The Current Role of Imaging in the Diagnosis of Inflammatory Bowel Disease and Detection of Its Complications: A Systematic Review

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Publicado en:Cureus vol. 16, no. 11 (2024)
Autor principal: Younis, Muhammad Yasir
Otros Autores: Khan, Muhammad Usman, Khan, Usman, Latif Khan Talal, Hassan, Mukarram, Jain Kanav, Ilyas Insha, Jain Wachi
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Springer Nature B.V.
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100 1 |a Younis, Muhammad Yasir 
245 1 |a The Current Role of Imaging in the Diagnosis of Inflammatory Bowel Disease and Detection of Its Complications: A Systematic Review 
260 |b Springer Nature B.V.  |c 2024 
513 |a Evidence Based Healthcare Journal Article 
520 3 |a Inflammatory bowel disease (IBD) encompasses complex gastrointestinal (GI) conditions, primarily Crohn's disease (CD) and ulcerative colitis (UC), requiring precise imaging for effective diagnosis and management of complications. This systematic review aimed to evaluate the current role of imaging modalities in diagnosing IBD and detecting related complications. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We performed a literature search using text words and controlled vocabulary applying Boolean operators "AND," "OR," with various combinations on databases such as PubMed, Embase, and Cochrane Library. The search targeted open-access articles involving humans, with full-text available, and published in the English Language from 2005 to 2024. The quality of the included studies was assessed using the Cochrane Risk-of-Bias (RoB) checklist.Our search process identified 127 records from Cochrane (39), Embase (29), and PubMed (59). After removing 98 irrelevant records, 29 underwent further screening. Five were excluded as they involved irrelevant problems or outcomes, leaving us with 24 reports with full text, all of which were accessible. Following the eligibility assessment, two more reports were excluded due to inaccessibility, and 22 studies were included in the final analysis. The risk of bias and methodological quality assessment revealed that out of 22 studies analyzed, five (23%) had a high risk of bias, while 13 (59%) were classified as moderate risk, and four (18%) showed low risk. This distribution highlights a predominance of moderate-risk studies in research on imaging in IBD, emphasizing the need for enhanced study designs in future investigations.Our findings revealed the varying effectiveness of imaging modalities in diagnosing complications of CD and UC. Magnetic resonance enterography (MRE) stands out as the preferred method for CD due to its high sensitivity and noninvasive nature. In contrast, colonoscopy remains the gold standard for UC, providing direct visualization of mucosal lesions. While techniques like ultrasound and capsule endoscopy offer valuable insights, they have limitations that may affect their utility in certain cases. 
653 |a Fistula 
653 |a Patients 
653 |a Tomography 
653 |a Accuracy 
653 |a Diarrhea 
653 |a Colonoscopy 
653 |a Magnetic resonance imaging 
653 |a Intervention 
653 |a Inflammatory bowel disease 
653 |a Abscesses 
653 |a Inflammation 
653 |a Abdomen 
653 |a Colorectal cancer 
653 |a Ultrasonic imaging 
653 |a Systematic review 
653 |a Clinical outcomes 
653 |a Endoscopy 
653 |a Bias 
653 |a Medical diagnosis 
653 |a Crohn's disease 
700 1 |a Khan, Muhammad Usman 
700 1 |a Khan, Usman 
700 1 |a Latif Khan Talal 
700 1 |a Hassan, Mukarram 
700 1 |a Jain Kanav 
700 1 |a Ilyas Insha 
700 1 |a Jain Wachi 
773 0 |t Cureus  |g vol. 16, no. 11 (2024) 
786 0 |d ProQuest  |t Health & Medical Collection 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3134456003/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch