Brückner Markus, Lenz Philipp, Mücke Marcus M, Gohar Faekah, Willeke Peter, Domagk Dirk, Bettenworth Dominik
Markus Brückner, Philipp Lenz, Marcus M Mücke, Dominik Bettenworth, Department of Medicine B, University Hospital of Münster, Albert-Schweitzer-Campus 1, D-48149 Münster, Germany.
World J Gastroenterol. 2016 Jan 21;22(3):996-1007. doi: 10.3748/wjg.v22.i3.996.
Inflammatory bowel diseases (IBD) such as Crohn's disease and ulcerative colitis are chronic-remittent inflammatory disorders of the gastrointestinal tract still evoking challenging clinical diagnostic and therapeutic situations. Murine models of experimental colitis are a vital component of research into human IBD concerning questions of its complex pathogenesis or the evaluation of potential new drugs. To monitor the course of colitis, to the present day, classical parameters like histological tissue alterations or analysis of mucosal cytokine/chemokine expression often require euthanasia of animals. Recent advances mean revolutionary non-invasive imaging techniques for in vivo murine colitis diagnostics are increasingly available. These novel and emerging imaging techniques not only allow direct visualization of intestinal inflammation, but also enable molecular imaging and targeting of specific alterations of the inflamed murine mucosa. For the first time, in vivo imaging techniques allow for longitudinal examinations and evaluation of intra-individual therapeutic response. This review discusses the latest developments in the different fields of ultrasound, molecularly targeted contrast agent ultrasound, fluorescence endoscopy, confocal laser endomicroscopy as well as tomographic imaging with magnetic resonance imaging, computed tomography and fluorescence-mediated tomography, discussing their individual limitations and potential future diagnostic applications in the management of human patients with IBD.
炎症性肠病(IBD),如克罗恩病和溃疡性结肠炎,是胃肠道的慢性缓解性炎症性疾病,仍然引发具有挑战性的临床诊断和治疗情况。实验性结肠炎的小鼠模型是研究人类IBD复杂发病机制或评估潜在新药问题的重要组成部分。到目前为止,为了监测结肠炎的病程,诸如组织学组织改变或粘膜细胞因子/趋化因子表达分析等经典参数通常需要对动物实施安乐死。最近的进展意味着用于体内小鼠结肠炎诊断的革命性非侵入性成像技术越来越多。这些新颖且不断涌现的成像技术不仅能够直接观察肠道炎症,还能实现分子成像以及对炎症小鼠粘膜的特定改变进行靶向观察。体内成像技术首次实现了纵向检查和个体内治疗反应评估。本综述讨论了超声、分子靶向造影剂超声、荧光内镜、共聚焦激光显微内镜以及磁共振成像、计算机断层扫描和荧光介导断层扫描等断层成像不同领域的最新进展,讨论了它们各自的局限性以及未来在IBD人类患者管理中的潜在诊断应用。