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广泛的研究:国际专家德尔菲共识的结果,以定义超声波参数,以测量克罗恩病中的肠损伤
Carolina Palmela1, Joana Torres2, Catarina Frias-Gomes3
1Department of Gastroenterology, Hospital Beatriz Ângelo, Unidade Local de Saúde Loures-Odivelas, Loures, Portugal.
肠道超声波 (IUS) 显示出对评估克罗恩氏病 (CD) 肠道损伤的希望,为MRI/CT和结肠镜提供了一个非侵入性的替代方案. 需要进一步验证其在临床实践和试验中的使用.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 炎症性肠道疾病是什么
背景情况:
- 克罗恩病 (CD) 的管理重点是预防肠道损伤.
- 莱曼指数 (LI) 使用MRE,CTE或结肠镜量化结构损伤.
- 肠道超声波 (IUS) 是一种非侵入性成像方式,具有尚未开发的LI评估潜力.
研究的目的:
- 建立专家共识,IUS参数和采集协议,以评分小肠和结肠损伤在CD.
- 为莱曼指数 (LI-IUS) 开发超声波等价物.
主要方法:
- 一个三轮的德尔菲进程,涉及30名国际IUS和/或MRE专家.
- 在线反和IUS参数和采集协议的声明的评级.
- 一次面对面的会议,讨论和投票解决尚未解决的问题,达成共识需要80%的协议.
主要成果:
- 在22个陈述上达成共识,定义了LI-IUS评分的IUS参数,用于严格和透的病变.
- 12个声明涉及最佳的IUS cineloop获取以进行集中审查.
- 在小肠和结肠的1级硬化病变的IUS等效上没有达成共识.
结论:
- 确定了评估CD中小肠和结肠损伤的超声波标准,与LI标准保持一致.
- 这些发现支持IUS作为临床实践和试验中的肠损伤评估的潜在替代工具.
- 需要进一步的研究来确定1级严性损伤的IUS参数.
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