Correlations between CTE features and clinical activity index of Crohn’s disease
10.3969/j.issn.1002-1671.2016.03.012
- VernacularTitle:克罗恩病CT小肠造影表现与活动指数的相关性
- Author:
Huijuan TU
;
Lianlong BIAN
;
Yongzhi HUANG
;
Xing SHEN
;
Jianchun TU
- Publication Type:Journal Article
- Keywords:
Crohn’s disease;
CT enterography;
small intestine
- From:
Journal of Practical Radiology
2016;32(3):373-376,422
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate correlations between CT features and clinical activity index of Crohn’s disease(CD).Methods The CTE datasets from 37 patients with moderate active,severe active and remission stages CD were retrospectively analyzed.To ob-serve imaging features of intestinal wall,parenteral and complications.And analyze whether there was an association between imaging findings and clinical activity.Results A total of 147 bowel segments in 37 cases were involved.Wall thickening (intestinal wall≥4 mm)were observed in 121 segments.An average thickness was (12.1±3.2)mm.There are 42 bowel segments of trilaminar mural stratifica-tion,71 of the double-layed stratification and 34 of non-stratification.Enlarged mesenteric lymph nodes were observed in 20 patients. Comb sign was observed in 27 patients.Higher density of surrounding fat appeared in 22 cases.The other 37 cases inluced 4 cases with abdominal abscess,7 cases with fistula,1 6 cases with intestinal obstruction or stenosis and 1 7 cases of perianal disease.The in-testinal stratification,wall thickening,comb sign,mesenteric fat density increased,abdominal abscess,intestinal stenosis and obstruc-tion were closely associated with clinical activity.Conclusion CTE images could provide information about intestinal wall,parenteral changes and complications of Crohn’s disease,and effectively help identifying remission and active stages of Crohn’s disease.
