Diagnosis of bowel diseases: the role of imaging and ultrasonography

Antonio Gasbarrini, Maria Assunta Zocco, Davide Roccarina, Matteo Garcovich, Maria Elena Ainora, Gianluigi Caracciolo, Francesca Romana Ponziani

Risultato della ricerca: Contributo in rivistaArticolo in rivista

19 Citazioni (Scopus)

Abstract

Examinations with a visualisation of the anatomy and pathology of the gastrointestinal (GI) tract are often necessary for the diagnosis of GI diseases. Traditional radiology played a crucial role for many years. Endoscopy, despite some limitations, remains the main technique in the differential diagnosis and treatment of GI diseases. In the last decades, the introduction of, and advances in, non-invasive cross-sectional imaging modalities, including ultrasound (US), computed tomography (CT), positron-emission tomography (PET), and magnetic resonance imaging, as well as improvements in the resolution of imaging data, the acquisition of 3D images, and the introduction of contrast-enhancement, have modified the approach to the examination of the GI tract. Moreover, additional co-registration techniques, such as PET-CT and PET-MRI, allow multimodal data acquisition with better sensitivity and specificity in the study of tissue pathology. US has had a growing role in the development and application of the techniques for diagnosis and management of GI diseases because it is inexpensive, non-invasive, and more comfortable for the patient, and it has sufficient diagnostic accuracy to provide the clinician with image data of high temporal and spatial resolution. Moreover, Doppler and contrast-enhanced ultrasound (CEUS) add important information about blood flow. This article provides a general review of the current literature regarding imaging modalities used for the evaluation of bowel diseases, highlighting the role of US and recent developments in CEUS.
Lingua originaleEnglish
pagine (da-a)2144-2153
Numero di pagine10
RivistaWorld Journal of Gastroenterology
Volume19
DOI
Stato di pubblicazionePubblicato - 2013

Keywords

  • Bowel
  • Colour-Doppler
  • Contrast Media
  • Contrast-enhancement
  • Diagnostic Imaging
  • Gastrointestinal tract
  • Humans
  • Imaging
  • Intestinal Diseases
  • Intestines
  • Magnetic Resonance Imaging
  • Multimodal Imaging
  • Positron-Emission Tomography
  • Predictive Value of Tests
  • Prognosis
  • Time-intensity curve
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler
  • Ultrasound

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