Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan
Inflammatory bowel disease (IBD) is a chronic and relapsing disease that can be complicated by abscesses, fistulas, or strictures of the damaged bowel. Endoscopy or imaging studies are required to diagnose and monitor the treatment response or complications of the disease. Due to the low incidence o...
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| Format: | Article |
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MDPI AG
2022-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/17/5050 |
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| author | Chen-Ta Yang Hsu-Heng Yen Yang-Yuan Chen Pei-Yuan Su Siou-Ping Huang |
| author_facet | Chen-Ta Yang Hsu-Heng Yen Yang-Yuan Chen Pei-Yuan Su Siou-Ping Huang |
| author_sort | Chen-Ta Yang |
| collection | DOAJ |
| description | Inflammatory bowel disease (IBD) is a chronic and relapsing disease that can be complicated by abscesses, fistulas, or strictures of the damaged bowel. Endoscopy or imaging studies are required to diagnose and monitor the treatment response or complications of the disease. Due to the low incidence of the disease in Taiwan, the pattern of radiation exposure from medical imaging has not been well studied previously. This retrospective study aimed to evaluate the pattern of radiation exposure in 134 Taiwanese IBD patients (45 CD and 89 UC) diagnosed and followed at Changhua Christian Hospital from January 2010 to December 2020. We reviewed the patient demographic data and radiation-containing image studies performed during the follow-up. The cumulative effective dose (CED) was calculated for each patient. During a median follow-up of 4 years, the median CED was higher for patients with CD (median CED 21.2, IQR 12.1–32.8) compared to patients with UC (median CED 2.1, IQR 0–5.6) (<i>p</i> < 0.001). In addition, the CD patients had a trend of a higher rate of cumulative ≥50 mSv compared with the UC patients (6.7% vs. 1.1%, <i>p</i> = 0.110). In conclusion, our study found a higher radiation exposure among CD patients compared to patients with UC, representing the complicated nature of the disease. Therefore, increasing the use of radiation-free medical imaging such as intestinal ultrasound or magnetic resonance imaging should be advocated in daily practice to decrease the risk of excessive radiation exposure in these patients. |
| first_indexed | 2024-03-10T01:39:21Z |
| format | Article |
| id | doaj.art-5b01a73fe1d64d878ce919df6662a37e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:39:21Z |
| publishDate | 2022-08-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5b01a73fe1d64d878ce919df6662a37e2023-11-23T13:26:47ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011117505010.3390/jcm11175050Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in TaiwanChen-Ta Yang0Hsu-Heng Yen1Yang-Yuan Chen2Pei-Yuan Su3Siou-Ping Huang4Division of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanInflammatory bowel disease (IBD) is a chronic and relapsing disease that can be complicated by abscesses, fistulas, or strictures of the damaged bowel. Endoscopy or imaging studies are required to diagnose and monitor the treatment response or complications of the disease. Due to the low incidence of the disease in Taiwan, the pattern of radiation exposure from medical imaging has not been well studied previously. This retrospective study aimed to evaluate the pattern of radiation exposure in 134 Taiwanese IBD patients (45 CD and 89 UC) diagnosed and followed at Changhua Christian Hospital from January 2010 to December 2020. We reviewed the patient demographic data and radiation-containing image studies performed during the follow-up. The cumulative effective dose (CED) was calculated for each patient. During a median follow-up of 4 years, the median CED was higher for patients with CD (median CED 21.2, IQR 12.1–32.8) compared to patients with UC (median CED 2.1, IQR 0–5.6) (<i>p</i> < 0.001). In addition, the CD patients had a trend of a higher rate of cumulative ≥50 mSv compared with the UC patients (6.7% vs. 1.1%, <i>p</i> = 0.110). In conclusion, our study found a higher radiation exposure among CD patients compared to patients with UC, representing the complicated nature of the disease. Therefore, increasing the use of radiation-free medical imaging such as intestinal ultrasound or magnetic resonance imaging should be advocated in daily practice to decrease the risk of excessive radiation exposure in these patients.https://www.mdpi.com/2077-0383/11/17/5050inflammatory bowel diseaseCrohn’s diseaseradiationimaging |
| spellingShingle | Chen-Ta Yang Hsu-Heng Yen Yang-Yuan Chen Pei-Yuan Su Siou-Ping Huang Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan Journal of Clinical Medicine inflammatory bowel disease Crohn’s disease radiation imaging |
| title | Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan |
| title_full | Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan |
| title_fullStr | Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan |
| title_full_unstemmed | Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan |
| title_short | Radiation Exposure among Patients with Inflammatory Bowel Disease: A Single-Medical-Center Retrospective Analysis in Taiwan |
| title_sort | radiation exposure among patients with inflammatory bowel disease a single medical center retrospective analysis in taiwan |
| topic | inflammatory bowel disease Crohn’s disease radiation imaging |
| url | https://www.mdpi.com/2077-0383/11/17/5050 |
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