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首页> 外文期刊>Current opinion in gastroenterology >A new look at Crohn's disease: Novel imaging techniques
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A new look at Crohn's disease: Novel imaging techniques

机译：克罗恩病的新视角：新颖的成像技术

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Purpose of review: Imaging the gut provides information on Crohn's disease activity, identifies complications and provides insight into patient symptoms. Imaging can help direct therapy and can predict important patient outcomes. In a rapidly changing, technology-driven field, new imaging applications add novel insights that we are only beginning to appreciate. The purpose of this review is to highlight recent advances in imaging as they are applied to the assessment of patients with Crohn's disease. Recent findings: In the past year, key literature describing cross-sectional imaging techniques, including computed tomography (CT) based imaging, specifically CT enterography (CTE) and magnetic resonance enterography (MRE), transcutaneous ultrasound, and PET-based imaging, has emerged in the field of inflammatory bowel disease. MRI sequences that have been recently applied to Crohn's disease assessment, including diffusion-weighted imaging (DWI) and magnetization transfer imaging (MTI), add important new insights. These new data highlight the current status of available imaging modalities and provide a glimpse into the future of our practice. Summary: CTE and MRE are our new standard imaging modalities for small bowel Crohn's disease. PET scanning is promising but currently only used routinely in centers with a strong research presence in this area. Ultrasound is emerging as a useful, potentially less costly, radiation-free technique. New MRI sequences offer future promise for effectively monitoring the natural history of Crohn's disease.
机译：审查目的：对肠道成像可提供有关克罗恩病活动的信息，识别并发症并深入了解患者症状。影像学可以帮助直接治疗，并可以预测重要的患者预后。在瞬息万变，技术驱动的领域，新的成像应用程序增加了新颖的见解，而我们才刚刚开始欣赏它们。这篇综述的目的是强调成像技术在评估克罗恩病患者方面的最新进展。最近的发现：在过去的一年中，描述横截面成像技术的主要文献包括基于计算机断层扫描（CT）的成像，特别是基于CT小肠成像（CTE）和磁共振小肠成像（MRE），经皮超声和基于PET的成像出现在炎症性肠病领域。最近已应用于克罗恩病评估的MRI序列，包括弥散加权成像（DWI）和磁化转移成像（MTI），为人们提供了重要的新见解。这些新数据突出显示了可用成像模式的当前状态，并提供了我们实践的未来的一瞥。简介：CTE和MRE是我们针对小肠克罗恩氏病的新标准成像方法。 PET扫描很有前途，但目前仅在该领域具有强大研究实力的中心常规使用。超声波正在成为一种有用的，可能成本更低的无辐射技术。新的MRI序列为有效监测克罗恩病的自然史提供了未来的希望。

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