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Chronic inflammatory diseases of the bowel: diagnosis and follow-up

Guillaume Gorincour1, Audrey Aschero, Catherine Desvignes

  • 1Department of Pediatric Radiology, Hôpital Timone Enfant, 264 rue Saint Pierre, Marseille Cedex 5, France.

Pediatric Radiology
|May 1, 2010
PubMed

Insights

Pediatric inflammatory bowel disease (IBD) often presents severely. While ultrasound is a first-line imaging choice, advances in MR enterography offer reproducible data for evaluating new therapies in pediatric IBD.

Area of Science:

  • Pediatric gastroenterology
  • Medical imaging
  • Radiology

Background:

  • Approximately 25% of inflammatory bowel disease (IBD) cases occur in children, who are more likely to experience severe disease at diagnosis.
  • Current imaging modalities for pediatric IBD have limitations in terms of complexity and cost.

Purpose of the Study:

  • To evaluate the role of Magnetic Resonance (MR) enterography in diagnosing and managing pediatric inflammatory bowel disease.
  • To highlight the potential of MR enterography as a gold standard for assessing new therapies.

Main Methods:

  • Review of existing literature on imaging techniques for pediatric IBD.
  • Discussion of the technical advancements and benefits of MR enterography.
  • Comparison of MR enterography with other imaging modalities like ultrasound (US).

Main Results:

  • Ultrasound (US) is often considered the initial imaging examination for unknown pediatric IBD diagnoses.
  • MR enterography offers reproducible data crucial for evaluating treatment efficacy.
  • Technical progress is enhancing the utility and adoption of MR enterography.

Conclusions:

  • MR enterography's role in pediatric IBD management is expected to grow due to technical advancements and its suitability for evaluating new therapies.
  • While US is valuable, MR enterography provides a gold standard for assessing treatment response in pediatric IBD.

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