Magnetic Resonance Imaging Compared With Ileocolonoscopy in Evaluating Disease Severity in Crohn’s Disease

Florie, Jasper; Horsthuis, Karin; Hommes, Daniël W.; Nio, C. Yung; Reitsma, Johannes B.; Deventer, Sander J. van; Stoker, Jaap

doi:10.1016/s1542-3565(05)00853-0

Cited by 76 publications

(59 citation statements)

References 20 publications

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“…Finally, seven papers [17,18,[28][29][30][31][32] fulfilled all inclusion criteria and were used for data extraction and data analysis (Appendix 1). There was no disagreement regarding inclusion between the two reviewers.…”

Section: Search Strategy and Study Selectionmentioning

confidence: 99%

“…In three of the seven included studies, only patients with CD were evaluated [17,31,32]. In the other four studies, both patients with CD and with ulcerative colitis were included [18,[28][29][30].…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…However, different appraisals were used to determine pathological bowel wall enhancement; in the older studies percentages of contrast enhancement were used (post-and precontrast MRI), with higher ratios indicating more severe disease [28,29]. In other studies subjective enhancement was used to stage disease [17,18,[30][31][32]. With regard to bowel wall thickening, cutoff values to indicate the different stages of disease were provided only in one study [30].…”

Section: Imaging Features and Imaging Criteria Used For Diagnosismentioning

confidence: 99%

“…Data were reported on a per-patient basis in five studies [28][29][30][31][32] and on a per-segment basis in two studies [17,18]. For the studies reporting segmental data, we grouped the available segmental data per patient to enable data analysis on a per-patient basis; only bowel segments that were inspected endoscopically or surgically were included, and the most severe segmental score was used for analysis.…”

Section: Data Extractionmentioning

confidence: 99%

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Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review

et al. 2009

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To systematically review the evidence on the accuracy of MRI for grading disease activity in Crohn's disease (CD). The MEDLINE, EM-BASE, CINAHL and Cochrane databases were searched for studies on the accuracy of MRI in grading CD compared to a predefined reference standard. Two independent observers scored all relevant data. Three disease stages were defined: remission, mild and frank disease. The accuracy rates of MRI per disease stage were calculated by means of a random-effects model. Seven studies were included from a search resulting in 253 articles. In total 140 patients (16 patients in remission, 29 with mild disease and 95 with frank disease) were used for data analysis. MRI correctly graded 91% (95% CI: 84-96%) of patients with frank disease, 62% (95% CI:

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Section: Search Strategy and Study Selectionmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

Section: Imaging Features and Imaging Criteria Used For Diagnosismentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

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Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review

et al. 2009

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“…Pariente et al [57] reviewed data from several studies that assessed the performance of MRE against ileoscopy or capsule endoscopy findings [58][59][60] and reported an overall sensitivity and specificity of 88 and 95 %, respectively. Similar figures emerged regarding the ability of MRE to identify fistulas (sensitivity 88 %, specificity 93 %) [57].…”

Section: Magnetic Resonancementioning

confidence: 99%

Surgery and diagnostic imaging in abdominal Crohn’s disease

et al. 2013

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Surgery is well-established option for the treatment of Crohn's disease that is refractory to medical therapy and for complications of the disease, including strictures, fistulas, abscesses, bleeding that cannot be controlled endoscopically, and neoplastic degeneration. For a condition like Crohn's disease, where medical management is the rule, other indications for surgery are considered controversial, because the therapeutic effects of surgery are limited to the resolution of complications and the rate of recurrence is high, especially at sites of the surgical anastomosis. In the authors' opinion, however, surgery should not be considered a last-resort treatment: in a variety of situations, it should be regarded as an appropriate solution for managing this disease. Based on a review of the literature and their own experience, the authors examine some of the possibilities for surgical interventions in Crohn's disease and the roles played in these cases by diagnostic imaging modalities.Riassunto La chirurgia è un'opzione terapeutica consolidata per il trattamento della malattia di Crohn refrattaria alla terapia medica e per le complicanze legate a tale patologia quali stenosi, fistole, ascessi, sanguinamento non trattabile endoscopicamente, oltre che per i casi di degenerazione neoplastica. Per condizioni come la malattia di Crohn nelle quali il trattamento medico ha un ruolo primario, altre indicazioni per la chirurgia sono controverse, poiché i suoi effetti terapeutici sono limitati alla risoluzione delle complicanze, e la frequenza di recidive è alta, soprattutto a livello dell'anastomosi. Secondo l'opinione degli autori, tuttavia, la chirurgia non deve essere considerata come ultima opzione di trattamento: in diverse situazioni dovrebbe essere ritenuta come una soluzione adeguata nel trattamento multidisciplinare della patologia. Basandosi sulla revisione della letteratura corrente e sulla propria esperienza, gli autori hanno esaminato alcune possibilità di intervento chirurgico nella malattia di Crohn ed il ruolo che svolgono in queste condizioni le tecniche di imaging.

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Magnetic Resonance Imaging Compared With Ileocolonoscopy in Evaluating Disease Severity in Crohn’s Disease

Cited by 76 publications

References 20 publications

Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review

Magnetic resonance imaging for evaluation of disease activity in Crohn’s disease: a systematic review

Surgery and diagnostic imaging in abdominal Crohn’s disease

Approach to the Patient with Diarrhea

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