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15410

Role of Multi-detector CT in Assessment of Patients Suspected with Chronic Inflammatory Bowel Disease

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Last updated: 24 Dec 2024

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Abstract

       Background:Crohn's disease and ulcerative colitis evolve with a relapsing and remitting course. Determination of  inflammatory state is crucial for the assessment of disease activity and for tailoring therapy .Computed tomography enterography (CTE) has become a main modality for the evaluation of inflammatory bowel disease (IBD). It simultaneously offers visualization of the small bowel and extra  intestinal status, which is helpful for diagnosing IBD. Crohn disease has long segmental enhancing wall thickening related with the eccentric longitudinal distribution. In addition, mural stratification, fibrofatty proliferation, positive comb sign by increased mesenteric vascularity and internal/perianal fistula are characteristics of Crohn disease and can be identified on CTE.     Each of CTE findings for the IBDs is helpful for differential diagnosis. The main disadvantage of this technique is the requisite radiation exposure of patients, particularly in young patients. However, recent development of advanced CT techniques is promising for radiation dose reduction without compromising diagnostic image quality       

DOI

10.12816/0012175

Keywords

crohn's disease, ulcerative colitis, inflammatory bowel disease, Computed tomography enterography, multi detector computed tomography

Authors

First Name

Ahmed Mohamed

Last Name

Monib

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Affiliation

Department of Radiodiagnosis, faculty of Medicine, Ain Shams University, Cairo, Egypt

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First Name

Sherif Hamed

Last Name

Abu Gamrah

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Affiliation

Department of Radiodiagnosis, faculty of Medicine, Ain Shams University, Cairo, Egypt

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Orcid

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First Name

Amira Mokhtar

Last Name

Bayomi

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-

Affiliation

Department of Radiodiagnosis, faculty of Medicine, Ain Shams University, Cairo, Egypt

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Volume

59

Article Issue

1

Related Issue

3318

Issue Date

2015-04-01

Receive Date

2018-10-01

Publish Date

2015-04-01

Page Start

182

Page End

190

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_15410.html

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https://ejhm.journals.ekb.eg/service?article_code=15410

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Multi-detector CT in Assessment of Patients Suspected with Chronic Inflammatory Bowel Disease

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Article

Created At

22 Jan 2023