Crohn's disease: review and standardization of nomenclature

Crohn's disease is an inflammatory bowel disease that can affect any segment of the gastrointestinal tract. It has a variable clinical course, with alternating periods of disease activity and remission. Because the incidence and prevalence of Crohn's disease have been increasing, evaluatio...

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Veröffentlicht in:Radiologia brasileira 2023-03, Vol.56 (2), p.95-101
Hauptverfasser: Magalhães, Filipe C B, Lima, Elissandra Melo, Carpentieri-Primo, Pedro, Barreto, Miriam Menna, Rodrigues, Rosana Souza, Parente, Daniella Braz
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container_issue 2
container_start_page 95
container_title Radiologia brasileira
container_volume 56
creator Magalhães, Filipe C B
Lima, Elissandra Melo
Carpentieri-Primo, Pedro
Barreto, Miriam Menna
Rodrigues, Rosana Souza
Parente, Daniella Braz
description Crohn's disease is an inflammatory bowel disease that can affect any segment of the gastrointestinal tract. It has a variable clinical course, with alternating periods of disease activity and remission. Because the incidence and prevalence of Crohn's disease have been increasing, evaluation by imaging methods has become more important. The most widely used methods are computed tomography enterography, magnetic resonance enterography (as an elective examination), and contrast-enhanced computed tomography (in the context of emergency). Computed tomography enterography and magnetic resonance enterography are useful for diagnosis, follow-up, evaluation of complications, and prognosis. Both can be used in order to evaluate the small bowel loops and the associated mesenteric findings, as well as to evaluate other abdominal organs. They both also can detect signs of disease activity, fibrosis, penetrating disease, and complications. The interpretation of such changes is essential to the multidisciplinary approach, as is the standardization of the nomenclature employed in the reports. In this paper, we review and illustrate the imaging findings of Crohn's disease, using the standardized nomenclature proposed in the multidisciplinary consensus statement issued by the Society of Abdominal Radiology, the Society of Pediatric Radiology, and the American Gastroenterology Association, with recommendations for descriptions, interpretations, and impressions related to those findings.
doi_str_mv 10.1590/0100-3984.2022.0082-en
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Review
title Crohn's disease: review and standardization of nomenclature
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