在克罗恩病中检测和表征爬行脂肪:肠道超声波和计算机断层扫描 (enterography) 之间的协议
Mengyuan Zhou1, Zihan Niu1, Li Ma1
1Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100730, Beijing, China.
肠道超声波 (IUS) 显示出与CT肠道图 (CTE) 的良好一致性,用于评估克罗恩病患者的爬行脂肪 (CF). 这种非侵入性技术可以补充CTE用于监测CF,特别是在终端大肠和结肠.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 爬行脂肪 (CF) 是克罗恩病 (CD) 的标志,与狭窄形成有关.
- 精确评估CF对于了解疾病进展和治疗向至关重要.
研究的目的:
- 评估肠道超声波 (IUS) 的可行性,以进行半定量CF分析.
- 为了比较IUS和计算机断层学肠道学 (CTE) 在评估CF之间的协议.
主要方法:
- 连续接受IUS和CTE治疗的CD患者的回顾性分析.
- 通过IUS和CTE对CF在横截面和垂直截面的包装角度进行独立评估.
- 评估IUS性能与CTE作为参考标准,并评估IUS观察者间的一致性.
主要成果:
- 在评估CF时,IUS和CTE之间观察到很好的一致性 (88.2%).
- 观察者之间对IUS的高度一致 (89.6%) 得到了注意,在Ileocecal和colonic部分达成了完美的一致.
- 主要观察到的不一致点在于末端大肠和小肠.
结论:
- IUS是一种可行的非侵入性工具,用于在CD患者中进行半定量CF评估.
- IUS与CTE达成了很好的协议,这表明它可以成为一种有价值的补充成像模式.
- IUS对于监测受影响的终端结膜和结肠片段的CF特别有用.
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