Giannetti Andrea, Matergi Marco, Biscontri Marco, Tedone Francesco, Falconi Lucia, Giovannelli Luca, Ussia Valeria, Franci Luca
Gastroenterology Unit, Misericordia Hospital, Via Senese 169, 58100, Grosseto, Italy.
Radiology Department, Misericordia Hospital, Grosseto, Italy.
J Ultrasound. 2019 Jun;22(2):227-239. doi: 10.1007/s40477-018-0324-3. Epub 2018 Oct 20.
Strain elastography is a recently developed ultrasound method that seems to contribute to the diagnosis and monitoring of inflammatory bowel diseases. This pictorial essay aims to present the feasibility of strain elastography in clinical practice by comparing visual observation and semiquantitative parameters with endoscopic or radiological images in some common cases of Crohn's disease. In our opinion, strain elastography with visual observation is easily performed in connection with B-mode ultrasound and color Doppler imaging and may provide relevant information. Strain elastography with the elaboration of semiquantitative parameters is not as immediate as the visual observation method, but it seems to provide more objective data and seems more appropriate for monitoring the evolution of the disease. However, for the elastographic method to extensively contribute in inflammatory bowel diseases, standardization and further studies are required to confirm the promising results already reported in the literature.
应变弹性成像术是一种最近开发的超声方法，似乎有助于炎症性肠病的诊断和监测。这篇图文并茂的文章旨在通过在一些常见的克罗恩病病例中，将视觉观察和半定量参数与内镜或放射影像进行比较，来展示应变弹性成像术在临床实践中的可行性。我们认为，结合B型超声和彩色多普勒成像进行视觉观察的应变弹性成像术易于实施，且可能提供相关信息。采用半定量参数的应变弹性成像术不像视觉观察法那样直观，但它似乎能提供更客观的数据，而且似乎更适合监测疾病的进展。然而，为了使弹性成像方法在炎症性肠病中发挥更大作用，需要进行标准化和进一步研究，以证实文献中已报道的有前景的结果。
