肠道超声波在炎症性肠病中的当前和新用途
Michael T Dolinger1, Emma Calabrese2, Fabrizio Pizzolante3
1Susan and Leonard Feinstein Inflammatory Bowel Disease Center, Mount Sinai Hospital, Icahn School of Medicine, New York, New York.
肠道超声波 (IUS) 为诊断和监测炎症性肠病 (IBD) 提供了一种非侵入性方法. 这种以患者为中心的工具准确地评估了克罗恩病和性结肠炎的疾病活性和治疗反应.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 诊断技术 诊断技术的使用
背景情况:
- 炎症性肠病 (IBD),包括克罗恩氏病和性结肠炎,需要精确监测疾病活动和治疗反应.
- 目前的监测方法可能是侵入性的或需要广泛的患者准备.
- 需要以患者为中心的非侵入性工具来实时评估IBD.
研究的目的:
- 提供肠道超声波 (IUS) 在IBD管理中的当前和新应用的全面审查.
- 突出IUS作为诊断,疾病活动监测和治疗反应评估的宝贵工具.
- 讨论IUS在IBD护理中的潜在扩展和未来方向.
主要方法:
- 审查现有的文献和IBDIUS的临床应用.
- 将IUS精度与其他成像方法 (如磁共振肠道学 (MRE)) 进行比较.
- 讨论经过验证的IUS评分系统及其与内镜检测结果的相关性.
主要成果:
- IUS是一种非侵入性,实时的,点的护理工具,用于IBD诊断和监测没有肠道准备.
- 肠道神经系统的准确性与MRE相提并论,可用于阴茎评估,对近腹结肠评估具有更高的准确性.
- 在治疗开始后2周内,静脉注射系统的参数会发生变化,这使得能够进行精确的监测.
- IUS对于儿科和孕妇患者特别有价值,避免侵入性检测至关重要.
- 弹性图像等新型应用显示出检测纤维化和肠道损伤的潜力.
结论:
- 内置肠道系统是评估IBD的高度准确和患者友好的成像模式.
- IUS 便于精确监测治疗反应,并帮助临床决策.
- 由于培训,设备的可用性和报销模式,预计美国IUS的使用将不断扩大.
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