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Role of Intestinal Ultrasound for IBD Care: A Practical Approach

Authors :
Joerg C. Hoffmann
Tobias Ungewitter
Source :
Diagnostics, Vol 14, Iss 15, p 1639 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Intestinal ultrasound (IUS) has recently become the imaging technique of choice for patients with different types of intestinal inflammation. IUS has a high sensitivity, specificity, positive predictive value, and negative predictive value when diagnosing Crohn’s disease or ulcerative colitis. Further, it is now the preferred imaging modality for routine IBD reevaluations because of its non-invasiveness, cost-effectiveness, availability (at least in Europe), and reproducibility in all age groups. However, the clinical success of IUS requires IUS training for doctors and technicians who perform IUS with a standardised description of ultrasound findings of the terminal ileum and entire colon. Complications such as abscess formation, fistulae, and stenosis can be detected by either conventional IUS or contrast-enhanced ultrasound (CEUS). Lately, several disease activity scores have been proposed for Crohn’s disease, postoperative Crohn’s disease, and ulcerative colitis both in adults (including elderly) and in children. IUS was successfully used in randomised clinical trials in order to measure the treatment response. Therefore, IUS now plays a central role in clinical decision making.

Details

Language :
English
ISSN :
20754418
Volume :
14
Issue :
15
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.9fbac242a444140923536ed53586838
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics14151639