Contrast-enhanced ultrasonography for the determination of Crohn's disease activity : preliminary experience

2014
journal article
article
8
dc.abstract.enBackground: Contrast-enhanced ultrasound (CEUS) is a recent non-invasive modality, which may partially replace currently used techniques (endoscopy, CT enterography and MR enterography) in the diagnostics and assessment of Crohn's disease (CD). The aim of the study was to analyze early experience in the use of CEUS for the measurement of activity and staging of CD. Material and Methods: Eleven patients previously diagnosed with CD were included in the study. They underwent contrast-enhanced ultrasonography (SonoVue, Bracco), low-dose CT enterography (LDCTE), assessment of laboratory markers of inflammation and clinical CD activity index (CDAI). Contrast enhancement was evaluated using a semi-quantitative method and a quantitative method that included measurement of peak enhancement (PE), enhancement curve rise time (RT) and wash-in-rate (WiR). Results: Ileal wall thickening was observed in all patients. Semi-quantitative method was used to observe CD activity in CEUS in 10 cases that perfectly matched LDCTE findings. There was a moderate positive correlation between PE and CDAI (r=0.65, p<0.001). There was no significant relationship between perfusion parameters and laboratory markers of inflammation. Conclusions: CEUS is a promising modality for non-invasive assessment of pathologic ileal vascularization in the course of Crohn's disease. Intensity of enhancement in CEUS reflects activity of the disease detected in LDCTE and correlates with CDAI.pl
dc.contributor.authorBiałecki, Marcinpl
dc.contributor.authorBiałecka, Agnieszkapl
dc.contributor.authorLaskowska, Katarzynapl
dc.contributor.authorKłopocka, Mariapl
dc.contributor.authorLeibert, Arielpl
dc.contributor.authorLemanowicz, Adampl
dc.contributor.authorSerafin, Zbigniewpl
dc.date.accessioned2017-08-09T08:05:06Z
dc.date.available2017-08-09T08:05:06Z
dc.date.issued2014pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 74pl
dc.description.physical70-74pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume79pl
dc.identifier.doi10.12659/PJR.890312pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/43135
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enCrohn's diseasepl
dc.subject.enIBSpl
dc.subject.enCEUSpl
dc.subtypeArticlepl
dc.titleContrast-enhanced ultrasonography for the determination of Crohn's disease activity : preliminary experiencepl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Contrast-enhanced ultrasound (CEUS) is a recent non-invasive modality, which may partially replace currently used techniques (endoscopy, CT enterography and MR enterography) in the diagnostics and assessment of Crohn's disease (CD). The aim of the study was to analyze early experience in the use of CEUS for the measurement of activity and staging of CD. Material and Methods: Eleven patients previously diagnosed with CD were included in the study. They underwent contrast-enhanced ultrasonography (SonoVue, Bracco), low-dose CT enterography (LDCTE), assessment of laboratory markers of inflammation and clinical CD activity index (CDAI). Contrast enhancement was evaluated using a semi-quantitative method and a quantitative method that included measurement of peak enhancement (PE), enhancement curve rise time (RT) and wash-in-rate (WiR). Results: Ileal wall thickening was observed in all patients. Semi-quantitative method was used to observe CD activity in CEUS in 10 cases that perfectly matched LDCTE findings. There was a moderate positive correlation between PE and CDAI (r=0.65, p<0.001). There was no significant relationship between perfusion parameters and laboratory markers of inflammation. Conclusions: CEUS is a promising modality for non-invasive assessment of pathologic ileal vascularization in the course of Crohn's disease. Intensity of enhancement in CEUS reflects activity of the disease detected in LDCTE and correlates with CDAI.
dc.contributor.authorpl
Białecki, Marcin
dc.contributor.authorpl
Białecka, Agnieszka
dc.contributor.authorpl
Laskowska, Katarzyna
dc.contributor.authorpl
Kłopocka, Maria
dc.contributor.authorpl
Leibert, Ariel
dc.contributor.authorpl
Lemanowicz, Adam
dc.contributor.authorpl
Serafin, Zbigniew
dc.date.accessioned
2017-08-09T08:05:06Z
dc.date.available
2017-08-09T08:05:06Z
dc.date.issuedpl
2014
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 74
dc.description.physicalpl
70-74
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
79
dc.identifier.doipl
10.12659/PJR.890312
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/43135
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
Crohn's disease
dc.subject.enpl
IBS
dc.subject.enpl
CEUS
dc.subtypepl
Article
dc.titlepl
Contrast-enhanced ultrasonography for the determination of Crohn's disease activity : preliminary experience
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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