Magnetic resonance enteroclysis in the diagnosis of small-intestinal crohn's disease: diagnostic accuracy and inter- and intra-observer agreement

Negaard, Anne; Sandvik, Lorentz; Mulahasanovic, A.; Berstad, A; Kløw, Nils‐Einar

doi:10.1080/02841850600979071

Cited by 44 publications

(26 citation statements)

References 26 publications

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“…In conclusion aiming the assessment of interobserver variability is beyond the scope of our research. We affirm that MRE is a supplementary technique rather than a main diagnostic and scoring tool due to our finding which is MRE underestimates CD activation scores and due to the findings of other studies (1)(2)(3)(4) declaring that it has inter-and intra-observer variability.…”

Section: Mr Enterography: Still Complementary To Ses-cd For Evaluatiosupporting

confidence: 54%

MR enterography: Still complementary to SES-CD for evaluation of ileal Crohn’s disease

Kocaman

2014

Turk J Gastroenterol

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Section: Mr Enterography: Still Complementary To Ses-cd For Evaluatiosupporting

confidence: 54%

MR enterography: Still complementary to SES-CD for evaluation of ileal Crohn’s disease

Kocaman

2014

Turk J Gastroenterol

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“…Several studies have evaluated the interobserver agreement in MRE and CTE (or MR and CT enteroclysis) in patients with known or suspected CD and found moderate to excellent agreement for the diagnosis and specific findings related to CD. 10,14,[20][21][22][23][24][25][26][27] Two recent studies compared the diagnostic accuracy and interobserver agreement in MRE and CTE. Lee et al 10 found equally high diagnostic accuracies, and substantial to excellent agreement for detection of CD in the upper and lower small bowel.…”

Section: Discussionmentioning

confidence: 99%

Interobserver and intermodality agreement for detection of small bowel Crohnʼs disease with MR enterography and CT enterography

Jensen

Ormstrup

Vagn-Hansen

et al. 2011

Inflammatory Bowel Diseases

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“…The reported ranges of ultrasound sensitivity and specificity for the diagnosis of Crohn’s disease are 75–94 and 67–100%, respectively [17]; the values of MRI sensitivity and specificity for the diagnosis of Crohn’s disease-related lesions range from 78 to 100% for both [18,19]. …”

Section: Discussionmentioning

confidence: 99%

Clinical Feature and Bowel Ultrasound in Crohn’s Disease – Does Additional Information from Magnetic Resonance Imaging Affect Therapeutic Approach and When Does Extended Diagnostic Investigation Make Sense?

Girlich¹,

Ott²,

Strauch³

et al. 2010

Digestion

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Background/Aims: Some suggest MRI to be superior to ultrasound in Crohn’s disease. We analyzed how often MR enterography (MRE) following a routine ultrasound leads to a change in therapeutic decision. Material and Methods: We retrospectively evaluated 47 patients with Crohn’s disease undergoing routine ultrasound examination. Actual medical history, complete blood count, C-reactive protein (CRP), and sonographic findings were assessed independently by two specialists who retrospectively provided a therapeutic proposal. Additionally, all patients received MRE. Thereafter, the specialists had to provide a new therapeutic concept regarding all the available information. Results: Evaluation of the rectum was not successful by ultrasound, but MRE gave good results. Only 1 of 7 abscesses was identified sonographically. Three of the abscesses missed at sonography were localized in the perirectal/perianal region. MRE detected more inflamed bowel segments, but ultrasound assessment of anatomically fixed bowel parts showed good recognition by MRE. With increasing CRP values, we found more positive results of ultrasound and MRE. Therapeutic change was suggested in only 18 patients. Conclusions: Ultrasound should be performed by an experienced examiner, and a proctological examination should be added. MRE is justified in cases of discrepancy between clinical findings and the results of diagnostic ultrasound and, moreover, if Crohn’s lesions are suspected at sites proximal to the terminal or neoterminal ileum.

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Magnetic resonance enteroclysis in the diagnosis of small-intestinal crohn's disease: diagnostic accuracy and inter- and intra-observer agreement

Cited by 44 publications

References 26 publications

MR enterography: Still complementary to SES-CD for evaluation of ileal Crohn’s disease

MR enterography: Still complementary to SES-CD for evaluation of ileal Crohn’s disease

Interobserver and intermodality agreement for detection of small bowel Crohnʼs disease with MR enterography and CT enterography

Clinical Feature and Bowel Ultrasound in Crohn’s Disease – Does Additional Information from Magnetic Resonance Imaging Affect Therapeutic Approach and When Does Extended Diagnostic Investigation Make Sense?

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