Computed Tomography Enterography and Inflammatory Bowel Disease
Fig. 19.1 Example of dose reduction at lower kV in a 43-year-old female with prior right hemicolectomy. CTDIvol lowered from 24 mGy (routine protocol) to 10 mGy after kV selection…
Magnetic Resonance Enterography
Sequence Plane Number of sections Section thickness (mm) Field of view (mm) Advantages Limitations HASTE/SSFSE Coronal 1 50 512 × 512 Minimal susceptibility artefact Prone to flow artefacts SSFP (True-FISP/FIESTA)…
Pathology of Inflammatory Bowel Disease
Fig. 22.1 Architectural distortion is a feature of chronic injury. (a) Normal colonic mucosa displays evenly spaced non-branched crypts that line up along the muscularis mucosa. Lamina propria contains sparse…
Ultrasound in Inflammatory Bowel Disease
Fig. 20.1 Fig. 20.2 Fig. 20.3 First layer: hyperechoic, interface between the lumen and superficial mucosa. Second layer: hypoechoic, interface between the deep and superficial mucosa. Third layer: hyperechoic, interface…
Arthritis, Arthropathy, and Osteoporosis in Inflammatory Bowel Disease
Fig. 55.1 From Zeider H, Amor B. The Assessment in Spondyloarthritis International Society (ASAS) classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general: the spondyloarthritis concept in progress. Ann…
Enhanced Endoscopy
Fig. 17.1 Enhanced endoscopic technologies to improve the three essential steps to final diagnosis Recognition of lesions in the gut can be improved using better scopes, which have better imaging…
Biologic Therapy of Ulcerative Colitis: Golimumab
Fig. 44.1 Clinical response (above) and remission (below) rates for golimumab induction therapy in PURSUIT-SC Fig. 44.2 Rates of mucosal healing (Mayo 1 or 0, left panel) and inactive mucosal…
Primary Sclerosing Cholangitis
Haplotype Significance in PSC B8-TNF*2-DRB3*0101-DRB1*0301-DQA1*0501-DQB1*0201 Strong association with disease susceptibility DRB3*0101-DRB1*1301- DQA1*0103-DQB1*0603 Strong association with disease susceptibility DRB5*0101-DRB1*1501- DQA1*0102-DQB1*0602 Weak association with disease susceptibility DRB4*0103-DRB1*0401-DQA1*03-DQB1*0302 Strong association with protection against…
Autoimmune Pancreatitis and Other Organ Involvement
Diagnosis Primary basis for diagnosis Imaging evidence Collateral evidence Definitive type 1 AIP Histology Typical/indeterminate Histologically confirmed LPSP (level 1 H) Imaging Typical Any non-D level 1/level 2 Indeterminate Two…
Incidence of Cancer and Screening in Inflammatory Bowel Disease
• All patients, regardless of extent of disease at initial diagnosis, should undergo a screening colonoscopy a maximum of 8 years after onset of symptoms, with multiple biopsy obtained throughout the…
