小肠成像：儿科患者的克罗恩病
Imaging of the small bowel: Crohn's disease in paediatric patients.
作者信息
Casciani Emanuele, De Vincentiis Chiara, Polettini Elisabetta, Masselli Gabriele, Di Nardo Giovanni, Civitelli Fortunata, Cucchiara Salvatore, Gualdi Gian Franco
机构信息
Emanuele Casciani, Elisabetta Polettini, Gabriele Masselli, Gian Franco Gualdi, Department of Emergency Radiology, "La Sapienza" University-Hospital Umberto I, 00166 Rome, Italy.
出版信息
World J Radiol. 2014 Jun 28;6(6):313-28. doi: 10.4329/wjr.v6.i6.313.
Abstract
In more than 20% of all patients, the Crohn's disease presents before the age of 18years. The diagnosis and management of Crohn's disease in children has changed dramatically over the last decade, mainly due to increased awareness, availability of newer diagnostic modalities such as magnetic resonance imaging (MRI) and newer, more powerful treatments such as biologics. Imaging of the small bowel is needed for diagnosis, management, follow-up and also evaluation of the disease in terms of location, extent, activity and complications. We review all the methods (barium examinations, ultrasonography, computed tomography, MR, and computed tomography- positron emission tomography) commonly used for imaging the small bowel in paediatric patients with Crohn's disease analyzing the advantages and disadvantages of each modality, with particular emphasis on MR imaging.
摘要
在所有患者中，超过20%的克罗恩病患者在18岁之前发病。在过去十年中，儿童克罗恩病的诊断和管理发生了巨大变化，这主要归因于认识的提高、诸如磁共振成像（MRI）等更新的诊断方式的出现以及诸如生物制剂等更新、更有效的治疗方法的出现。小肠成像对于诊断、管理、随访以及从部位、范围、活动度和并发症方面评估疾病都是必需的。我们回顾了常用于克罗恩病儿科患者小肠成像的所有方法（钡剂检查、超声、计算机断层扫描、磁共振成像以及计算机断层扫描-正电子发射断层扫描），分析了每种方式的优缺点，尤其着重于磁共振成像。
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