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The Role of the Radiologist in Determining Disease Severity in Inflammatory Bowel Diseases.

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Published:1st Jul 2019
Author: Deepak P, Axelrad JE, Ananthakrishnan AN.
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Ref.:Gastrointest Endosc Clin N Am. 2019;29(3):447-470.
DOI:10.1016/j.giec.2019.02.006

Crohn's disease and ulcerative colitis are chronic inflammatory diseases that lead to progressive bowel damage including the development of stricturing and penetrating complications. Increasingly, cross-sectional imaging with computed tomography or magnetic resonance scans have emerged as leading tools to: (1) assess disease activity; (2) monitor response to therapy or disease recurrence; and (3) identify disease-related complications. Several validated radiological scoring systems have been developed to quantify cross-sectional and longitudinal inflammatory burden in these diseases and to monitor response to treatment. Bowel ultrasound is also a simple and inexpensive tool but is operator dependent in its performance.

 

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