克罗恩病中的关炎症:扩散加权磁共振成像和视频囊内镜之间的比较
Michal M Amitai1, Nadin Kanaan2, Shelly Soffer3
1Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel, Department of Deep Vision Laboratory, Sheba Medical Center, Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
扩散加权成像 (DWI) 对于评估静止克罗恩病中阴茎炎症是不有效的. 视频囊内镜 (VCE) 仍然是评估这些患者小肠炎症的更好的工具.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 炎症性肠道疾病 炎症性肠病
背景情况:
- 在克罗恩氏病 (CD) 中Jejunal的参与与较差的患者结果有关.
- 关于扩散加权成像 (DWI) 对状克罗恩病评估的实用性数据有限.
研究的目的:
- 为了比较扩散加权成像 (DWI),视频囊内镜 (VCE) 和炎症生物标志物的有效性,评估克罗恩氏病患者的关炎症.
主要方法:
- 51名克罗恩病患者缓解期的前性研究.
- 患者接受了磁共振 (MR) 肠道学,使用DWI和VCE.
- 与基于VCE的易斯得分一起,分析了C-反应蛋白,便calprotectin和MR-肠道学显微扩散系数 (ADC) 值.
主要成果:
- 一半的患者 (52.9%) 在VCE上表现出关炎症.
- DWI在检测VCE识别的关炎症方面表现出较低的灵敏度和特异性.
- 在DWI发现和VCE检测到的关炎症之间没有发现显著的关联 (P = 0.813).
结论:
- 扩散加权成像 (DWI) 不是评估静止克罗恩病中关炎症的可靠方法.
- 目前的证据表明,DWI对于这种特定的诊断目的是无效的.
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