Journal of the American College of Radiology
Volume 7, Issue 2 , Pages 94-102 , February 2010

ACR Appropriateness Criteria® on Crohn's Disease

  • James E. Huprich, MD

      Affiliations

    • Mayo Clinic, Rochester, Minnesota
    • Corresponding Author InformationCorresponding author and reprints: James E. Huprich, MD, Mayo Clinic, Department of Radiology, 200 First Street SW, Rochester, MN 55905
    • ,
  • Max Paul Rosen, MD, MPH

      Affiliations

    • Beth Israel Hospital, Boston, Massachusetts
    • ,
  • Jeff L. Fidler, MD

      Affiliations

    • Mayo Clinic, Rochester, Minnesota
    • ,
  • Spencer B. Gay, MD

      Affiliations

    • University of Virginia Health Science Center, Charlottesville, Virginia
    • ,
  • Thomas H. Grant, DO

      Affiliations

    • Northwestern University Medical Faculty, Chicago, Illinois
    • ,
  • Frederick L. Greene, MD

      Affiliations

    • Carolinas Medical Center, Charlotte, North Carolina
    • American College of Surgeons, Chicago, Illinois
    • ,
  • Tasneem Lalani, MD

      Affiliations

    • Inland Imaging Associates, Seattle, Washington
    • ,
  • Frank H. Miller, MD

      Affiliations

    • Northwestern University Feinberg School of Medicine/Northwestern Memorial Hospital, Chicago, Illinois
    • ,
  • Don C. Rockey, MD

      Affiliations

    • University of Texas Southwestern Medical Center, Dallas, Texas
    • American Gastroenterological Association, Bethesda, Maryland
    • ,
  • Gary S. Sudakoff, MD

      Affiliations

    • Medical College of Wisconsin, Milwaukee, Wisconsin
    • ,
  • Richard Gunderman, MD, PhD

      Affiliations

    • Riley Hospital for Children, Indiana University, Indianapolis, Indiana
    • ,
  • Brian D. Coley, MD

