Bonifacio Cristiana, Dal Buono Arianna, Levi Riccardo, Gabbiadini Roberto, Reca Christian, Bezzio Cristina, Francone Marco, Armuzzi Alessandro, Balzarini Luca
Department of Radiology, Humanitas Research Hospital-IRCCS, Via Manzoni 56, Rozzano, 20089 Milan, Italy.
IBD Center, Humanitas Research Hospital-IRCCS, Via Manzoni 56, Rozzano, 20089 Milan, Italy.
J Clin Med. 2024 Jul 5;13(13):3953. doi: 10.3390/jcm13133953.
Inflammatory bowel diseases (IBDs) are chronic disorders that require close monitoring with imaging techniques such as magnetic resonance enterography (MRE). Standardization of radiological reports is crucial for the optimal management of IBD. We surveyed Italian radiologists regarding their experiences with MRE examinations and reporting for IBD. All members of the Italian Society of Medical and Interventional Radiology (SIRM) were invited to complete an anonymous questionnaire in April 2023. Comparison tests between variables were assessed using the χ test or Fisher exact test according to the least frequency group. Significance level was set for -value < 0.05. A total of 253 radiologists responded to the survey. Around 70% of the respondents declared personal clinical experience with IBD. Great agreement with the items included and described for both disease activity (i.e., intestinal wall thickness, presence of mucosal ulcers, presence of edema, mucous enhancement) and complications was reported. One-third of the respondents regularly used a structured MRE report. Centers with a high number of IBD patients per year (>1000) mostly used 3 T scanners or both 1.5 T and 3 T scanners ( < 0.001). The incorporation of scores of disease activity was associated with university and high-volume hospitals ( < 0.001). This survey highlighted the current routine practice and experience of MRE reports of IBD patients among Italian radiologists. We found deficiencies in the use of radiological scores in MRE reports and attendance at IBD multidisciplinary meetings.
炎症性肠病（IBD）是慢性疾病，需要通过磁共振肠造影（MRE）等成像技术进行密切监测。放射学报告的标准化对于IBD的最佳管理至关重要。我们就意大利放射科医生进行MRE检查及报告IBD的经验进行了调查。2023年4月，意大利医学与介入放射学会（SIRM）的所有成员均受邀填写一份匿名问卷。根据最低频率组，使用χ检验或Fisher精确检验对变量之间的比较测试进行评估。显著性水平设定为P值<0.05。共有253名放射科医生回复了该调查。约70%的受访者宣称有IBD的个人临床经验。报告显示，对于疾病活动（即肠壁厚度、黏膜溃疡的存在、水肿的存在、黏液强化）和并发症所包含及描述的项目，大家达成了高度共识。三分之一的受访者经常使用结构化的MRE报告。每年IBD患者数量较多（>1000例）的中心大多使用3T扫描仪或同时使用1.5T和3T扫描仪（P<0.001）。疾病活动评分的纳入与大学及大型医院相关（P<0.001）。这项调查突出了意大利放射科医生对IBD患者进行MRE报告的当前常规做法和经验。我们发现MRE报告中放射学评分的使用以及参加IBD多学科会议方面存在不足。
