Dijkstra J, Reeders J W, Tytgat G N
Department of Gastrointestinal Radiology and Hepatopancreatic Biliary Imaging, Academic Medical Center Amsterdam, The Netherlands.
Radiology. 1995 Nov;197(2):369-75. doi: 10.1148/radiology.197.2.7480679.
To assess the comparative and adjunctive diagnostic value of double-contrast barium enema examination (DCBE) and colonoscopy in cases of idiopathic inflammatory bowel disease.
Radiographic and endoscopic findings were correlated, with use of a standardized evaluation sheet, in a prospective, blinded study in 99 patients with previously well-established Crohn disease of the colon (CD [ n = 51]) or ulcerative colitis (UC [n = 48]).
Overall, substantial to almost perfect agreement was found in more than 80% of scores with respect to the items of the standardized evaluation sheet in the colon segments depicted with both imaging modalities. Almost perfect agreement (kappa > 60%) was found for two essential diagnostic and differential diagnostic features: aphthoid erosions and fine granularity.
DCBE and colonoscopy are complementary imaging modalities for optimal detection of all mucosal and structural colon lesions, except inflammatory lesions without distortion of the mucosal relief and small numbers of inflamed superficial erosions and ulcers.
评估双对比钡灌肠检查（DCBE）和结肠镜检查在特发性炎症性肠病病例中的比较诊断价值和辅助诊断价值。
在一项前瞻性、盲法研究中，对99例先前确诊为结肠克罗恩病（CD [n = 51]）或溃疡性结肠炎（UC [n = 48]）的患者，使用标准化评估表将影像学和内镜检查结果进行关联。
总体而言，在两种成像方式所显示的结肠段中，超过80%的标准化评估表项目得分具有高度至几乎完美的一致性。对于两个重要的诊断和鉴别诊断特征：口疮样糜烂和细微颗粒状，发现几乎完美的一致性（kappa>60%）。
DCBE和结肠镜检查是互补的成像方式，可用于最佳检测所有结肠黏膜和结构病变，但不包括无黏膜形态改变的炎症性病变以及少量浅表性炎症性糜烂和溃疡。
