Department of Gastroenterology, Klinikum Lüneburg, University of Hamburg, Bögelstr. 1, 21339 Lüneburg, Germany.
Department of Radiology, Spaarne Gasthuis, Boerhaavelaan 22, Haarlem, the Netherlands; Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands.
J Crohns Colitis. 2022 May 10;16(4):523-543. doi: 10.1093/ecco-jcc/jjab180.
The diagnosis and follow up of patients with inflammatory bowel disease [IBD] requires cross-sectional imaging modalities, such as intestinal ultrasound [IUS], magnetic resonance imaging [MRI] and computed tomography [CT]. The quality and homogeneity of medical reporting are crucial to ensure effective communication between specialists and to improve patient care. The current topical review addresses optimized reporting requirements for cross-sectional imaging in IBD.
An expert consensus panel consisting of gastroenterologists, radiologists and surgeons convened by the ECCO in collaboration with ESGAR performed a systematic literature review covering the reporting aspects of MRI, CT, IUS, endoanal ultrasonography and transperineal ultrasonography in IBD. Practice position statements were developed utilizing a Delphi methodology incorporating two consecutive rounds. Current practice positions were set when ≥80% of the participants agreed on a recommendation.
Twenty-five practice positions were developed, establishing standard terminology for optimal reporting in cross-sectional imaging. Assessment of inflammation, complications and imaging of perianal CD are outlined. The minimum requirements of a standardized report, including a list of essential reporting items, have been defined.
This topical review offers practice recommendations to optimize and homogenize reporting in cross-sectional imaging in IBD.
炎症性肠病（IBD）患者的诊断和随访需要横断面成像方式，如肠超声（IUS）、磁共振成像（MRI）和计算机断层扫描（CT）。医学报告的质量和一致性对于确保专家之间的有效沟通以及改善患者护理至关重要。本综述旨在探讨 IBD 中横断面成像的优化报告要求。
由 ECCO 协作 ESGAR 召集的由胃肠病学家、放射科医生和外科医生组成的专家共识小组对 MRI、CT、IUS、经肛门超声和经会阴超声在 IBD 中的报告方面进行了系统的文献回顾。利用德尔菲方法进行了两轮连续的实践立场声明制定。当≥80%的参与者同意某项建议时，即确定当前的实践立场。
制定了 25 项实践立场，为横断面成像中的最佳报告建立了标准术语。概述了炎症评估、并发症和肛周 CD 的影像学表现。定义了标准化报告的最低要求，包括一份必要报告项目清单。
本综述提供了优化和统一 IBD 中横断面成像报告的实践建议。
