Diagnostic value of MR and CT enterography in post-operative recurrence of Crohn’s disease: a systematic review and meta-analysis

Chavoshi, Mohammadreza; Zamani, Sara; Kolahdoozan, Shadi; Radmard, Amir Reza

doi:10.1007/s00261-024-04394-6

Abdom Radiol

2024

DOI: 10.1007/s00261-024-04394-6

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Diagnostic value of MR and CT enterography in post-operative recurrence of Crohn’s disease: a systematic review and meta-analysis

Mohammadreza Chavoshi,

Sara Zamani,

Shadi Kolahdoozan

et al.

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Cited by 2 publications

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Role of Intestinal Ultrasound for IBD Care: A Practical Approach

Hoffmann,

Ungewitter

2024

Diagnostics

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Intestinal ultrasound (IUS) has recently become the imaging technique of choice for patients with different types of intestinal inflammation. IUS has a high sensitivity, specificity, positive predictive value, and negative predictive value when diagnosing Crohn’s disease or ulcerative colitis. Further, it is now the preferred imaging modality for routine IBD reevaluations because of its non-invasiveness, cost-effectiveness, availability (at least in Europe), and reproducibility in all age groups. However, the clinical success of IUS requires IUS training for doctors and technicians who perform IUS with a standardised description of ultrasound findings of the terminal ileum and entire colon. Complications such as abscess formation, fistulae, and stenosis can be detected by either conventional IUS or contrast-enhanced ultrasound (CEUS). Lately, several disease activity scores have been proposed for Crohn’s disease, postoperative Crohn’s disease, and ulcerative colitis both in adults (including elderly) and in children. IUS was successfully used in randomised clinical trials in order to measure the treatment response. Therefore, IUS now plays a central role in clinical decision making.

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Role of Intestinal Ultrasound for IBD Care: A Practical Approach

Hoffmann,

Ungewitter

2024

Diagnostics

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Crohn’s Disease: Radiological Answers to Clinical Questions and Review of the Literature

Minordi,

D’Angelo,

Privitera

et al. 2024

JCM

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Background: Crohn’s disease (CD) is a chronic, progressive inflammatory condition, involving primarily the bowel, characterized by a typical remitting–relapsing pattern. Despite endoscopy representing the reference standard for the diagnosis and assessment of disease activity, radiological imaging has a key role, providing information about mural and extra-visceral involvement. Methods: Computed Tomography and Magnetic Resonance Imaging are the most frequently used radiological techniques in clinical practice for both the diagnosis and staging of CD involving the small bowel in non-urgent settings. The contribution of imaging in the management of CD is reported on by answering the following practical questions: (1) What is the best technique for the assessment of small bowel CD? (2) Is imaging a good option to assess colonic disease? (3) Which disease pattern is present: inflammatory, fibrotic or fistulizing? (4) Is it possible to identify the presence of strictures and to discriminate inflammatory from fibrotic ones? (5) How does imaging help in defining disease extension and localization? (6) Can imaging assess disease activity? (7) Is it possible to evaluate post-operative recurrence? Results: Imaging is suitable for assessing disease activity, extension and characterizing disease patterns. CT and MRI can both answer the abovementioned questions, but MRI has a greater sensitivity and specificity for assessing disease activity and does not use ionizing radiation. Conclusions: Radiologists are essential healthcare professionals to be involved in multidisciplinary teams for the management of CD patients to obtain the necessary answers for clinically relevant questions.

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Diagnostic value of MR and CT enterography in post-operative recurrence of Crohn’s disease: a systematic review and meta-analysis

Cited by 2 publications

References 52 publications

Role of Intestinal Ultrasound for IBD Care: A Practical Approach

Role of Intestinal Ultrasound for IBD Care: A Practical Approach

Crohn’s Disease: Radiological Answers to Clinical Questions and Review of the Literature

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