2011
DOI: 10.1111/j.1749-6632.2011.06032.x
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The role of positron emission tomography in the evaluation of inflammatory bowel disease

Abstract: Inflammatory bowel disease (IBD) is a chronic inflammatory disease that affects the gastrointestinal tract. Information obtained from a clinical history, physical exam, laboratory testing, imaging studies, and endoscopic evaluations must be combined to accurately diagnose IBD. Further testing often becomes necessary to evaluate symptom relapse in patients with an established IBD diagnosis. Endoscopy, while effective in assessing mucosal disease, is invasive and associated with inherent risks. Positron emission… Show more

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Cited by 13 publications
(6 citation statements)
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“…Indeed, it has been demonstrated that the quantification of the intestinal glucose uptake as measured by 18 F-FDG PET/CT is quite variable, and pathologic findings are sometimes not readily differentiable from regular intestinal segments. By using SUV max as published previously by Toriihara et al (28) as a cutoff value, we were also only able to detect 50% of superficial ulcerations and 58% of erythema, indicating that endoscopic evaluations are favorable to characterize mucosal disease activity. Corresponding with the clinical data, the increase of glucose metabolism observed within DSS-induced lesions without epithelial defects was as low as 20% from baseline.…”
Section: Discussionmentioning
confidence: 61%
“…Indeed, it has been demonstrated that the quantification of the intestinal glucose uptake as measured by 18 F-FDG PET/CT is quite variable, and pathologic findings are sometimes not readily differentiable from regular intestinal segments. By using SUV max as published previously by Toriihara et al (28) as a cutoff value, we were also only able to detect 50% of superficial ulcerations and 58% of erythema, indicating that endoscopic evaluations are favorable to characterize mucosal disease activity. Corresponding with the clinical data, the increase of glucose metabolism observed within DSS-induced lesions without epithelial defects was as low as 20% from baseline.…”
Section: Discussionmentioning
confidence: 61%
“…Reported studies in the literature about the use of FDG-PET in IBD—although few in number—concluded that this imaging modality holds potential in evaluating disease activity and providing an objective assessment of the severity of bowel inflammation. Despite these findings, overall not enough literature has been published to support a role for FDG-PET for diagnostic purposes [40, 53]. FDG-PET correlates globally well with clinical activity scores and may be useful when conventional imaging fails to yield a conclusive diagnosis [54].…”
Section: Autoimmune Diseasesmentioning
confidence: 99%
“…[ 18 F]FDG PET/CT is considered positive for IBD when a segmental and significant increased glucose uptake in the intestinal tract is observed [ 226 ]. In addition, the uptake distribution pattern can be useful to discriminate between CD or UC: CD can involve any segment of the GI tract, more frequently the distal small bowel, showing discontinuous patches of inflammation; UC primarily involves the rectum with a proximally extension in a continuous way [ 233 ].…”
Section: Resultsmentioning
confidence: 99%