Evidence-Based Review of Current Cross-Sectional Imaging of Inflammatory Bowel Disease

Radiol Clin North Am. 2024 Nov;62(6):1025-1034. doi: 10.1016/j.rcl.2024.05.003. Epub 2024 Jun 29.

Abstract

CT and MR enterography are cross-sectional imaging examinations used in the assessment of inflammatory bowel disease. Consistent reporting and standardized nomenclature are important for clear communication with referring clinicians. Enterography has not only been used to depict inflammation in the small bowel, but it has also been used to quantify disease activity, assess distribution of disease, and detect complications including penetrating disease. This article reviews cross-sectional imaging findings in inflammatory bowel disease, including the current literature focusing on small bowel Crohn's disease and ulcerative colitis, with evidence-based guidelines on appropriate protocols and imaging procedures.

Keywords: Crohn’s disease; Enterography; Inflammatory bowel disease; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Evidence-Based Medicine*
  • Humans
  • Inflammatory Bowel Diseases* / diagnostic imaging
  • Magnetic Resonance Imaging* / methods
  • Tomography, X-Ray Computed / methods