation

Small Bowel Imaging - Laptop Tutorial

State-of-the-Art Small Bowel Imaging: Review and Hands-on Tutorial Presented on Laptop Workstation


Course Description

State-of-the-Art Small Bowel Imaging: Review and Hands-on Tutorial combines didactic lectures with a hands-on electronic review of CT and MR enterography cases presented on a laptop computer workstation. Didactic lectures from recognized experts provide a comprehensive overview of CT and MR techniques for the evaluation of small bowel disorders. Laptop workstations come to you loaded with close to 200 cases illustrating a wide range of small bowel diseases, including inflammatory bowel disease, obscure GI bleeding, small bowel tumors, small bowel obstruction, perianal Crohn's disease, and other small bowel pathology. Each case is accompanied by a case report form detailing clinical history, radiological findings, endoscopic correlation, any surgical follow-up, and a summary of salient teaching points and summary images. Laptop workstations are on loan for up to two weeks allowing plenty of time to complete the entire course.

Course Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Identify basic and advanced techniques in CT and MR evaluation of Crohn’s disease, obscure GI bleeding, and low-grade small bowel obstruction
  • Recognize the CT and MR enterographic features of Crohn’s disease, small bowel tumors, and other causes of obscure GI bleeding
  • Describe the advantages and disadvantages of various MR vs. CT small bowel imaging techniques
  • Review the clinical indications for CT and MR enterography in various small bowel disorders
  • Choose appropriate enteric contrast media based on clinical indications
  • Predict the clinical impact of emerging trends in small bowel imaging
  • Describe advances in Crohn’s disease diagnostic, medical, and surgical management algorithms

Participation in this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.


CT Enterography in Crohn’s Disease

  • CT Enterography: Technique and Oral Contrast Agents
    Joel G. Fletcher, MD
  • Crohn’s Disease: Clinical Perspective and Update
    David H. Bruining, MD
  • CT Enterography Findings in Crohn’s Disease
    Amy K. Hara, MD
  • CT Crohn’s Cases – Hands-on
    Interactive Review by Participants
  • Case Review by Faculty
    Joel G. Fletcher, MD, Amy K. Hara, MD

MR Enterography

  • The Role of MR in the Evaluation of Small Bowel Disorders
    Joel G. Fletcher, MD
  • MR Crohn’s Cases – Hands-on
    Interactive Review by Participants
  • Case Review by Faculty
    Jeff L. Fidler, MD, Alvin C. Silva, MD

CT and MR Enteroclysis for Low Grade Small Bowel Obstruction

  • Enteroclysis Technique
    Jeff L. Fidler, MD
  • Small Bowel Obstruction Cases
    Jeff L. Fidler, MD

CTE Dose Reduction

  • CTE Dose Reduction
    Joel G. Fletcher, MD, Amy K. Hara, MD

Obscure GI Bleeding

  • Clinical Perspective: Obscure GI Bleeding
    Jeffrey A. Alexander, MD
  • Multiphase CT Enterography in the Evaluation of Obscure GI Bleeding
    James E. Huprich, MD
  • OGIB Cases – Hands-on
    Interactive Review by Participants 
  • OGIB Case Review
    James E. Huprich, MD

Keynote Address

  • Advanced Small Bowel Endoscopic Techniques
    Jonathan A. Leighton, MD 
  • Panel Discussion – OFIB Multimodality by Faculty

Perianal Fistulas

  • Perianal Imaging & Cases
    Joel G. Fletcher, MD

Wireless Capsule Endoscopy

  • Wireless Capsule Endoscopy
    Stephanie L. Hansel, MD

Barium Small Bowel Examinations

  • Is There Still a Role For Barium?
    S.W. Trenkner, MD

Advanced Clinical and Surgical Perspectives in Crohn’s Disease

  • Advances and Emerging Trends in Medical Management of Crohn’s Disease
    David H. Bruining, MD
  • Advances in Surgical Treatment of Crohn’s Disease
    Robert R. Cima, MD
  • Multispecialty Case Presentations & Panel Discussion


In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 19.25 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This enduring material activity meets the criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification program.

CME credit is obtained upon successful completion of a post-course quiz and program evaluation. The quiz must be successfully passed with 80% or higher within two attempts.

Date of Original Release:        December 3, 2012
Re-reviewed for Credit:           June 16, 2015
Last Date of Sale:                    November 3, 2018
Credit Must be Claimed by:    December 3, 2018



Course Directors

John M. Barlow, M.D.

David H. Bruining, M.D.

Jeff L. Fidler, M.D. 

Joel G. Fletcher, M.D.

James E. Huprich, M.D.


Mayo Clinic Course Faculty

Jeffrey A. Alexander, M.D.
John M. Barlow, M.D.
David H. Bruining, M.D.
Robert R. Cima, M.D.
Stephanie L. Hansel, M.D.
Jeff L. Fidler, M.D.
Joel G. Fletcher, M.D.
Amy K. Hara, M.D.
James E. Huprich, M.D.
Jonathan A. Leighton, M.D.
Alvin C. Silva, M.D.
Stephen W. Trenkner, M.D.

Faculty Disclosure

As a Jointly Accredited Provider by ACCME, ACPE, and ANCC, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity.  Safeguards against commercial bias have been put in place.  Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation.  Disclosure of these relevant financial relationships will be published in activity materials so those participants in the activity may formulate their own judgments regarding the presentation.

National Physician Payment Transparency Program

Mayo Clinic College of Medicine and Science complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).

Mayo Clinic School of Continuous Professional Development Disclosure

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) please go here


Registration Fee: $2000

Course Package includes:

  • Didactic presentations discussing the performance and interpretation of CT and MR techniques in small bowel diseases
  • Comprehensive course syllabus and case reports
  • Laptop with close to 200 cases (loaned to each participant for two weeks)
  • Online program evaluation
  • AMA PRA Category 1 Credits™


DVD and AUP orders will normally be shipped via FedEx Express within two to three business days after placing order.

For additional information, contact:

Mayo Clinic Department of Radiology
Continuing Medical Education Office
Mayo, W-2 
200 First Street SW
Rochester, MN 55905

Phone:     866-246-1581 (toll free) or 507-284-3317
Fax:          507-266-3061

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