Imaging Assessment of Paediatric Crohn’s Disease: a Literature Review
S Salerno, MC Terranova, F Vernuccio, D Picone, C Tudisca, G Lo Re, R Lagalla
Hong Kong J Radiol 2019;22:4-15
https://doi.org/10.12809/hkjr1916912
Owing to the frequent absence of specific symptoms, diagnosis of Crohn’s disease may be delayed, potentially leading to important patient morbidity, growth failure, pubertal delay, or a complicated form of the disease.In paediatric patients with Crohn’s disease, radiation protection requires special consideration, and choosing the most appropriate imaging modality is crucial. All radiologists should be familiar with the main imaging characteristics of Crohn’s disease. Therefore, the present study reviews the current literature on imaging modalities and main imaging characteristics of Crohn’s disease. Magnetic resonance imaging is recommended for diagnosis of Crohn’s disease in paediatric patients because it is able to precisely define the presence, the extent, the grade of activity, and the principal complications of the disease without any radiation exposure.
Author affiliation(s):
S Salerno, MC Terranova, F Vernuccio, D Picone, C Tudisca, G Lo Re, R Lagalla: Department of Radiology, University Hospital Policlinico Paolo Giaccone, Palermo, Italy
中文摘要
小兒克隆氏症的影像學評估：文獻綜述
S Salerno、MC Terranova、F Vernuccio、D Picone、C Tudisca、G Lo Re、R Lagalla
克隆氏症大多沒有明顯特定症狀，故可能出現診斷延誤，可導致嚴重的併發症、發育障礙、青春期發育延緩或複雜的疾病。為小兒克羅恩氏症患者進行輻射保護時須加緊注意，選擇最合適的成像方式至關重要。所有放射科醫師須熟悉克隆氏症的主要影像學特徵。因此，本研究回顧目前有關克隆氏症成像方式和主要影像學特徵的文獻，並建議以磁共振成像診斷小兒克隆氏症，因它能精確定義疾病的存在、程度、活躍程度和主要併發症，並避免輻射。