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.
We reviewed the CT and SBFT studies of 41 patients with CD. The findings were evaluated by three experienced abdominal imagers.
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.
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.
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
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- CD: state of the art.Radiology. 1997; 202: 597-610
- 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
- Imaging modalities in inflammatory bowel disease.Gastroenterol Clin North Am. 1999; 28: 391-421
- Radiographic imaging of inflammatory bowel disease.Gastroenterol Clin North Am. 2002; 31: 93-117
- A prospective randomized comparison between small bowel enteroclysis and small bowel follow-through in Crohn's disease.Gasteroent. 1997; 113: 390-398
- Radiologic and endoscopic diagnosis of Crohn's disease.Surg Clin North Am. 2001; 81: 39-70
- The radiology of inflammatory bowel disease.Med Clin North Am. 1994; 78: 1353-1385
- CT evaluation of Crohn's diseased: effect on patient management.AJR Am J Roentgenol. 1987; 148: 537-540
- 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
- The role of computed tomography in management of patients with CD.Clin Imaging. 1993; 17: 193-198
- Comparison of multidetector CT and barium studies of the small bowel: inflammatory bowel disease in children.AJR Am J Roentgenol. 2003; 180: 1211-1216
- Assessment of small bowel CD: noninvasive peroral CT enterography compared with other imaging methods and endoscopy- feasibility study.Radiology. 2003; 229: 275-281
- CD of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy.Radiology. 2006; 238: 128-134
- Bowel wall thickening in patients with Crohn's disease: CT patterns and correlation with inflammatory activity.Clin Radiol. 2003; 58: 68-74
- Spiral CT findings in active and remission phases in patients with CD.J Comput Assist Tomogr. 2001; 25: 792-797
- 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
- Multi-planar helical CT enterography in patients with Crohn's disease.AJR Am J Roentgenol. 1997; 169: 1545-1550
- Gadolinium enhanced magnetic resonance imaging: a useful radiological tool in diagnosing pediatric IBD.Inflamm Bowel Dis. 2004; 10: 67-72
- 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
- Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole and placebo.ClinGastroenterol Hepatol. 2005; 3: 133-141
Published online: March 17, 2008
Accepted: January 8, 2008
Received: August 15, 2007
© 2008 Published by Elsevier Inc.