      Affiliations

    • Columbus Children's Hospital, Columbus, Ohio

References 

  1. Glick SN. Crohn's disease of the small intestine. Radiol Clin North Am. 1987;25:25–45
  2. Hastings GE, Weber RJ. Inflammatory bowel disease: part I. Clinical features and diagnosis. Am Fam Physician. 1993;47:598–608
  3. Rutgeerts P. A critical assessment of new therapies in inflammatory bowel disease. J Gastroenterol Hepatol. 2002;17(Suppl):S176–S185
  4. Goldberg HI, Caruthers SB, Nelson JA, Singleton JW. Radiographic findings of the National Cooperative Crohn's Disease Study. Gastroenterology. 1979;77:925–937
  5. Taylor GA, Nancarrow PA, Hernanz-Schulman M, Teele RL. Plain abdominal radiographs in children with inflammatory bowel disease. Pediatr Radiol. 1986;16:206–209
  6. Bernstein CN, Greenberg H, Boult I, Chubey S, Leblanc C, Ryner L. A prospective comparison study of MRI versus small bowel follow-through in recurrent Crohn's disease. Am J Gastroenterol. 2005;100:2493–2502
  7. Hara AK, Leighton JA, Heigh RI, et al. Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology. 2006;238:128–134
  8. Sailer J, Peloschek P, Schober E, et al. Diagnostic value of CT enteroclysis compared with conventional enteroclysis in patients with Crohn's disease. AJR Am J Roentgenol. 2005;185:1575–1581
  9. Eliakim R, Suissa A, Yassin K, Katz D, Fischer D. Wireless capsule video endoscopy compared to barium follow-through and computerised tomography in patients with suspected Crohn's disease—final report. Dig Liver Dis. 2004;36:519–522
  10. Chernish SM, Maglinte DD, O'Connor K. Evaluation of the small intestine by enteroclysis for Crohn's disease. Am J Gastroenterol. 1992;87:696–701
  11. Dixon PM, Roulston ME, Nolan DJ. The small bowel enema: a ten year review. Clin Radiol. 1993;47:46–48
  12. Ott DJ, Chen YM, Gelfand DW, Van Swearingen F, Munitz HA. Detailed per-oral small bowel examination vs. enteroclysis. Part I: expenditures and radiation exposure. Radiology. 1985;155:29–31
  13. Ott DJ, Chen YM, Gelfand DW, Van Swearingen F, Munitz HA. Detailed per-oral small bowel examination vs. enteroclysis. Part II: radiographic accuracy. Radiology. 1985;155:31–34
  14. Gore RM, Levine MS, Laufer I. Gastrointestinal radiology. Philadelphia, Pa: W. B. Saunders; 1994;
  15. Sheridan MB, Nicholson DA, Martin DF. Transabdominal ultrasonography as the primary investigation in patients with suspected Crohn's disease or recurrence: a prospective study. Clin Radiol. 1993;48:402–404
  16. Stringer DA. Imaging inflammatory bowel disease in the pediatric patient. Radiol Clin North Am. 1987;25:93–113
  17. Di Sabatino A, Armellini E, Corazza GR. Doppler sonography in the diagnosis of inflammatory bowel disease. Dig Dis. 2004;22:63–66
  18. Robotti D, Cammarota T, Debani P, Sarno A, Astegiano M. Activity of Crohn disease: value of color-power-Doppler and contrast-enhanced ultrasonography. Abdom Imaging. 2004;29:648–652
  19. Boudiaf M, Jaff A, Soyer P, Bouhnik Y, Hamzi L, Rymer R. Small-bowel diseases: prospective evaluation of multi-detector row helical CT enteroclysis in 107 consecutive patients. Radiology. 2004;233:338–344
  20. Choi D, Jin Lee S, Ah Cho Y, et al. Bowel wall thickening in patients with Crohn's disease: CT patterns and correlation with inflammatory activity. Clin Radiol. 2003;58:68–74
  21. Guidi L, Minordi LM, Semeraro S, et al. Clinical correlations of small bowel CT and contrast radiology findings in Crohn's disease. Eur Rev Med Pharmacol Sci. 2004;8:215–217
  22. Reittner P, Goritschnig T, Petritsch W, et al. Multiplanar spiral CT enterography in patients with Crohn's disease using a negative oral contrast material: initial results of a noninvasive imaging approach. Eur Radiol. 2002;12:2253–2257
  23. Paulsen SR, Huprich JE, Fletcher JG, et al. CT enterography as a diagnostic tool in evaluating small bowel disorders: review of clinical experience with over 700 cases. Radiographics. 2006;26:641–662
  24. Maglinte DD, Sandrasegaran K, Lappas JC. CT enteroclysis: techniques and applications. Radiol Clin North Am. 2007;45:289–301
  25. Wold PB, Fletcher JG, Johnson CD, Sandborn WJ. Assessment of small bowel Crohn disease: noninvasive peroral CT enterography compared with other imaging methods and endoscopy—feasibility study. Radiology. 2003;229:275–281
  26. Mako EK, Mester AR, Tarjan Z, Karlinger K, Toth G. Enteroclysis and spiral CT examination in diagnosis and evaluation of small bowel Crohn's disease. Eur J Radiol. 2000;35:168–175
  27. Booya F, Fletcher JG, Huprich JE, et al. Active Crohn disease: CT findings and interobserver agreement for enteric phase CT enterography. Radiology. 2006;241:787–795
  28. Doerfler OC, Ruppert-Kohlmayr AJ, Reittner P, Hinterleitner T, Petritsch W, Szolar DH. Helical CT of the small bowel with an alternative oral contrast material in patients with Crohn disease. Abdom Imaging. 2003;28:313–318
  29. Rollandi GA, Curone PF, Biscaldi E, et al. Spiral CT of the abdomen after distention of small bowel loops with transparent enema in patients with Crohn's disease. Abdom Imaging. 1999;24:544–549
  30. Solem CA, Lotfus EV, Fletcher JG, et al. Small bowel imaging in Crohn's disease: a prospective, blinded 4-way comparison trial. [abstract 488] Gastroenterology. 2005;128:A74
  31. Minordi LM, Vecchioli A, Guidi L, Mirk P, Fiorentini L, Bonomo L. Multidetector CT enteroclysis versus barium enteroclysis with methylcellulose in patients with suspected small bowel disease. Eur Radiol. 2006;16:1527–1536
  32. Low RN, Francis IR, Politoske D, Bennett M. Crohn's disease evaluation: comparison of contrast-enhanced MR imaging and single-phase helical CT scanning. J Magn Reson Imaging. 2000;11:127–135
