Small Bowel Crohn Disease at CT and MR Enterography: Imaging Atlas and Glossary of Terms.

Radiographics

From the Department of Radiology, Thomas Jefferson University Hospital, 132 S 10th St, Philadelphia, PA 19107 (F.F.G.); Department of Radiology, Thomas Jefferson University Hospital, 132 S 10th St, Philadelphia, PA 19107 (F.F.G.); Department of Radiology, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pa (S.A.A., K.D.); Department of Radiology (J.G.F., J.L.F.) and Division of Gastroenterology and Hepatology (D.H.B.), Mayo Clinic, Rochester, Minn.; Department of Radiology, University of Michigan Health System, Ann Arbor, Mich (M.M.A.); Department of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio (J.R.D.); Department of Radiology, Rhode Island Hospital, Providence, R.I. (D.J.G.); Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY (M.C.); Imaging Institute, Cleveland Clinic, Cleveland, Ohio (N.S.G.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.S.G.); Department of Radiology, University of Florida College of Medicine, Gainesville, Fla (J.R.G.); Department of Radiology, New York University Langone Health, New York, N.Y. (C.H.); Department of Radiology, Duke University Medical Center, Durham, N.C. (T.A.J.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Radiology, Hospital Clínic of Barcelona, Barcelona, Spain (J.R.); Department of Radiology, Boston University Medical Center, Boston, Mass (J.A.S.); Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY (B.T.); Centre for Medical Imaging, University College London, London, United Kingdom (S.A.T.); and Imaging Institute, Cleveland Clinic, Cleveland, Ohio (M.E.B.).

Published: April 2021

Representatives from the Society of Abdominal Radiology Crohn's Disease-Focused Panel, the Society for Pediatric Radiology, the American Gastroenterological Association, and other international experts recently reported consensus recommendations for standardized nomenclature for the interpretation and reporting of CT enterography and MR enterography findings of small bowel Crohn disease. The consensus recommendations included CT enterography and MR enterography bowel wall findings that are associated with Crohn disease, findings that occur with penetrating Crohn disease, and changes that occur in the mesentery related to Crohn disease. Also included were recommended radiology report impression statements that summarize the findings of small bowel Crohn disease at CT enterography and MR enterography. This article, authored by the Society of Abdominal Radiology Crohn's Disease-Focused Panel, illustrates the imaging findings and recommended radiology report impression statements described in the consensus recommendations with examples of CT enterography and MR enterography images. Additional interpretation guidelines for reporting CT enterography and MR enterography examinations are also presented. The recommended standardized nomenclature can be used to generate radiology report dictations that will help guide medical and surgical management for patients with small bowel Crohn disease. RSNA, 2020See discussion on this article by Heverhagen.

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http://dx.doi.org/10.1148/rg.2020190091DOI Listing

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