CT结肠镜检查在炎性肠病患者评估中的作用

IF 3.3 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2025-08-29 DOI:10.1016/j.ejrad.2025.112397

Mariani Leonardo , Colombo Francesco , Meuli Sarah , Zaffaroni Gloria , Danelli Piergiorgio , Maconi Giovanni , Ianniello Andrea , Flor Nicola

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引用次数: 0

摘要

炎症性肠病（IBD），包括克罗恩病（CD）和溃疡性结肠炎（UC），以胃肠道慢性炎症为特征，其长期病程显著增加结直肠癌（CRC）的风险，主要由发育不良病变引起。虽然定期结肠镜检查已为UC患者建立，但CD的指导方针仍不确定。计算机断层结肠镜（CTC）为评估结肠提供了一种微创替代方法，特别是在结肠镜检查不完整或有禁忌的情况下。虽然不常用于IBD治疗，但CTC在识别瘘、狭窄和结肠肿瘤等并发症方面提供了实质性的优势。此外，它还提供了解剖细节，这对手术计划和决策至关重要。在这篇综述中，我们的目的是证明CTC在选定的IBD病例中的有用性，特别是在结肠镜检查不可行的患者中，并展示其与临床实践的结合如何增强决策并提供对疾病并发症的重要见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The role of CT Colonography in the assessment of inflammatory bowel Diseases patients

Inflammatory bowel disease (IBD), including Crohn’s disease (CD) and Ulcerative Colitis (UC), is characterized by chronic inflammation of the gastrointestinal tract, and its long-standing course significantly elevates the risk of colorectal cancer (CRC), primarily arising from dysplastic lesions. While regular surveillance by colonoscopy is well established for UC patients, guidelines for CD remain uncertain.

Computed Tomographic Colonography (CTC) offers a minimally invasive alternative for evaluating the colon, particularly in cases where colonoscopy is incomplete or contraindicated. Although not commonly utilized in IBD management, CTC provides substantial advantages in identifying complications such as fistulas, strictures, and colonic neoplasms. Additionally, it offers anatomical detail, which is crucial for surgical planning and decision-making.

In this review we aim to demonstrate the usefulness of CTC in selected IBD cases, particularly in patients for whom colonoscopy is not feasible, and to show how its integration into clinical practice enhances decision-making and provides crucial insights into disease complications.

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.