Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”

Abstract We read with interest the study by Freitas et al. comparing contrast-enhanced ultrasound (CEUS) and parameters from a time-intensity curve (TIC) with the SUS-CD score and IBUS-SAS score in patients with Crohn’s disease (CD) undergoing gastrointestinal ultrasound (GIUS) and ileocolonoscopy....

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Main Authors: Kim Nylund, Kerri Novak, Rune Wilkens
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Gastroenterology
Online Access:https://doi.org/10.1186/s12876-023-02882-5
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author Kim Nylund
Kerri Novak
Rune Wilkens
author_facet Kim Nylund
Kerri Novak
Rune Wilkens
author_sort Kim Nylund
collection DOAJ
description Abstract We read with interest the study by Freitas et al. comparing contrast-enhanced ultrasound (CEUS) and parameters from a time-intensity curve (TIC) with the SUS-CD score and IBUS-SAS score in patients with Crohn’s disease (CD) undergoing gastrointestinal ultrasound (GIUS) and ileocolonoscopy. The aim was to compare the accuracy of CEUS and aforementioned scores in predicting terminal ileal inflammatory activity in patients with CD. In this retrospective study of 50 patients, inflammatory activity was defined as a segmental score of SES-CD ≥ 7 in the terminal ileum. The study found 30 patients with active endoscopic disease demonstrating no significant difference between the “inactive” and “active” SUS CD and IBUS-SAS scores. However, the CEUS peak enhancement derived from the TIC was shown to be significantly different. The authors conclude CEUS was superior for detecting inflammation in the terminal ileum, as opposed to ultrasound scores relying on bowel wall thickness and color Doppler.
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spelling doaj.art-d128bbc1ff85407e8a1ef5bd6bd16c712023-11-26T13:30:18ZengBMCBMC Gastroenterology1471-230X2023-08-012311310.1186/s12876-023-02882-5Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”Kim Nylund0Kerri Novak1Rune Wilkens2National Center of Ultrasound in Gastroenterology, Haukeland University HospitalDivision of Gastroenterology and Hepatology, Department of Medicine, University of CalgaryDigestive Disease Center, Division of Medicine, Copenhagen University Hospital - Bispebjerg & FrederiksbergAbstract We read with interest the study by Freitas et al. comparing contrast-enhanced ultrasound (CEUS) and parameters from a time-intensity curve (TIC) with the SUS-CD score and IBUS-SAS score in patients with Crohn’s disease (CD) undergoing gastrointestinal ultrasound (GIUS) and ileocolonoscopy. The aim was to compare the accuracy of CEUS and aforementioned scores in predicting terminal ileal inflammatory activity in patients with CD. In this retrospective study of 50 patients, inflammatory activity was defined as a segmental score of SES-CD ≥ 7 in the terminal ileum. The study found 30 patients with active endoscopic disease demonstrating no significant difference between the “inactive” and “active” SUS CD and IBUS-SAS scores. However, the CEUS peak enhancement derived from the TIC was shown to be significantly different. The authors conclude CEUS was superior for detecting inflammation in the terminal ileum, as opposed to ultrasound scores relying on bowel wall thickness and color Doppler.https://doi.org/10.1186/s12876-023-02882-5
spellingShingle Kim Nylund
Kerri Novak
Rune Wilkens
Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
BMC Gastroenterology
title Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
title_full Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
title_fullStr Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
title_full_unstemmed Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
title_short Comment on “Ultrasonographic scores for ileal Crohn’s disease assessment: better, worse or the same as contrast‑enhanced ultrasound?”
title_sort comment on ultrasonographic scores for ileal crohn s disease assessment better worse or the same as contrast enhanced ultrasound
url https://doi.org/10.1186/s12876-023-02882-5
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