Kucharzik Torsten, Atreya Raja, Bachmann Oliver, Baumgart Daniel C, Daebritz Jan, Helwig Ulf, Janschek Johannes, Kienle Peter, Langhorst Jost, Mudter Jonas, Schmidt Carsten, Schreyer Andreas G, Vieth Michael, Wessling Johannes, Maaser Christian
Klinik für Allgemeine Innere Medizin und Gastroenterologie, Klinikum Lüneburg, Lüneburg, Germany.
Medizinische Klinik 1, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Z Gastroenterol. 2022 Jun;60(6):978-990. doi: 10.1055/a-1801-0170. Epub 2022 Jun 7.
Intestinal ultrasound is increasingly used for primary diagnosis, detection of complications and monitoring of patients with Crohn's disease and ulcerative colitis. Standardization of reporting is relevant to ensure quality of the methodology and to improve communication between different specialties. The current manuscript describes the features required for optimized reporting of intestinal ultrasound findings in inflammatory bowel disease (IBD).
An expert consensus panel of gastroenterologists, radiologists, pathologists, paediatric gastroenterologists and surgeons conducted a systematic literature search. In a Delphi- process members of the Kompetenznetz Darmerkrankungen in collaboration with members of the German Society for Radiology (DRG) voted on relevant criteria for reporting of findings in intestinal ultrasound. Based on the voting results statements were agreed by expert consensus.
Clinically relevant aspects of intestinal ultrasound (IUS) findings have been defined to optimize reporting and to standardize terminology. Minimal requirements for standardized reporting are suggested. The statements focus on description of disease activity as well as on complications of IBD. Attributes of intestinal inflammation are described and illustrated by exemplary images.
The current manuscript provides practical recommendations on how to standardize documentation and reporting from intestinal ultrasound findings in patients with IBD.
肠道超声越来越多地用于克罗恩病和溃疡性结肠炎患者的初步诊断、并发症检测及病情监测。报告标准化对于确保该方法的质量以及改善不同专业之间的沟通至关重要。本手稿描述了炎症性肠病（IBD）肠道超声检查结果优化报告所需的特征。
由胃肠病学家、放射科医生、病理学家、儿科胃肠病学家和外科医生组成的专家共识小组进行了系统的文献检索。在德尔菲法过程中，消化疾病能力网络的成员与德国放射学会（DRG）的成员就肠道超声检查结果报告的相关标准进行了投票。根据投票结果，专家们达成了共识声明。
已确定肠道超声（IUS）检查结果的临床相关方面，以优化报告并规范术语。提出了标准化报告的最低要求。这些声明侧重于疾病活动的描述以及IBD的并发症。通过示例图像描述并说明了肠道炎症的特征。
本手稿就如何规范IBD患者肠道超声检查结果的记录和报告提供了实用建议。
