Noninvasive diagnosis of small bowel crohn's disease: Direct comparison of bowel sonography and magnetic resonance enterography (497 views)
Inflamm Bowel Dis (ISSN: 1078-0998, 1536-4844electronic, 1078-0998linking), 2013 Apr; 19(4): 991-998.
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Paper type: Journal Article,
Impact factor: 5.475, 5-year impact factor: 5.404
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84876383441&partnerID=40&md5=6db3a4df04535532b5e27b400bae8556
Keywords: Bowel Sonography, Crohn, Enterography, Inflammatory Bowel Disease, Macrogol, Scopolamine Butyl Bromide, Abscess, Adult, Article, Colonoscope, Controlled Study, Crohn Disease, Diagnostic Accuracy, Diagnostic Test Accuracy Study, Disease Association, Echography, Enteropathy, Female, Human, Ileocolonoscopy, Intestine Fistula, Magnetic Resonance Enterography, Major Clinical Study, Non Invasive Procedure, Nuclear Magnetic Resonance Imaging, Nuclear Magnetic Resonance Scanner, Physician, Predictive Value, Priority Journal, Prospective Study, Sensitivity And Specificity, Single Blind Procedure, Small Bowel Crohn Disease, Small Intestine Stricture, Gadolinium Pentetate Meglumine, Abdominal Abscess, Amyloidosis, Celiac Disease, Ileitis, Intermethod Comparison, Small Intestine Disease, Ulcerative Colitis, Anastomosis, Surgical, Follow-Up Studies, Image Processing, Computer-Assisted, Inflammation, Postoperative Complications, Prognosis, Tertiary Care Centers, Ultrasonography,
Affiliations:
*** IBB - CNR ***
Department of Clinical and Experimental Medicine, Gastroenterology Unit, Italy
Department of Surgery and Advanced Technologies, Federico II University of Naples, Naples, Italy
Department of Colorectal Surgery, Federico II University of Naples, Naples, Italy
Department of Emergency Surgery, Federico II University of Naples, Naples, Italy
Department of Radiology, Federico II University of Naples, Naples, Italy
References:
Not available.
Inflamm Bowel Dis (ISSN: 1078-0998, 1536-4844electronic, 1078-0998linking), 2013 Apr; 19(4): 991-998.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 5.475, 5-year impact factor: 5.404
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84876383441&partnerID=40&md5=6db3a4df04535532b5e27b400bae8556
Keywords: Bowel Sonography, Crohn, Enterography, Inflammatory Bowel Disease, Macrogol, Scopolamine Butyl Bromide, Abscess, Adult, Article, Colonoscope, Controlled Study, Crohn Disease, Diagnostic Accuracy, Diagnostic Test Accuracy Study, Disease Association, Echography, Enteropathy, Female, Human, Ileocolonoscopy, Intestine Fistula, Magnetic Resonance Enterography, Major Clinical Study, Non Invasive Procedure, Nuclear Magnetic Resonance Imaging, Nuclear Magnetic Resonance Scanner, Physician, Predictive Value, Priority Journal, Prospective Study, Sensitivity And Specificity, Single Blind Procedure, Small Bowel Crohn Disease, Small Intestine Stricture, Gadolinium Pentetate Meglumine, Abdominal Abscess, Amyloidosis, Celiac Disease, Ileitis, Intermethod Comparison, Small Intestine Disease, Ulcerative Colitis, Anastomosis, Surgical, Follow-Up Studies, Image Processing, Computer-Assisted, Inflammation, Postoperative Complications, Prognosis, Tertiary Care Centers, Ultrasonography,
Affiliations:
*** IBB - CNR ***
Department of Clinical and Experimental Medicine, Gastroenterology Unit, Italy
Department of Surgery and Advanced Technologies, Federico II University of Naples, Naples, Italy
Department of Colorectal Surgery, Federico II University of Naples, Naples, Italy
Department of Emergency Surgery, Federico II University of Naples, Naples, Italy
Department of Radiology, Federico II University of Naples, Naples, Italy
References:
Not available.
Noninvasive diagnosis of small bowel crohn's disease: Direct comparison of bowel sonography and magnetic resonance enterography
Background: The diagnosis of small bowel Crohn's disease (CD) is performed by ileocolonoscopy, whereas the assessment of its extension can be achieved by radiologic studies or, noninvasively, by magnetic resonance (MR) enterography and bowel sonography (BS). However, few comparative studies exist directly comparing the diagnostic accuracy of BS and MRI. The aim of this study was to evaluate the diagnostic accuracy of BS and MRI for the diagnosis of small bowel CD. Methods: We prospectively performed a noninferiority diagnostic study including 234 consecutive subjects with suspected small bowel CD. All patients underwent IC (used as gold standard for diagnosis), BS, and MR enterography performed in random order by physicians who were blinded about the results. Results: The diagnosis of small bowel CD was made in 120 of 249 subjects (48%). Sensitivity, specificity, positive predictive value, and negative predictive value for CD diagnosis were 94%, 97%, 97%, and 94% for BS and 96%, 94%, 94%, and 96% for MR enterography, respectively. BS was less accurate than MR enterography in defining CD extension (r = 0.69), whereas the concordance in terms of CD location between the 2 procedures was high (k = 0.81). Also, MRI showed a fair concordance with BS about strictures (k = 0.82) and abscesses (k = 0.88), with better detection of enteroenteric fistulas (k = 0.67). Conclusions: BS and MR enterography are 2 accurate procedures for the diagnosis of small bowel CD, although MR seems to be more sensitive in defining its extension. BS could be used to select the patients for subsequent MRI examination. Copyright © 2013 Crohn's & Colitis Foundation of America, Inc.
