Sonographic bowel wall morphology correlates with clinical and endoscopic activity in crohn's disease and ulcerative colitis

Bozkurt, T; Rommel, Thomas; Stabenow-Lohbauer, U.; Langer, M.; Schmiegelow, P.; Lux, G.

doi:10.1016/0929-8266(95)00169-7

Cited by 10 publications

(12 citation statements)

References 14 publications

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“…In recent years, intestinal sonography has become a routinely used, valuable technique, particularly in the primary diagnosis, follow-up, and recognition of complications in patients with chronic inflammatory bowel diseases. 5,[8][9][10]15 Typical sonographic findings in the gray scale mode include longitudinally extending wall thickening with poorly defined individual layers, decreased echogenicity, and luminal narrowing. 16 Despite this progress, sonography has remained incapable of indicating the cause of obstructive changes in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…The absence of peristalsis and compressibility together with prestenotic dilatation are typical sonographic signs of stenosis. 5 The anatomic location and length of a stenotic segment of bowel can be precisely determined with the use of imaging methods such as sonography and small-bowel enteroclysis as well as modified enteroclysis procedures with computed tomography or magnetic resonance imaging. None of these methods, however, can provide more than indirect information regarding the pathogenesis of the stenosis.…”

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confidence: 99%

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Contrast‐Enhanced Power Doppler Sonography of the Intestinal Wall in the Differentiation of Hypervascularized and Hypovascularized Intestinal Obstructions in Patients With Crohn's Disease

Kratzer

Tirpitz

Mason

et al. 2002

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Contrast‐Enhanced Power Doppler Sonography of the Intestinal Wall in the Differentiation of Hypervascularized and Hypovascularized Intestinal Obstructions in Patients With Crohn's Disease

Kratzer

Tirpitz

Mason

et al. 2002

J of Ultrasound Medicine

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“…Changes in the predominance of the layers or loss of stratification may be related to different disease aspects [26,35,36]. The loss of mural stratification (the disrupted or hypoechoic echo pattern) correlates with clinical and biochemical CD activity [27,37,38] with prevalent histological inflammation [39] and with increased risk of surgery [40 -42]. In vitro studies revealed that the focal disappearance sign or focal destruction of wall stratification is caused by deep longitudinal ulcerations [43 -45] [46 -52], but with more controversial results in other studies [52 -54].…”

Section: Luminal and Parietal Featuresmentioning

confidence: 99%

EFSUMB Recommendations and Clinical Guidelines for Intestinal Ultrasound (GIUS) in Inflammatory Bowel Diseases

et al. 2018

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The accuracy and usefulness of gastrointestinal ultrasound (GIUS) for detecting activity and complications of inflammatory bowel diseases (IBD), has been reported in studies, promoting this technique as an important tool for the management of IBD patients. Whilst well recognised by international guidelines, standardization and general agreement in the definition of the luminal and extra-intestinal features, still need to be well defined.A task force group of 17 experts in GIUS faced this issue, by developing recommendations and clinical guidelines for the use of GIUS in IBD, under the auspices of EFSUMB. This article presents the consensus on the current data on sonographic features of IBD and summarises the accuracy of different sonographic modalities for the management of IBD patients.

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“…Nineteen articles met all inclusion criteria and were included for further data extraction. CT was evaluated in 3 [ 16 – 18 ], MRI in 11 [ 19 – 29 ], US in 3 [ 30 – 32 ], and scintigraphy in 3 [ 18 , 33 , 34 ]. No articles evaluating PET-CT were found that met our criteria.…”

Section: Resultsmentioning

confidence: 99%

Grading of Crohn’s disease activity using CT, MRI, US and scintigraphy: a meta-analysis

et al. 2015

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PurposeTo assess the grading of Crohn’s disease activity using CT, MRI, US and scintigraphy.Materials and methodsMEDLINE, EMBASE and Cochrane databases were searched (January 1983–March 2014) for studies evaluating CT, MRI, US and scintigraphy in grading Crohn’s disease activity compared to endoscopy, biopsies or intraoperative findings. Two independent reviewers assessed the data. Three-by-three tables (none, mild, frank disease) were constructed for all studies, and estimates of accurate, over- and under-grading were calculated/summarized by fixed or random effects models.ResultsOur search yielded 9356 articles, 19 of which were included. Per-patient data showed accurate grading values for CT, MRI, US and scintigraphy of 86 % (95 % CI: 75–93 %), 84 % (95 % CI: 67–93 %), 44 % (95 % CI: 28–61 %) and 40 % (95 % CI: 16–70 %), respectively. In the per-patient analysis, CT and MRI showed similar accurate grading estimates (P = 0.8). Per-segment data showed accurate grading values for CT and scintigraphy of 87 % (95 % CI: 77–93 %) and 86 % (95 % CI: 80–91 %), respectively. MRI and US showed grading accuracies of 67–82 % and 56–75 %, respectively.ConclusionsCT and MRI showed comparable high accurate grading estimates in the per-patient analysis. Results for US and scintigraphy were inconsistent, and limited data were available.Key Points• CT and MRI have comparable high accuracy in grading Crohn’s disease.• Data on US and scintigraphy is inconsistent and limited.• MRI is preferable over CT as it lacks ionizing radiation exposure.Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-015-3737-9) contains supplementary material, which is available to authorized users.

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Sonographic bowel wall morphology correlates with clinical and endoscopic activity in crohn's disease and ulcerative colitis

Cited by 10 publications

References 14 publications

Contrast‐Enhanced Power Doppler Sonography of the Intestinal Wall in the Differentiation of Hypervascularized and Hypovascularized Intestinal Obstructions in Patients With Crohn's Disease

Contrast‐Enhanced Power Doppler Sonography of the Intestinal Wall in the Differentiation of Hypervascularized and Hypovascularized Intestinal Obstructions in Patients With Crohn's Disease

EFSUMB Recommendations and Clinical Guidelines for Intestinal Ultrasound (GIUS) in Inflammatory Bowel Diseases

Grading of Crohn’s disease activity using CT, MRI, US and scintigraphy: a meta-analysis

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