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Bowel elastography - a pilot study for developing an elastographic scoring system to evaluate disease activity in
Otilia Fufezan1, Carmen Asavoaie2, Attila Tamas2
1Department of Radiology, Children Emergency Hospital, Cluj-Napoca, Romania. otilia.fufezan@gmail.com.
Sonoelastography (SE) combined with hydrosonography (HS) aids in diagnosing and monitoring pediatric Crohn
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Gastrointestinal Diseases
Background:
- Crohn's disease (CD) diagnosis and monitoring present challenges.
- Imaging modalities are crucial for evaluating CD.
- Sonoelastography (SE) offers potential for enhanced assessment.
Purpose of the Study:
- To demonstrate the role of SE, alongside hydrosonography (HS), in evaluating pediatric CD.
- To propose a scoring system using SE for assessing disease activity.
Main Methods:
- Patients with CD underwent HS and SE.
- SE classified bowel wall patterns into normal/remission (Type A), inflammation (Type B), and fibrosis (Type C).
- A scoring system was developed based on SE classification.
Main Results:
- Significant correlations were found between SE scores and HS findings, complications, and disease activity markers.
- SE scores predicted complications and elevated activity markers.
- SE demonstrated reliability in assessing bowel wall characteristics.
Conclusions:
- SE, in conjunction with HS, is a reliable tool for diagnosing and monitoring pediatric CD.
- The developed SE scoring system can effectively assess disease activity.
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