1. Crohn’s Disease: Contemporary Diagnostic Techniques
- Author
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Chakarov, Svetomir, Training Sector X-Ray Laboratory Assistant, Medical College, Medical University of Varna Clinic of Radiology, St. Marina University Hospital, Varna, Georgiev, Radoslav, Clinic of Radiology, St. Marina University Hospital, Varna Department of Diagnostic Imaging, Interventional Radiology, and Radiotherapy, Faculty of Medicine, Medical University of Varna, Valchev, Georgi, Atanasova, Antonia, Department of Anatomy and Cell Biology, Medical University of Varna Clinic of Gastroenterology, St. Marina University Hospital, Varna, Yordanova, Mariana, Training Sector X-Ray Laboratory Assistant, Medical College, Medical University of Varna, Mavrodinova, Stanislava, and Kostova, Elka
- Subjects
Crohn's disease, CT, MRI, MRI fluoroscopy, abdominal sonography, stain elastography - Abstract
The diagnosis and follow-up of patients with Crohn's disease are undergoing rapid development and innovation. In recent decades, significant diagnostic advances have been observed in diagnostic imaging. In recent years, the rapid development of new computer technologies and the introduction of new software have increased the informativeness and accuracy of CT, MRI, and ultrasound examinations of the abdomen. The quality of the CT scan is optimized, and at the same time, the ionizing dose to the patient is reduced. One of the ways to reduce the ionizing dose while scanning patients with Crohn's disease is to use a low-dose scanning protocol. With this scanning method, patients receive a much lower ionizing dose than the standard protocol without significantly losing quality. Dual-energy and dual-layer spectral detectors are two other scan protocols and image post-processing techniques that significantly improve image informativeness. New ultrasound machines and the development of the software have greatly improved the informativeness of this harmless study. Shear wave elastography and strain elastography are new research techniques through which we can obtain information about changes in the mesenteric of the affected areas. Development in magnetic resonance techniques is also observed. New magnetic resonance methods such as MR fluoroscopy, dynamic contrast-enhanced MR perfusion (DCE MR), magnetization transfer, and others are examples of this. Thus, new diagnostic methods give a key role to diagnostic imaging in the detection and follow-up of Crohn's disease.
- Published
- 2022