Clinical Application of Intestinal Ultrasound in Inflammatory Bowel Disease

被引:5
作者
Krugliak Cleveland N. [1 ]
St-Pierre J. [1 ]
Kellar A. [1 ]
Rubin D.T. [1 ]
机构
[1] Inflammatory Bowel Disease Center, University of Chicago, 5841 S. Maryland Ave MC 4076, Chicago, 60637, IL
关键词
Clinical application; Crohn’s disease; Disease monitoring; Inflammatory bowel disease; Intestinal ultrasound; Ulcerative colitis;
D O I
10.1007/s11894-024-00915-x
中图分类号
学科分类号
摘要
Purpose of Review: Intestinal ultrasound (IUS) is a non-invasive, accurate, and well-tolerated tool that provides real-time assessment of inflammatory bowel disease (IBD) activity and is therefore an ideal monitoring tool. This review describes the evolving role of IUS in each phase of clinical management of IBD. Recent Findings: Accumulating evidence has demonstrated that IUS is an excellent tool for the assessment of suspected IBD, with a very high negative predictive value. It accurately assesses disease activity, disease complications, and in the pre-treatment phase, provides a benchmark for subsequent follow-up. IUS can detect early therapeutic response and correlates well with other established monitoring modalities with arguably superior predictive capabilities and ability to assess a deeper degree of remission, transmural healing (TH). Summary: IUS has a crucial role in the management of IBD and has ushered in a new era of monitoring with more rapid evaluation and the opportunity for early optimization, deeper therapeutic targets, and improved outcomes. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
引用
收藏
页码:31 / 40
页数:9
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共 67 条
  • [21] Chiorean M.V., Sandrasegaran K., Saxena R., Maglinte D.D., Nakeeb A., Johnson C.S., Correlation of CT enteroclysis with surgical pathology in Crohn's disease, Am J Gastroenterol, 102, 11, pp. 2541-2550, (2007)
  • [22] Maconi G., Sampietro G.M., Parente F., Et al., Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn's disease: a prospective comparative study, Am J Gastroenterol, 98, 7, pp. 1545-1555, (2003)
  • [23] Castiglione F., Mainenti P.P., De Palma G.D., Et al., Noninvasive diagnosis of small bowel Crohn's disease: direct comparison of bowel sonography and magnetic resonance enterography, Inflamm Bowel Dis, 19, 5, pp. 991-998, (2013)
  • [24] Rieder F., Bettenworth D., Ma C., Et al., An expert consensus to standardise definitions, diagnosis and treatment targets for anti-fibrotic stricture therapies in Crohn's disease, Aliment Pharmacol Ther, 48, 3, pp. 347-357, (2018)
  • [25] Ding S.S., Fang Y., Wan J., Et al., Usefulness of Strain Elastography, ARFI Imaging, and Point Shear Wave Elastography for the Assessment of Crohn Disease Strictures, J Ultrasound Med, 38, 11, pp. 2861-2870, (2019)
  • [26] Chen Y.J., Mao R., Li X.H., Et al., Real-Time Shear Wave Ultrasound Elastography Differentiates Fibrotic from Inflammatory Strictures in Patients with Crohn's Disease, Inflamm Bowel Dis, 24, 10, pp. 2183-2190, (2018)
  • [27] Kucharzik T., Maaser C., Intestinal ultrasound and management of small bowel Crohn's disease, Therap Adv Gastroenterol, 11, (2018)
  • [28] Calabrese E., Maaser C., Zorzi F., Et al., Bowel Ultrasonography in the Management of Crohn's Disease. A Review with Recommendations of an International Panel of Experts, Inflamm Bowel Dis, 22, 5, pp. 1168-1183, (2016)
  • [29] Maaser C., Sturm A., Vavricka S.R., ECCO-ESGAR Guideline for Diagnostic Assessment in IBD Part 1: Initial diagnosis, monitoring of known IBD, detection of complications, J Crohns Colitis, 13, 2, pp. 144-164, (2019)
  • [30] Pascu M., Roznowski A.B., Muller H.P., Adler A., Wiedenmann B., Dignass A.U., Clinical relevance of transabdominal ultrasonography and magnetic resonance imaging in patients with inflammatory bowel disease of the terminal ileum and large bowel, Inflamm Bowel Dis, 10, 4, pp. 373-382, (2004)