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2015年炎症性肠病的先进多模态成像:最新进展

Advanced multimodality imaging of inflammatory bowel disease in 2015: An update.

作者信息

Stanley Emma, Moriarty Heather K, Cronin Carmel G

机构信息

Emma Stanley, Heather K Moriarty, Carmel G Cronin, Department of Radiology, Mater Misericordiae University Hospital, Dublin 7, Ireland.

出版信息

World J Radiol. 2016 Jun 28;8(6):571-80. doi: 10.4329/wjr.v8.i6.571.

DOI:10.4329/wjr.v8.i6.571
PMID:27358684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4919756/
Abstract

The diagnosis and effective management of inflammatory bowel disease (IBD) requires a combination clinical, endoscopic, histological, biological, and imaging data. While endoscopy and biopsy remains the gold standard for diagnosis of IBD, imaging plays a central role in the assessment of extra mural disease, in disease surveillance and in the assessment of response to medical treatments, which are often expensive. Imaging is also vital in the detection and diagnosis of disease related complications, both acute and chronic. In this review, we will describe, with illustrative images, the imaging features of IBD in adults, with emphasis on up-to-date imaging techniques focusing predominantly on cross sectional imaging and new magnetic resonance imaging techniques.

摘要

炎症性肠病(IBD)的诊断和有效管理需要综合临床、内镜、组织学、生物学和影像学数据。虽然内镜检查和活检仍是IBD诊断的金标准,但影像学在评估肠壁外病变、疾病监测以及评估对通常费用高昂的药物治疗的反应方面发挥着核心作用。影像学在检测和诊断急慢性疾病相关并发症方面也至关重要。在本综述中,我们将通过示例图像描述成人IBD的影像学特征,重点介绍主要侧重于横断面成像和新磁共振成像技术的最新成像技术。

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本文引用的文献

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Inflammatory bowel disease-the role of cross-sectional imaging techniques in the investigation of the small bowel.炎症性肠病——小肠病变的影像学检查方法。
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PET/CT imaging of inflammatory bowel disease.正电子发射断层扫描/计算机断层扫描在炎症性肠病中的应用。
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7
US elastography-derived shear wave velocity helps distinguish acutely inflamed from fibrotic bowel in a Crohn disease animal model.美国弹性成像衍生的剪切波速度有助于在克罗恩病动物模型中区分急性炎症和纤维化的肠道。
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Detecting active inflammation and fibrosis in pediatric Crohn's disease: prospective evaluation of MR-E and CT-E.检测儿童克罗恩病中的活动性炎症和纤维化:磁共振小肠造影和计算机断层扫描小肠造影的前瞻性评估
Abdom Imaging. 2013 Aug;38(4):705-13. doi: 10.1007/s00261-013-9981-z.
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Small intestine contrast ultrasonography vs computed tomography enteroclysis for assessing ileal Crohn's disease.小肠对比超声与 CT 肠造影在评估回肠克罗恩病中的比较。
World J Gastroenterol. 2012 Nov 14;18(42):6088-95. doi: 10.3748/wjg.v18.i42.6088.
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New frontiers of MRI in Crohn's disease: motility imaging, diffusion-weighted imaging, perfusion MRI, MR spectroscopy, molecular imaging, and hybrid imaging (PET/MRI).克罗恩病磁共振成像的新前沿:动力成像、扩散加权成像、灌注磁共振成像、磁共振波谱、分子成像和混合成像(正电子发射断层显像/磁共振成像)
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