Inflammatory Bowel Disease: Current Role of Imaging in Diagnosis and Detection of Complications: <i>Gastrointestinal Imaging</i>

Panizza, Pedro Sergio Brito; Viana, Públio César Cavalcante; Horvat, Natally; Júnior, Valter Ribeiro dos Santos; Araújo, Diego Adrian Pucci de; Yamanari, Tássia Regina; Leite, Cláudia da Costa; Cerri, Giovanni Guido

doi:10.1148/rg.2017160050

Cited by 18 publications

(9 citation statements)

References 2 publications

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“…Similarly, the present study comparing the structured versus conventional or free-text report was more consistent in terms of clarity of information, ease in defining disease activity, its extension and presence of other complications, as already demonstrated in the study by Panizza et al 6 on which this structured reporting model was based. These authors propose an organized method of image analysis, starting with mesentery inflammation (Group 1), intestinal wall (Group 2) and complications of the disease (Group 3).…”

Section: Discussionsupporting

confidence: 87%

“…We selected nine CT enterography scans of patients with CD performed in the radiology department of the University Hospital Maria Aparecida Pedrossian with conventional reports. The same tests were reevaluated by radiologists of the same service after the standardization proposed by Panizza et al 6 without them having access to the previous report. The two reports of each of the nine exams were then presented to five specialist physicians who routinely treat patients with CD so that they judged the reports for: (1) Clarity of report information; (2) Ease in characterizing the extension of the disease; (3) Ease in defining the presence of complications; (4) Usefulness of the exam to define the behavior and; (5) Ease in defining disease activity.…”

Section: Methodsmentioning

confidence: 99%

“…For this purpose, Panizza et al 6 published a proposal of analysis of the examination, and standardization of the report, which now requires its practical validation by the community of specialists treating patients with Inflammatory Bowel Disease (IBD). This is the proposal of the present research, that is, to evaluate the proposed method of standardized report comparing it with previously performed reports of patients known to have CD.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography

Gómez

Nunes

Santos

et al. 2018

Journal of Coloproctology

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Context There is an increasing interest in the standardization of the evaluation of imaging exams, especially enterography in Crohn’s disease. Objective To compare the quality of the conventional report with the structured report in computed tomography enterography in Crohn’s disease. Method Nine CT enterographies of patients with Crohn’s disease with conventional reports were performed; after the standardization of the structured report by the radiology department of a university hospital that is a reference in the care of patients with inflammatory bowel diseases, the same exams were reevaluated, and new reports were issued, without the radiologists having access to the previous report; the 18 reports underwent evaluation of five specialists in Inflammatory Bowel Diseases, resulting in 90 analyses of the report; the specialists evaluated the following criteria: clarity of the information of the report, ease in characterizing the extension of the disease, ease in defining the presence of complications, usefulness of the exam to define the behavior, and ease in defining the activity of the disease, with the use of a 0–10 score. The statistical analysis was perfrmed with Wilcoxon’s non-parametric test, considering a significance level of 5%. Results The mean scores assigned to the exam reports, using both reports (unstructured and structured) ranged from 7.98 to 9.16; however, the scores of the structured reports were significantly higher ( p  < 0.003). Conclusion In the specialists’ evaluation, the structured report was shown to be of better quality than the unstructured one in the CT enterography of patients with Crohn’s Disease.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography

Gómez

Nunes

Santos

et al. 2018

Journal of Coloproctology

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“…Computed tomography (CT) and magnetic resonance (MR) intestinal imaging can indicate inflammatory changes in the intestinal wall, lesion location and extent, the presence of stenosis, and various complications such as fistula formation and abdominal abscess. These modalities can be used as a routine examination for CD in the small intestine (21). Imaging plays a unique role in assessing the condition of patients with IBD before surgery, as well as in determining the procedure and perioperative drug therapy.…”

Section: Discussionmentioning

confidence: 99%

Role of a multidisciplinary team (MDT) in the diagnosis, treatment, and outcomes of inflammatory bowel disease: a single Chinese center's experience

Wang

et al. 2021

BST

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Inflammatory bowel disease (IBD) is a group of chronic nonspecific inflammatory diseases, including Crohn's disease (CD) and ulcerative colitis (UC), whose etiology and pathogenesis have not been elucidated. Its onset may be related to dietary habits, environment, genes, infection, intestinal flora, and immune disorders. IBD is developing into a global epidemic. The highest annual incidence of UC is 24.3 cases per 100,000 population-years in Europe, with 6.3 cases per 100,000 population-years in Asia. The highest annual incidence of CD is 12.7 per 100,000 population-years in Europe, with 5.0 cases per 100,000 population years in Asia (1). As the incidence increases, so does the chance of complications and poor outcomes (2).As the level of China's economic development, diet, and lifestyle have changed and the average life expectancy of the population has increased, the number of cases of IBD has increased yearly and is approaching numbers in Europe and North America (3). The incidence of IBD in China is increasing yearly, and an indeterminate or incomplete diagnosis is often common. Although the incidence of postoperative complications and in-hospital mortality of patients with IBD has significantly decreased in recent years, a retrospective analysis of the epidemiology and surgical management of IBD in China conducted in 2016 indicated that the frequency with which patients with CD were misdiagnosed with conditions such as appendicitis before surgery was as high as 50.8%. The rate of postoperative complications in both CD and UC

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“…Mesenteric thickening may also be seen in chronic cases and may cause technical difficulties at surgery. 11,74 Other common causes include diverticulitis, appendicitis and cholecystitis. Inflamed jejunal and sigmoid diverticula may extend into their anchoring mesentery, with formation of abscesses if they progress.…”

Section: Mesenteric Inflammationmentioning

confidence: 99%

Unravelling the Mysteries of the Mesentery

Gopalan

Raghu

2020

Journal of Gastrointestinal and Abdominal Radiology

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The mesentery and its folds tether the small bowel loops to the posterior abdominal wall. It transmits nerves, vessels, and lymph ensconced in a fatty sponge layer wrapped in a thin glistening peritoneum, from and to the small bowel. Not only does this flexible dynamic fatty apron house various localized primary benign and malignant lesions, it is often involved in and gives an indication of generalized or systemic diseases in the body. An understanding of the anatomy, components, and function of the mesentery helps to classify mesenteric abnormalities. This further allows for characterizing radiological patterns and appearances specific to certain disease entities. Recent reviews of mesenteric anatomy have kindled new interest in its function and clinical applications, heralding the possibility of revision of its role in diseases of the abdomen.

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Inflammatory Bowel Disease: Current Role of Imaging in Diagnosis and Detection of Complications: Gastrointestinal Imaging

Cited by 18 publications

References 2 publications

Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography

Comparison of conventional and structured report in the evaluation of Crohn’s disease through enterography

Role of a multidisciplinary team (MDT) in the diagnosis, treatment, and outcomes of inflammatory bowel disease: a single Chinese center's experience

Unravelling the Mysteries of the Mesentery

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