Optimal assessment of paediatric IBD with MRI and barium follow-through

Journal of Pediatric Gastroenterology and Nutrition
E GilesSandhia Naik

Abstract

The present UK criterion standard for assessing children with suspected inflammatory bowel disease (IBD) is upper endoscopy, ileocolonoscopy, and barium follow-through (BaFT). Significant doses of radiation, unpalatable contrast, and volume intolerance are involved with BaFT. Practice in investigating Crohn disease (CD) is changing with the increasing use of magnetic resonance imaging (MRI). The aim of the present study was to compare BaFT and a new abdominal MRI protocol in a paediatric IBD population. All consecutive patients with a new diagnosis of IBD or requiring reassessment from September 2008 to December 2010 were investigated with both abdominal MRI and BaFT in accordance with a specific local paediatric IBD protocol. The studies were reported by nonblinded radiologists with an interest in gastrointestinal imaging. The reports were compared in conjunction with case note review. Eighty-seven patients underwent both BaFT and MRI abdomen. Thirty-one percent of patients had additional pathology on MRI, not seen on the BaFT. Sixty-seven percent of patients (n=59) had an MRI finding equivalent to BaFT. Using histology as a criterion standard for detecting terminal ileal disease, BaFT had a sensitivity and specificity of 76% ...Continue Reading

References

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Citations

Jun 25, 2013·Inflammatory Bowel Diseases·Garth SwansonAli Keshavarzian
Apr 30, 2015·Abdominal Imaging·Sudha A AnupindiJonathan R Dillman
Dec 30, 2014·Insights Into Imaging·Athanasios AthanasakosEfthymia Alexopoulou
May 5, 2016·Expert Review of Gastroenterology & Hepatology·Kaija-Leena Kolho
Jun 10, 2016·European Radiology·Fabio PomerriPier Carlo Muzzio
Jun 21, 2016·Expert Review of Clinical Immunology·Kaija-Leena Kolho, Antti Ainamo
Jan 31, 2017·Radiología·M Sánchez-Carpintero de la Vega, C García Villar
Sep 5, 2014·Expert Review of Gastroenterology & Hepatology·Makoto NaganumaHaruhiko Ogata
Jul 1, 2014·Journal of Pediatric Gastroenterology and Nutrition·Sudha A AnupindiMichael S Gee
Nov 16, 2013·Journal of Pediatric Gastroenterology and Nutrition·Arie LevineUNKNOWN European Society of Pediatric Gastroenterology, Hepatology, and Nutrition

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