在克罗恩氏病的先进疗法中,超声波跨壁诱导的结果跨了先进疗法
Matthew J Smyth1,2, Michael T Dolinger3, Amelia Kellar4
1Division of Pediatric Gastroenterology, Susan and Leonard Feinstein Inflammatory Bowel Disease Center, Icahn School of Medicine at Mount Sinai, New York, USA. msmyth@ibdcentrebc.ca.
肠道超声波 (IUS) 在克罗恩氏病 (CD) 患者中显示显著的转移性 (TM) 缓解和反应率,这些患者接受了先进疗法 (AT). 这些发现支持IUS作为一个有价值的工具来评估临床试验中的治疗疗效.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 炎症性肠道疾病研究研究
背景情况:
- 肠道超声波 (IUS) 越来越多地用于评估克罗恩病 (CD) 的治疗反应.
- 在CD中评估先进疗法 (AT) 的疗效需要可靠的结果测量.
研究的目的:
- 在接受AT诱导治疗的CD患者中,使用IUS量化转移性 (TM) 缓解和响应率.
- 评估IUS在评估各种AT对CD的有效性方面的实用性.
主要方法:
- 追溯审查101个CD患者开始AT,带有诱导前和后的IUS.
- 通过肠壁厚度 (BWT) 和修改的林伯格评分 (MLS) 的变化来确定TM反应.
- 使用单变量和多变量方法分析了临床因素和TM缓解之间的关联.
主要成果:
- 63%的患者实现了细分TM反应,36%实现了细分TM缓解.
- 35%的患者实现了完全的TM缓解,与特定的AT药物如因弗力西马布和乌帕达西提尼布相关.
- 基线IUS发现,例如肠壁分层的丧失,影响了缓解率.
结论:
- 在CD患者中,通过各种AT可以实现跨壁诱导结果.
- IUS在CD的临床试验中显示出作为非侵入性终点的高潜力.
- 大约三分之二的患者反应良好,三分之一的患者完全康复.
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