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Published on: August 26, 2014
Imaging of the small bowel: Crohn's disease in paediatric patients
Emanuele Casciani1, Chiara De Vincentiis1, Elisabetta Polettini1
1Emanuele Casciani, Elisabetta Polettini, Gabriele Masselli, Gian Franco Gualdi, Department of Emergency Radiology, "La Sapienza" University-Hospital Umberto I, 00166 Rome, Italy.
Insights
Pediatric Crohn
Area of Science:
- Pediatric gastroenterology and diagnostic imaging.
Background:
- Crohn's disease frequently manifests in over 20% of patients before age 18.
- Advances in diagnostic tools like MRI and treatments such as biologics have transformed pediatric Crohn's management.
- Small bowel imaging is crucial for diagnosing, managing, and monitoring pediatric Crohn's disease.
Purpose of the Study:
- To review and compare various small bowel imaging modalities for pediatric Crohn's disease.
- To analyze the advantages and disadvantages of each imaging technique.
- To highlight the role and benefits of magnetic resonance imaging (MRI) in this patient population.
Main Methods:
- Review of common small bowel imaging techniques: barium examinations, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and PET-CT.
- Analysis of each modality's strengths and weaknesses in evaluating pediatric Crohn's disease.
- Emphasis on MRI for assessing disease location, extent, activity, and complications.
Main Results:
- Various imaging methods are available for pediatric small bowel evaluation in Crohn's disease.
- Each modality presents unique advantages and limitations for diagnosis and management.
- MRI offers comprehensive assessment capabilities, making it a key tool.
Conclusions:
- Magnetic resonance imaging (MRI) is a highly valuable tool for evaluating pediatric Crohn's disease.
- A thorough understanding of different imaging modalities is essential for optimal patient care.
- Continued advancements in imaging are vital for improving outcomes in pediatric Crohn's patients.
Abstract:
In more than 20% of all patients, the Crohn's disease presents before the age of 18years. The diagnosis and management of Crohn's disease in children has changed dramatically over the last decade, mainly due to increased awareness, availability of newer diagnostic modalities such as magnetic resonance imaging (MRI) and newer, more powerful treatments such as biologics. Imaging of the small bowel is needed for diagnosis, management, follow-up and also evaluation of the disease in terms of location, extent, activity and complications. We review all the methods (barium examinations, ultrasonography, computed tomography, MR, and computed tomography- positron emission tomography) commonly used for imaging the small bowel in paediatric patients with Crohn's disease analyzing the advantages and disadvantages of each modality, with particular emphasis on MR imaging.
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