Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel Crohn’s disease

David H. Bruining, Ellen M. Zimmermann, Edward Vincent Loftus, Jr, William J. Sandborn, Cary G. Sauer, Scott A. Strong, Joel Garland Fletcher

Research output: Contribution to journalReview article

35 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)776-799
Number of pages24
JournalRadiology
Volume286
Issue number3
DOIs
StatePublished - Mar 1 2018

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Crohn Disease
Magnetic Resonance Spectroscopy
Tomography
Radiology
Inflammatory Bowel Diseases
Terminology
Disease Progression
Pediatrics
Inflammation
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel Crohn’s disease. / Bruining, David H.; Zimmermann, Ellen M.; Loftus, Jr, Edward Vincent; Sandborn, William J.; Sauer, Cary G.; Strong, Scott A.; Fletcher, Joel Garland.

In: Radiology, Vol. 286, No. 3, 01.03.2018, p. 776-799.

Research output: Contribution to journalReview article

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