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Treat to transmural healing: how to incorporate intestinal ultrasound into the treatment of inflammatory bowel disease.

Authors :
Al-Ani AH
Vaughan R
Christensen B
Bryant RV
Novak KL
Source :
The British journal of radiology [Br J Radiol] 2022 Sep 01; Vol. 95 (1137), pp. 20211174. Date of Electronic Publication: 2022 Jul 13.
Publication Year :
2022

Abstract

Intestinal ultrasound (IUS) is emerging as a key tool to achieving the therapeutic target of transmural healing in inflammatory bowel disease (IBD). IUS is a non-invasive, radiation-free, imaging modality comparable to MRI, CT and ileocolonoscopy (IC). With the appropriate training and equipment, IUS can be an easily repeatable bedside test for IBD diagnosis and disease monitoring, including treatment response. Core to successful high quality IUS employment are appropriate training and expert techniques; however, the training pathway will not be explored in this review. Given the increasing shift towards objective assessment for tight disease control, gastroenterologist-led IUS should be incorporated into the armamentarium of imaging modalities alongside radiologists, to enhance our diagnostic and monitoring toolbox. This comprehensive review aims to outline the current literature around IUS and propose the placement of IUS in a treat-to-target algorithm in IBD. Ultimately, IUS facilitates timely management decisions to optimise patient care with potential to revolutionise patient outcomes, moving towards transmural healing as the holy grail of therapy in IBD.

Details

Language :
English
ISSN :
1748-880X
Volume :
95
Issue :
1137
Database :
MEDLINE
Journal :
The British journal of radiology
Publication Type :
Academic Journal
Accession number :
35766939
Full Text :
https://doi.org/10.1259/bjr.20211174