Intestinal MRI in Inflammatory Bowel Disease - Literature and Survey-Based Recommendations regarding Reporting by the
Johannes Wessling1, Torsten Kucharzik2, Dominik Bettenworth3
1Department of Radiology, Clemenshospital GmbH Munster, Germany.
Background:
MR-enterography/enteroclysis (MRE) is increasingly used for primary diagnosis, detection of complications, and monitoring of patients with inflammatory bowel disease (IBD). Standardization of reporting is relevant to ensure quality of the methodology and to improve communication between different faculties. The current manuscript describes the features that are required for optimized reporting of MRE in IBD.
Methods:
An expert consensus panel of radiologists and gastroenterologists conducted a systematic search of the literature. In a Delphi process, members of the German Radiological Society (DRG) and members of the Competence Network for Inflammatory Bowel Diseases voted on relevant criteria for the reporting of findings in MRE. Based on the voting results, statements were developed by the expert consensus panel.
Results:
Clinically relevant aspects of MRE findings have been defined to optimize reporting and to standardize terminology. Minimal requirements for standardized reporting are suggested. The statements focus on the description of disease activity as well as on complications of IBD. Attributes of intestinal inflammation are described and illustrated by exemplary images.
Conclusion:
The current manuscript provides standardized parameters and gives practical recommendations on how to report and how to characterize MRE findings in patients with IBD.
Key Points:
· Systematic overview provides practice-oriented recommendations and names and evaluates the decisive criteria for reporting and interpretation of MRI in inflammatory bowel disease.. · Standardized terminology and reporting criteria for MRI in IBD improves interdisciplinary communication.. · Standardized collection and documentation of MRI findings in IBD helps to further establish the method and to improve care for IBD patients..
Citation Format:
· Wessling J, Kucharzik T, Bettenworth D et al. Intestinal MRI in Inflammatory Bowel Disease - Literature and Survey-Based Recommendations regarding Reporting by the German Radiological Society (DRG) and the German Competence Network for Inflammatory Bowel Diseases. Fortschr Röntgenstr 2023; 195: 675 - 690.
Insights
Standardized reporting for Magnetic Resonance-enterography/enteroclysis (MRE) in inflammatory bowel disease (IBD) improves interdisciplinary communication and patient care. This study outlines key features for optimized MRE reporting in IBD patients.
Area of Science:
- Gastroenterology
- Radiology
- Medical Imaging
Background:
- Magnetic Resonance-enterography/enteroclysis (MRE) is increasingly utilized for diagnosing, monitoring, and detecting complications in inflammatory bowel disease (IBD).
- Standardization of MRE reporting is crucial for ensuring methodological quality and enhancing communication among healthcare professionals.
- This manuscript details essential features for optimized MRE reporting in IBD management.
Purpose of the Study:
- To define clinically relevant aspects of MRE findings for optimized reporting and standardized terminology in IBD.
- To propose minimal requirements for standardized MRE reporting.
- To focus on describing disease activity and complications of IBD through MRE.
Main Methods:
- An expert consensus panel of radiologists and gastroenterologists performed a systematic literature search.
- A Delphi process was employed, with voting by members of the German Radiological Society (DRG) and the Competence Network for Inflammatory Bowel Diseases on MRE reporting criteria.
- Statements were developed based on voting outcomes to establish consensus on reporting standards.
Main Results:
- Clinically relevant aspects of MRE findings were defined to optimize reporting and standardize terminology for IBD.
- Minimal requirements for standardized reporting were suggested, focusing on disease activity and complications.
- Exemplary images were used to illustrate attributes of intestinal inflammation.
Conclusions:
- The manuscript provides standardized parameters and practical recommendations for reporting and characterizing MRE findings in IBD patients.
- Standardized MRE reporting enhances interdisciplinary communication and contributes to the further establishment of MRE as a diagnostic tool.
- Improved documentation of MRE findings in IBD facilitates better patient care.
More Related Videos
07:05Fluorescence-mediated Tomography for the Detection and Quantification of Macrophage-related Murine Intestinal Inflammation
Published on: December 15, 2017
09:01Non-invasive Assessment of the Efficacy of New Therapeutics for Intestinal Pathologies Using Serial Endoscopic Imaging of Live Mice
Published on: March 10, 2015
Related Concept Videos
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
01:30Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
01:17Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
01:14Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...