Publication

Patient-Friendly Summary of the ACR Appropriateness Criteria: Crohn Disease

Moore, Kristin Jordan
Lalani, Tasneem
Citations
Altmetric:
Student Authors
Faculty Advisor
Academic Program
UMass Chan Affiliations
Document Type
Journal Article
Publication Date
2021-07-01
Subject Area
Embargo Expiration Date
Abstract

Crohn disease (CD) is a chronic condition caused by inflammation of the bowel. The small bowel, the colon, or both can be involved. Individuals may have periods with frequent flare-ups and periods of remission. CD is usually diagnosed by colonoscopy along with clinical symptoms, laboratory tests, and imaging. Imaging is helpful to evaluate the extent of involvement on initial diagnosis, to evaluate for residual inflammation, or to monitor response to treatment.

For individuals without a prior diagnosis of CD or individuals with known CD with a suspected flare-up, CT abdomen and pelvis with intravenous (IV) contrast, CT enterography, or MR enterography is usually appropriate. For enterography, whether done under CT or MR, the individual has to consume approximately 1 to 1.5 L of a special liquid to help fill the small bowel. For individuals with known CD under surveillance or monitoring for treatment, MR enterography is preferred because of its lack of radiation dose.

Other imaging tests may be appropriate including MRI abdomen and pelvis without and with IV contrast when an individual is acutely ill and cannot tolerate a large volume of liquid to drink. CT abdomen and pelvis without IV contrast, fluoroscopy small-bowel follow-through, and MRI abdomen and pelvis without IV contrast can be performed in different situations but yield less information than CT enterography or MR enterography.

See the full appropriateness criteria for this topic at https://acsearch.acr.org/docs/69470/Narrative/.

Source

Moore KJ, Lalani T. Patient-Friendly Summary of the ACR Appropriateness Criteria: Crohn Disease. J Am Coll Radiol. 2021 Apr 20:S1546-1440(21)00211-8. doi: 10.1016/j.jacr.2021.02.031. Epub ahead of print. PMID: 33893044. Link to article on publisher's site

Year of Medical School at Time of Visit
Sponsors
Dates of Travel
DOI
10.1016/j.jacr.2021.02.031
PubMed ID
33893044
Other Identifiers
Notes
Funding and Acknowledgements
Corresponding Author
Related Resources
Related Resources
Repository Citation
Rights
Distribution License