Background: The diagnosis of small bowel Crohn's disease (CD) is performed by ileocolonoscopy, whereas the assessment of its extension can be achieved by radiologic studies or, noninvasively, by magnetic resonance (MR) enterography and bowel sonography (BS). However, few comparative studies exist directly comparing the diagnostic accuracy of BS and MRI. The aim of this study was to evaluate the diagnostic accuracy of BS and MRI for the diagnosis of small bowel CD. Methods: We prospectively performed a noninferiority diagnostic study including 234 consecutive subjects with suspected small bowel CD. All patients underwent IC (used as gold standard for diagnosis), BS, and MR enterography performed in random order by physicians who were blinded about the results. Results: The diagnosis of small bowel CD was made in 120 of 249 subjects (48%). Sensitivity, specificity, positive predictive value, and negative predictive value for CD diagnosis were 94%, 97%, 97%, and 94% for BS and 96%, 94%, 94%, and 96% for MR enterography, respectively. BS was less accurate than MR enterography in defining CD extension (r = 0.69), whereas the concordance in terms of CD location between the 2 procedures was high (k = 0.81). Also, MRI showed a fair concordance with BS about strictures (k = 0.82) and abscesses (k = 0.88), with better detection of enteroenteric fistulas (k = 0.67). Conclusions: BS and MR enterography are 2 accurate procedures for the diagnosis of small bowel CD, although MR seems to be more sensitive in defining its extension. BS could be used to select the patients for subsequent MRI examination. Copyright © 2013 Crohn's & Colitis Foundation of America, Inc.
Noninvasive diagnosis of small bowel crohn's disease: Direct comparison of bowel sonography and magnetic resonance enterography
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Noninvasive diagnosis of small bowel crohn's disease: Direct comparison of bowel sonography and magnetic resonance enterography
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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Castiglione F, Rispo A, Cozzolino A, Camera L, D'Argenio G, Tortora R, Grassia R, Bucci C, Ciacci C
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View Export to BibTeX Export to EndNote
Rispo A, Imbriaco M, Celentano L, Cozzolino A, Camera L, Mainenti PP, Manguso F, Sabbatini F, D'Amico P, Castiglione F
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Inflamm Bowel Dis (ISSN: 1078-0998, 1536-4844electronic), 2005 Apr; 11(4): 376-382.
Impact Factor: 3.012
View Export to BibTeX Export to EndNote
Rispo A, Imbriaco M, Celentano L, Cozzolino A, Mainenti PP, Camera L, Di Girolamo E, De Falco T, Castiglione F
* Small bowel Crohn's disease: Comparison of enteroclysis, bowel sonography and Tc-99m-HMPAO leukocyte scintigraphy (404 views)
Eur Rev Med Pharmacol Sci (ISSN: 1128-3602), 2004 Sep; 8(5): 219-224.
Impact Factor: 0.988
View Export to BibTeX Export to EndNote
Castiglione F, Rispo A, Imbriaco M, Celentano L, Cozzolino A, Camera L, Mainenti PP, Manguso F, Di Girolamo E, Mazzacca G
* Small bowel Crohn's disease: Enteroclysis, bowel sonography and Tc-99m-HMPAO leukocyte scintigraphy at comparison (258 views)
Gastroenterology (ISSN: 0016-5085), 2004 Apr; 126(4): N/D-N/D.
Impact Factor: 13.092
View Export to BibTeX Export to EndNote
Cirillo LC, Camera L, Della Noce M, Castiglione F, Mazzacca G, Salvatore M
Accuracy of enteroclysis in Crohn's disease of the small bowel: A retrospective study (533 views)
Eur Radiol (ISSN: 0938-7994, 1432-1084electronic, 0938-7994linking), 2000; 10(12): 1894-1898.
Impact Factor: 1.119
View Export to BibTeX Export to EndNote
17 Records (16 excluding Abstracts).
Total impact factor: 60.684 (47.592 excluding Abstracts).
Total 5 year impact factor: 38.82 (25.869 excluding Abstracts).
Total impact factor: 60.684 (47.592 excluding Abstracts).
Total 5 year impact factor: 38.82 (25.869 excluding Abstracts).
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