Advertisement

Multislice CT compared to small bowel follow-through in the evaluation of patients with Crohn disease

  • Marianne Michal Amitai
    Correspondence
    Corresponding author. Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, Israel. Tel.: +972 3 530 2530, +972 52 6666651; fax: +972 3 530 5808, +972 3 5357315.
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Tal Arazi-Kleinman
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Marjorie Hertz
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Sara Apter
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Orith Portnoy
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Larissa Guranda
    Affiliations
    Department of Diagnostic Imaging, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
    Search for articles by this author
  • Yehuda Chowers
    Affiliations
    Department of Gastroenterology, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Search for articles by this author
  • Benjamin Avidan
    Affiliations
    Department of Gastroenterology, Chaim Sheba Medical Center, 52621 Tel Hashomer, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Search for articles by this author

      Abstract

      Background

      Patients with Crohn disease (CD) often undergo both multislice computed tomography (MSCT) and small bowel follow-through (SBFT) for evaluation of their disease. We compared the findings on computed tomography (CT) and SBFT in patients with CD to determine whether MSCT can be the modality of choice in the evaluation of these patients.

      Methods

      We reviewed the CT and SBFT studies of 41 patients with CD. The findings were evaluated by three experienced abdominal imagers.

      Results

      There was no statistical difference in the detection of mural involvement of the small bowel. The CT showed additional involvement of the colon, mesenteric involvement, and extraenteric complications.

      Conclusion

      Multislice CT is a reliable modality in demonstrating enteric as well as extraenteric pathological findings in patients with CD. We suggest that MSCT can replace SBFT in the evaluation of patients with CD.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Wills JS
        • Lobis IF
        • Denstman FJ
        CD: state of the art.
        Radiology. 1997; 202: 597-610
        • Kidd R
        • Mezwa DG
        • et al.
        Imaging recommendations for patients with newly suspected Crohn's disease and in patients with known Crohn's disease and acute exacerbation or suspected complications. American College of Radiology. ACR Appropriateness Criteria.
        Radiology. 2000; 215: 181-192
        • Scotiniotis I
        • Rubesin SE
        • Ginsberg GG
        Imaging modalities in inflammatory bowel disease.
        Gastroenterol Clin North Am. 1999; 28: 391-421
        • Carucci LR
        • Levine MS
        Radiographic imaging of inflammatory bowel disease.
        Gastroenterol Clin North Am. 2002; 31: 93-117
        • Bernstein CN
        • Boult IF
        • Greenberg HM
        • Van Der putten W
        • Duffy G
        • Grahame GR
        A prospective randomized comparison between small bowel enteroclysis and small bowel follow-through in Crohn's disease.
        Gasteroent. 1997; 113: 390-398
        • Rubesin SE
        • Scotiniotis I
        • Birnbaum BA
        • Ginsberg GG
        Radiologic and endoscopic diagnosis of Crohn's disease.
        Surg Clin North Am. 2001; 81: 39-70
        • Caroline FP
        • Friedman AC
        The radiology of inflammatory bowel disease.
        Med Clin North Am. 1994; 78: 1353-1385
        • Fishman EK
        • Wolf EJ
        • Jones B
        • Bayless TM
        • Siegelman SS
        CT evaluation of Crohn's diseased: effect on patient management.
        AJR Am J Roentgenol. 1987; 148: 537-540
        • Lee SS
        • Ha HK
        • Yang SK
        • Kim TK
        • Kim PN
        • Lee MG
        • Myung SJ
        • Jung HY
        • Kim JH
        • Min YI
        CT of prominent pericolic or perienteric vasculature in patients with Crohn's disease: correlation with clinical disease activity and findings on barium studies.
        AJR Am J Roentgenol. 2002; 179: 1029-1036
        • Nanakawa S
        • Takahashi M
        • Takagi K
        • Takano M
        The role of computed tomography in management of patients with CD.
        Clin Imaging. 1993; 17: 193-198
        • Jamieson DH
        • Shipman PJ
        • Israel DM
        • Jacobson K
        Comparison of multidetector CT and barium studies of the small bowel: inflammatory bowel disease in children.
        AJR Am J Roentgenol. 2003; 180: 1211-1216
        • Wold PB
        • Fletcher JG
        • Johnson CD
        • Sandborn WJ
        Assessment of small bowel CD: noninvasive peroral CT enterography compared with other imaging methods and endoscopy- feasibility study.
        Radiology. 2003; 229: 275-281
        • Hara A
        • Leighton JA
        • Heigh RI
        • et al.
        CD of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy.
        Radiology. 2006; 238: 128-134
        • Choi D
        • Yin Lee S
        • AH Cho Y
        Bowel wall thickening in patients with Crohn's disease: CT patterns and correlation with inflammatory activity.
        Clin Radiol. 2003; 58: 68-74
        • Del Campo L
        • Arribas I
        • Valbuena M
        • Mate J
        • Moreno-Otero R
        Spiral CT findings in active and remission phases in patients with CD.
        J Comput Assist Tomogr. 2001; 25: 792-797
        • Liangpunsakul S
        • Chadalawada V
        • Rex DK
        • Maglinte J
        Wireless capsule endoscopy detects small bowel ulcers in patients with normal results from state of the art enteroclysis.
        Am J Gastroenterol. 2003; 98: 1295-1298
        • Raptopoulus V
        • Schwartz RK
        • McNicholas MM
        • Movson J
        • Pearlman J
        • Joffe N
        Multi-planar helical CT enterography in patients with Crohn's disease.
        AJR Am J Roentgenol. 1997; 169: 1545-1550
        • Darbari A
        • Sena L
        • et al.
        Gadolinium enhanced magnetic resonance imaging: a useful radiological tool in diagnosing pediatric IBD.
        Inflamm Bowel Dis. 2004; 10: 67-72
        • Albert JG
        • Martiny F
        • et al.
        Diagnosis of small bowel Crohn's disease: a prospective comparison of capsule endoscopy with magnetic resonance imaging and fluoroscopic enteroclysis.
        Gut. 2005; 54: 1721-1727
        • Goldstein JL
        • Eisen GM
        • Lewis B
        • Graineck IM
        • Zlotnick S
        • Fort JG
        Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole and placebo.
        ClinGastroenterol Hepatol. 2005; 3: 133-141