ECCO-ESGAR Topical Review on Optimizing Reporting for Cross-Sectional Imaging in Inflammatory Bowel Disease. (10th October 2021)

• Record Type: Journal Article
• Authors: Kucharzik, Torsten; Tielbeek, Jeroen; Carter, Dan; Taylor, Stuart A; Tolan, Damian; Wilkens, Rune; Bryant, Robert V; Hoeffel, Christine; De Kock, Isabelle; Maaser, Christian; Maconi, Giovanni; Novak, Kerri; Rafaelsen, Søren R; Scharitzer, Martina; Spinelli, Antonino; Rimola, Jordi
• Is Part Of: Journal of Crohn's and colitis. Volume 16:Number 4(2022)
• Page Start: 523
• Page End: 543
• Publication Date: 2021-10-10
• Subjects: Inflammatory bowel disease [IBD] -- cross-sectional imaging -- magnetic resonance imaging [MRI] -- intestinal ultrasound [IUS] -- endoanal ultrasonography [EAUS] -- transperineal ultrasonography [PUS -- reporting; Inflammatory bowel diseases -- Periodicals; 616.344005
• DOI: 10.1093/ecco-jcc/jjab180
• Languages: English
• ISSNs: 1873-9946

Abstract

Abstract: Background and Aims: The diagnosis and follow up of patients with inflammatory bowel disease [IBD] requires cross-sectional imaging modalities, such as intestinal ultrasound [IUS], magnetic resonance imaging [MRI] and computed tomography [CT]. The quality and homogeneity of medical reporting are crucial to ensure effective communication between specialists and to improve patient care. The current topical review addresses optimized reporting requirements for cross-sectional imaging in IBD. Methods: An expert consensus panel consisting of gastroenterologists, radiologists and surgeons convened by the ECCO in collaboration with ESGAR performed a systematic literature review covering the reporting aspects of MRI, CT, IUS, endoanal ultrasonography and transperineal ultrasonography in IBD. Practice position statements were developed utilizing a Delphi methodology incorporating two consecutive rounds. Current practice positions were set when ≥80% of the participants agreed on a recommendation. Results: Twenty-five practice positions were developed, establishing standard terminology for optimal reporting in cross-sectional imaging. Assessment of inflammation, complications and imaging of perianal CD are outlined. The minimum requirements of a standardized report, including a list of essential reporting items, have been defined. Conclusions: This topical review offers practice recommendations to optimize and homogenize reporting in cross-sectional imaging in IBD.