UOC Radiologia Addomino-Pelvica, Dipartimento di Diagnostica per immagini, Radioterapia Oncologica ed Ematologia Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Roma, Italia.
Università Cattolica del sacro Cuore, Roma, Italia.
Diagn Interv Radiol. 2023 Jan 31;29(1):24-28. doi: 10.5152/dir.2022.21968. Epub 2023 Jan 5.
Many patients with Crohn's disease (CD) require surgical intervention during their lifetime. A correct preoperative assessment of the intestinal length is necessary to predict and quickly treat postoperative nutritional disorders. The aim of this paper is to explain the method used in our hospital to measure intestinal length in patients with CD and its usefulness for making the correct therapeutic decision. Vessel analysis software is used to measure small bowel length through computed tomography enterography (CTE) or magnetic resonance enterography (MRE). The method permits two-dimensional and three-dimensional curved multiplanar reconstructions and allows each loop to be stretched using a point-by-point identification of the intestinal lumen. Subsequently, the software allows the creation of a virtual image, on which the intestinal length is measured linearly. This methodology was tested on three patients; patients 1 and 3 were examined using CTE, and patient 2 was examined using MRE. The outcomes were discussed at a multidisciplinary team meeting (MDT). As a result, surgical ileocolic resection was recommended for patient 1 and medical therapy for patients 2 and 3. Intestinal length measurements have proved vital during MDTs for making appropriate therapeutic decisions.
许多克罗恩病（CD）患者在其一生中需要手术干预。正确评估肠道长度对于预测和快速治疗术后营养障碍至关重要。本文旨在解释我院用于测量 CD 患者肠道长度的方法及其在做出正确治疗决策方面的用途。通过计算机断层肠造影术（CTE）或磁共振肠造影术（MRE）使用血管分析软件测量小肠长度。该方法允许进行二维和三维弯曲多平面重建，并允许使用肠腔的逐点识别来拉伸每个环。然后，该软件允许创建一个虚拟图像，在线性上测量肠道长度。该方法在三名患者中进行了测试；患者 1 和 3 使用 CTE 进行检查，患者 2 使用 MRE 进行检查。结果在多学科团队会议（MDT）上进行了讨论。结果，建议对患者 1 进行手术回肠结肠切除术，对患者 2 和 3 进行药物治疗。肠道长度测量在 MDT 中对于做出适当的治疗决策至关重要。
