| Description |
1 online resource (vii, 176 pages) : illustrations (some color) |
| Contents |
Intro; Preface; Contents; 1: The Clinical Impact of Cross-Sectional Imaging on Crohn's Disease Management; 1.1 Disease Pathogenesis; 1.2 Symptoms and Diagnosis; 1.3 Imaging the Bowel; 1.4 Imaging in the Biologic Era; 1.5 Communicating with Gastroenterologists; 1.6 Wish List for Future Applications; 1.7 Conclusion; References; 2: Bowel Ultrasound Imaging, Protocol and Findings; 2.1 Introduction; 2.2 Intestinal Ultrasound Compared to Other Modalities for the Diagnosis and Monitoring of Inflammatory Bowel Disease; 2.2.1 Crohn's Disease; 2.2.1.1 Diagnosis of Crohn's Disease |
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2.2.1.2 Response to Therapy2.2.1.3 Detection of Complications; 2.2.1.4 Evaluation of Post-Operative Recurrence; 2.2.1.5 Evaluation of Perianal Disease; 2.2.1.6 Intestinal Ultrasound in Paediatrics; 2.2.2 Ultrasound in Ulcerative Colitis; 2.2.3 Summary; 2.3 Basic Ultrasound Principles and Intestinal Ultrasound Technique; 2.3.1 Scanning Technique and Approach; 2.4 Sonographic Features of Normal Bowel and Inflammatory Activity; 2.4.1 Bowel Wall Stratification; 2.4.2 Bowel Wall Thickness; 2.4.3 Bowel Stricture and Dilation; 2.4.4 Surrounding Mesenteric Structures |
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2.4.5 Extra-Luminal Complications2.4.6 Perianal Crohn's Disease; 2.5 Contrast-Enhanced Ultrasound; 2.5.1 Oral Contrast; 2.6 Elastography; 2.7 Standardized Reporting; 2.8 Limitations of Intestinal US; 2.9 Summary; References; 3: Ultrasound Elastography of the Bowel; 3.1 Introduction; 3.2 Imaging Techniques; 3.2.1 Ultrasound Strain Elastography; 3.2.2 Ultrasound Shear Wave Elastography; 3.3 Supporting Studies; 3.3.1 Ultrasound Strain Elastography; 3.3.2 Ultrasound Shear Wave Elastography; 3.4 Potential Roles of Ultrasound Elastography of the Bowel in Clinical Practice |
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3.5 Challenges and ObstaclesReferences; 4: MR and CT Imaging Techniques of the Bowel; 4.1 General Principles; 4.1.1 Enterography Indications; 4.1.2 Enteric Contrast Agents; 4.1.3 Intravenous Contrast Material; 4.1.4 Antiperistaltic Agents; 4.2 MR Enterography; 4.2.1 Patient Preparation; 4.2.2 MR Enterography Technical Considerations; 4.2.3 MR Enterography Protocol; 4.2.4 Localizer Series; 4.2.4.1 Clinical Utility; 4.2.4.2 Advantages; 4.2.4.3 Disadvantages; 4.2.5 Balanced Steady-State Free Precession (BSSFP); 4.2.5.1 Clinical Utility; 4.2.5.2 Advantages; 4.2.5.3 Disadvantages |
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4.2.6 Cine Balanced Steady-State Free Precession (Cine BSSFP)4.2.6.1 Clinical Utility; 4.2.6.2 Advantages and Disadvantages; 4.2.7 T2-Weighted Sequences; 4.2.7.1 Clinical Utility; 4.2.7.2 Advantages; 4.2.7.3 Disadvantages; 4.2.8 Dual Gradient-Echo In- and Out-of-Phase; 4.2.8.1 Clinical Utility; 4.2.8.2 Advantages; 4.2.8.3 Disadvantages; 4.2.9 Dynamic Multiphase Fat-Suppressed 3D Gradient Echo (3D GRE); 4.2.9.1 Clinical Utility; 4.2.9.2 Advantages; 4.2.9.3 Disadvantages; 4.2.10 Diffusion-Weighted Images; 4.2.10.1 Clinical Utility; 4.2.10.2 Advantages; 4.2.10.3 Disadvantages |
| Summary |
This book comprehensively describes the state of the art in cross-sectional imaging of Crohn's disease from both a clinical and a radiological perspective. The uses and impact of the different imaging techniques in daily practice and research are thoroughly examined, with coverage of ultrasound, computed tomography and magnetic resonance. In addition, emerging trends are scrutinized. The background to the book is an increasing perception that intestinal inflammation and complications are underdiagnosed using standard endoscopic or surgical techniques. Patients with Crohn's disease usually require multiple reassessments during their lifetimes and often favor noninvasive techniques with a low risk of complications. These factors have reinforced the need for effective cross-sectional imaging techniques. Additionally, the expanding use of biologic agents, combined with their increased efficacy, expense, and risk, justifies the use of these techniques (particularly ultrasound and magnetic resonance) to monitor disease treatment and objectively measure inflammation and healing. Cross-Sectional Imaging in Crohn's Disease will be of high value for both gastroenterologists and diagnostic radiologists |
| Notes |
Online resource; title from PDF title page (SpringerLink, viewed February 4, 2019) |
| Subject |
Crohn's disease -- Imaging
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Crohn Disease -- diagnostic imaging
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Gastroenterology
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Medical radiology
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| Genre/Form |
Electronic books
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| Form |
Electronic book
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| Author |
Rimola, Jordi, editor
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| ISBN |
9783319965864 |
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3319965867 |
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