  33. Maccioni F, Viscido A, Broglia L, et al. Evaluation of Crohn disease activity with magnetic resonance imaging. Abdom Imaging. 2000;25:219–228
  34. Florie J, Horsthuis K, Hommes DW, et al. Magnetic resonance imaging compared with ileocolonoscopy in evaluating disease severity in Crohn's disease. Clin Gastroenterol Hepatol. 2005;3:1221–1228
  35. Florie J, Wasser MN, Arts-Cieslik K, Akkerman EM, Siersema PD, Stoker J. Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn's disease. AJR Am J Roentgenol. 2006;186:1384–1392
  36. Fidler J. MR imaging of the small bowel. Radiol Clin North Am. 2007;45:317–331
  37. Gourtsoyiannis N, Papanikolaou N, Grammatikakis J, Papamastorakis G, Prassopoulos P, Roussomoustakaki M. Assessment of Crohn's disease activity in the small bowel with MR and conventional enteroclysis: preliminary results. Eur Radiol. 2004;14:1017–1024
  38. Schreyer AG, Geissler A, Albrich H, et al. Abdominal MRI after enteroclysis or with oral contrast in patients with suspected or proven Crohn's disease. Clin Gastroenterol Hepatol. 2004;2:491–497
  39. Albert JG, Martiny F, Krummenerl A, et al. Diagnosis of small bowel Crohn's disease: a prospective comparison of capsule endoscopy with magnetic resonance imaging and fluoroscopic enteroclysis. Gut. 2005;54:1721–1727
  40. Laghi A, Borrelli O, Paolantonio P, et al. Contrast enhanced magnetic resonance imaging of the terminal ileum in children with Crohn's disease. Gut. 2003;52:393–397
  41. Magnano G, Granata C, Barabino A, et al. Polyethylene glycol and contrast-enhanced MRI of Crohn's disease in children: preliminary experience. Pediatr Radiol. 2003;33:385–391
  42. Bodily KD, Fletcher JG, Solem CA, et al. Crohn disease: mural attenuation and thickness at contrast-enhanced CT enterography—correlation with endoscopic and histologic findings of inflammation. Radiology. 2006;238:505–516
  43. Colombel JF, Solem CA, Sandborn WJ, et al. Quantitative measurement and visual assessment of ileal Crohn's disease activity by computed tomography enterography: correlation with endoscopic severity and C reactive protein. Gut. 2006;55:1561–1567
  44. Rottgen R, Herzog H, Lopez-Haninnen E, Felix R. Bowel wall enhancement in magnetic resonance colonography for assessing activity in Crohn's disease. Clin Imaging. 2006;30:27–31
  45. Bell SJ, Halligan S, Windsor AC, Williams AB, Wiesel P, Kamm MA. Response of fistulating Crohn's disease to infliximab treatment assessed by magnetic resonance imaging. Aliment Pharmacol Ther. 2003;17:387–393
  46. Sempere GA, Martinez Sanjuan V, Medina Chulia E, et al. MRI evaluation of inflammatory activity in Crohn's disease. AJR Am J Roentgenol. 2005;184:1829–1835
  47. Van Assche G, Vanbeckevoort D, Bielen D, et al. Magnetic resonance imaging of the effects of infliximab on perianal fistulizing Crohn's disease. Am J Gastroenterol. 2003;98:332–339
  48. Schwartz DA, Wiersema MJ, Dudiak KM, et al. A comparison of endoscopic ultrasound, magnetic resonance imaging, and exam under anesthesia for evaluation of Crohn's perianal fistulas. Gastroenterology. 2001;121:1064–1072
  49. Bhargava SA, Orenstein SR, Charron M. Technetium-99m hexamethylpropyleneamine-oxime-labeled leukocyte scintigraphy in inflammatory bowel disease in children. J Pediatr. 1994;125:213–217
  50. Biancone L, Schillaci O, Capoccetti F, et al. Technetium-99m-HMPAO labeled leukocyte single photon emission computerized tomography (SPECT) for assessing Crohn's disease extent and intestinal infiltration. Am J Gastroenterol. 2005;100:344–354
  51. Kennan N, Hayward M. Tc HMPAO-labelled white cell scintigraphy in Crohn's disease of the small bowel. Clin Radiol. 1992;45:331–334
  52. Spinelli F, Milella M, Sara R, et al. The 99mTc-HMPAO leukocyte scan: an alternative to radiology and endoscopy in evaluating the extent and the activity of inflammatory bowel disease. J Nucl Biol Med. 1991;35:82–87
  53. Weldon MJ. Assessment of inflammatory bowel disease activity using 99mTc-HMPAO single-photon emission computerized tomography imaging. Scand J Gastroenterol Suppl. 1994;203:61–68
  54. Neurath MF, Vehling D, Schunk K, et al. Noninvasive assessment of Crohn's disease activity: a comparison of 18F-fluorodeoxyglucose positron emission tomography, hydromagnetic resonance imaging, and granulocyte scintigraphy with labeled antibodies. Am J Gastroenterol. 2002;97:1978–1985
  55. Gore RM. Cross-sectional imaging of inflammatory bowel disease. Radiol Clin North Am. 1987;25:115–131
  56. Jabra AA, Fishman EK, Taylor GA. Crohn disease in the pediatric patient: CT evaluation. Radiology. 1991;179:495–498
  57. Fishman EK, Wolf EJ, Jones B, Bayless TM, Siegelman SS. CT evaluation of Crohn's disease: effect on patient management. AJR Am J Roentgenol. 1987;148:537–540
  58. Casola G, vanSonnenberg E, Neff CC, Saba RM, Withers C, Emarine CW. Abscesses in Crohn disease: percutaneous drainage. Radiology. 1987;163:19–22
  59. Safrit HD, Mauro MA, Jaques PF. Percutaneous abscess drainage in Crohn's disease. AJR Am J Roentgenol. 1987;148:859–862
  60. American College of Radiology. Manual on Contrast Media. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/contrast_manual.aspx
  61. American College of Radiology. ACR Appropriateness Criteria®: radiation dose assessment introduction. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria/RRLInformation.aspxAccessed December 16, 2009

 The ACR seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria® through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply society endorsement of the final document.

PII: S1546-1440(09)00523-7

doi: 10.1016/j.jacr.2009.10.009

Journal of the American College of Radiology
Volume 7, Issue 2 , Pages 94-102 , February 2010

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