Update on magnetic resonance imaging and ultrasound evaluation of Crohn's disease

Parakkal Deepak, Amy B. Kolbe, Jeff L. Fidler, Joel Garland Fletcher, John M. Knudsen, David H. Bruining

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Magnetic resonance enterography (MRE) and abdominal ultrasound are integral parts of multimodality assessments for patients with inflammatory bowel disease. Applications include assessing Crohn's disease (CD) extent and severity, differentiating CD from ulcerative colitis, detecting CD complications, evaluating response to therapy, and demonstrating postoperative recurrence. Magnetic resonance imaging protocols are being developed that may reduce or eliminate the need for intravenous contrast agents and better differentiate inflammatory from fibrotic strictures. MRE scoring systems have been created to objectively quantify disease activity and response to therapy. By utilizing advanced sonographic imaging techniques, including ultrasound contrast and Doppler assessments, the role of abdominal ultrasonography in the evaluation and management of CD continues to expand. Abdominal ultrasound may function as a low-cost, point-of care assessment tool, especially in CD restricted to the terminal ileum and ileocolic anastomosis.

Original languageEnglish (US)
Pages (from-to)226-236
Number of pages11
JournalGastroenterology and Hepatology
Volume12
Issue number4
StatePublished - Apr 1 2016

Keywords

  • Crohn's disease
  • Disease activity
  • Magnetic resonance enterography
  • Severity
  • Ultrasound

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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  • Cite this

    Deepak, P., Kolbe, A. B., Fidler, J. L., Fletcher, J. G., Knudsen, J. M., & Bruining, D. H. (2016). Update on magnetic resonance imaging and ultrasound evaluation of Crohn's disease. Gastroenterology and Hepatology, 12(4), 226-236.