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Imaging techniques for assessment of inflammatory bowel disease: Joint ECCO and ESGAR evidence-based consensus guidelines

J. Panes 1, 2 Y. Bouhnik 3 W. Reinisch 4 J. Stoker 5 A. Taylor 6 D. Baumgart 7 S. Danese 8 S. Halligan 6 B. Marincek 9 C. Matos 10 L. Peyrin-Biroulet 11, 12 J. Rimola 1, 13 G. Rogler 14 G. van Assche 15 S. Ardizzone 16 A. Ba-Ssalamah 17 A. Bali 10 D. Bellini 18 L. Biancone 19 F. Castiglione 20 R. Ehehalt 21 R. Grassi 22 T. Kucharzik 23 F. Maccioni 18 G. Maconi 16 F. Magro 24 J. Martín-Comín 25 G. Morana 26 D. Pendsé 6 S. Sebastian 27 A. Signore 28 D. Tolan 29 A. Tielbeek 5 D. Weishaupt 30 B. Wiarda 31 A. Laghi 18
Abstract : The management of patients with IBD requires evaluation with objective tools, both at the time of diagnosis and throughout the course of the disease, to determine the location, extension, activity and severity of inflammatory lesions, as well as, the potential existence of complications. Whereas endoscopy is a well-established and uniformly performed diagnostic examination, the implementation of radiologic techniques for assessment of IBD is still heterogeneous; variations in technical aspects and the degrees of experience and preferences exist across countries in Europe. ECCO and ESGAR scientific societies jointly elaborated a consensus to establish standards for imaging in IBD using magnetic resonance imaging, computed tomography, ultrasonography, and including also other radiologic procedures such as conventional radiology or nuclear medicine examinations for different clinical situations that include general principles, upper GI tract, colon and rectum, perineum, liver and biliary tract, emergency situation, and the postoperative setting. The statements and general recommendations of this consensus are based on the highest level of evidence available, but significant gaps remain in certain areas such as the comparison of diagnostic accuracy between different techniques, the value for therapeutic monitoring, and the prognostic implications of particular findings.
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Submitted on : Thursday, February 8, 2018 - 12:13:14 PM
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J. Panes, Y. Bouhnik, W. Reinisch, J. Stoker, A. Taylor, et al.. Imaging techniques for assessment of inflammatory bowel disease: Joint ECCO and ESGAR evidence-based consensus guidelines. Journal of Crohn's and Colitis, Elsevier - Oxford University Press, 2013, 7 (7), pp.556 - 585. ⟨10.1016/j.crohns.2013.02.020⟩. ⟨hal-01704202⟩

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