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Consensus Recommendations for Evaluation, Interpretation, and Utilization of Computed Tomography and Magnetic Resonance Enterography in Patients With Small Bowel Crohn’s Disease
Gastroenterology ( IF 29.4 ) Pub Date : 2018-01-10 , DOI: 10.1053/j.gastro.2017.11.274
David H. Bruining , Ellen M. Zimmermann , Edward V. Loftus , William J. Sandborn , Cary G. Sauer , Scott A. Strong , Mahmoud Al-Hawary , Sudha Anupindi , Mark E. Baker , David Bruining , Kassa Darge , Jonathan Dillman , David Einstein , Jeff L. Fidler , Joel G. Fletcher , Michael S. Gee , David Grand , Falvius Guglielmo , Amy K. Hara , Tracy A. Jaffe , Dean Maglinte , Alec Megibow , Seong Ho Park , Joel Platt , Daniel Podberesky , Jordi Rimola , Dushyant V. Sahani , Jorge Soto , Stuart A. Taylor

Computed tomography and magnetic resonance enterography have become routine small bowel imaging tests to evaluate patients with established or suspected Crohn’s disease, but the interpretation and use of these imaging modalities can vary widely. A shared understanding of imaging findings, nomenclature, and utilization will improve the utility of these imaging techniques to guide treatment options, as well as assess for treatment response and complications. Representatives from the Society of Abdominal Radiology Crohn’s Disease-Focused Panel, the Society of Pediatric Radiology, the American Gastroenterological Association, and other experts, systematically evaluated evidence for imaging findings associated with small bowel Crohn’s disease enteric inflammation and established recommendations for the evaluation, interpretation, and use of computed tomography and magnetic resonance enterography in small bowel Crohn’s disease. This work makes recommendations for imaging findings that indicate small bowel Crohn’s disease, how inflammatory small bowel Crohn’s disease and its complications should be described, elucidates potential extra-enteric findings that may be seen at imaging, and recommends that cross-sectional enterography should be performed at diagnosis of Crohn’s disease and considered for small bowel Crohn’s disease monitoring paradigms. A useful morphologic construct describing how imaging findings evolve with disease progression and response is described, and standard impressions for radiologic reports that convey meaningful information to gastroenterologists and surgeons are presented.



中文翻译:

小肠克罗恩病患者计算机断层扫描和磁共振肠造影的评估,解释和使用的共识性建议

计算机断层扫描和核磁共振肠造影已成为常规的小肠成像检查,以评估已确诊或可疑的克罗恩病患者,但是这些成像方式的解释和使用可能有很大差异。对影像学发现,术语和利用率的共同理解将改善这些影像技术在指导治疗方案以及评估治疗反应和并发症方面的实用性。腹部放射学学会克罗恩病专项小组,儿科放射学学会,美国胃肠病学协会的代表以及其他专家的代表,系统地评估了与小肠克罗恩病肠道炎症相关的影像学发现的证据,并提出了评估,解释的建议,断层扫描和磁共振肠造影在小肠克罗恩病中的应用 这项工作对显示小肠克罗恩氏病的影像学发现提出建议,应描述炎症性小肠克罗恩氏病及其并发症,阐明在影像学检查中可能发现的肠外发现,并建议进行断层肠镜检查在诊断克罗恩氏病时考虑使用小肠克罗恩病监测范例。描述了有用的形态构造,描述了影像学发现如何随疾病进展和反应而发展,并提出了放射学报告的标准印象,这些报告将有意义的信息传达给肠胃科医生和外科医生。这项工作对显示小肠克罗恩氏病的影像学发现提出建议,应描述炎症性小肠克罗恩氏病及其并发症,阐明在影像学检查中可能发现的肠外发现,并建议进行断层肠镜检查在诊断克罗恩氏病时考虑使用小肠克罗恩病监测范例。描述了有用的形态构造,描述了影像学发现如何随疾病进展和反应而发展,并提出了放射学报告的标准印象,这些报告将有意义的信息传达给肠胃科医生和外科医生。这项工作对显示小肠克罗恩氏病的影像学发现提出建议,应描述炎症性小肠克罗恩氏病及其并发症,阐明在影像学检查中可能发现的肠外发现,并建议进行断层肠镜检查在诊断克罗恩氏病时考虑使用小肠克罗恩病监测范例。描述了有用的形态构造,描述了影像学发现如何随疾病进展和反应而发展,并提出了放射学报告的标准印象,这些报告将有意义的信息传达给肠胃科医生和外科医生。如何描述炎症性小肠克罗恩病及其并发症,阐明可能在影像学上发现的肠外发现,并建议在进行克罗恩病诊断时应进行横断面肠镜检查,并考虑对小肠克罗恩病进行监测。描述了有用的形态构造,描述了影像学发现如何随疾病进展和反应而发展,并提出了放射学报告的标准印象,这些报告将有意义的信息传达给肠胃科医生和外科医生。如何描述炎症性小肠克罗恩病及其并发症,阐明可能在影像学上发现的肠外发现,并建议在进行克罗恩病诊断时应进行横断面肠镜检查,并考虑对小肠克罗恩病进行监测。描述了有用的形态构造,描述了影像学发现如何随疾病进展和反应而发展,并提出了放射学报告的标准印象,这些报告将有意义的信息传达给肠胃科医生和外科医生。

更新日期:2018-01-10
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