Chiorean Liliana, Schreiber-Dietrich Dagmar, Braden Barbara, Cui Xin-Wu, Buchhorn Reiner, Chang Jian-Min, Dietrich Christoph F
Liliana Chiorean, Xin-Wu Cui, Jian-Min Chang, Christoph F Dietrich, Sino-German Research Center of Ultrasound in Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China.
World J Gastroenterol. 2015 May 7;21(17):5231-41. doi: 10.3748/wjg.v21.i17.5231.
Inflammatory bowel disease (IBD) is one of the most common chronic gastrointestinal diseases in pediatric patients. Choosing the optimal imaging modality for the assessment of gastrointestinal disease in pediatric patients can be challenging. The invasiveness and patient acceptance, the radiation exposure and the quality performance of the diagnostic test need to be considered. By reviewing the literature regarding imaging in inflammatory bowel disease the value of ultrasound in the clinical management of pediatric patients is highlighted. Transabdominal ultrasound is a useful, noninvasive method for the initial diagnosis of IBD in children; it also provides guidance for therapeutic decisions and helps to characterize and predict the course of the disease in individual patients. Ultrasound techniques including color Doppler imaging and contrast-enhanced ultrasound are promising imaging tools to determine disease activity and complications. Comparative studies between different imaging methods are needed.
炎症性肠病(IBD)是儿科患者中最常见的慢性胃肠道疾病之一。为儿科患者选择评估胃肠道疾病的最佳成像方式可能具有挑战性。需要考虑诊断测试的侵入性和患者接受度、辐射暴露以及质量性能。通过回顾有关炎症性肠病成像的文献,突出了超声在儿科患者临床管理中的价值。经腹超声是儿童IBD初始诊断的一种有用的非侵入性方法;它还为治疗决策提供指导,并有助于在个体患者中表征和预测疾病进程。包括彩色多普勒成像和超声造影在内的超声技术是确定疾病活动和并发症的有前景的成像工具。需要对不同成像方法进行比较研究。