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Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography

Many patients with Crohn’s disease (CD) require surgical intervention during their lifetime. A correct preoperative assessment of the intestinal length is necessary to predict and quickly treat postoperative nutritional disorders. The aim of this paper is to explain the method used in our hospital t...

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Autores principales: Minordi, Laura Maria, Larosa, Luigi, Brizi, Maria Gabriella, Armuzi, Alessandro, Manfredi, Riccardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10679580/
https://www.ncbi.nlm.nih.gov/pubmed/36959720
http://dx.doi.org/10.5152/dir.2022.21968
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author Minordi, Laura Maria
Larosa, Luigi
Brizi, Maria Gabriella
Armuzi, Alessandro
Manfredi, Riccardo
author_facet Minordi, Laura Maria
Larosa, Luigi
Brizi, Maria Gabriella
Armuzi, Alessandro
Manfredi, Riccardo
author_sort Minordi, Laura Maria
collection PubMed
description Many patients with Crohn’s disease (CD) require surgical intervention during their lifetime. A correct preoperative assessment of the intestinal length is necessary to predict and quickly treat postoperative nutritional disorders. The aim of this paper is to explain the method used in our hospital to measure intestinal length in patients with CD and its usefulness for making the correct therapeutic decision. Vessel analysis software is used to measure small bowel length through computed tomography enterography (CTE) or magnetic resonance enterography (MRE). The method permits two-dimensional and three-dimensional curved multiplanar reconstructions and allows each loop to be stretched using a point-by-point identification of the intestinal lumen. Subsequently, the software allows the creation of a virtual image, on which the intestinal length is measured linearly. This methodology was tested on three patients; patients 1 and 3 were examined using CTE, and patient 2 was examined using MRE. The outcomes were discussed at a multidisciplinary team meeting (MDT). As a result, surgical ileocolic resection was recommended for patient 1 and medical therapy for patients 2 and 3. Intestinal length measurements have proved vital during MDTs for making appropriate therapeutic decisions.
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spelling pubmed-106795802023-12-05 Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography Minordi, Laura Maria Larosa, Luigi Brizi, Maria Gabriella Armuzi, Alessandro Manfredi, Riccardo Diagn Interv Radiol Abdominal Imaging - Technical Note Many patients with Crohn’s disease (CD) require surgical intervention during their lifetime. A correct preoperative assessment of the intestinal length is necessary to predict and quickly treat postoperative nutritional disorders. The aim of this paper is to explain the method used in our hospital to measure intestinal length in patients with CD and its usefulness for making the correct therapeutic decision. Vessel analysis software is used to measure small bowel length through computed tomography enterography (CTE) or magnetic resonance enterography (MRE). The method permits two-dimensional and three-dimensional curved multiplanar reconstructions and allows each loop to be stretched using a point-by-point identification of the intestinal lumen. Subsequently, the software allows the creation of a virtual image, on which the intestinal length is measured linearly. This methodology was tested on three patients; patients 1 and 3 were examined using CTE, and patient 2 was examined using MRE. The outcomes were discussed at a multidisciplinary team meeting (MDT). As a result, surgical ileocolic resection was recommended for patient 1 and medical therapy for patients 2 and 3. Intestinal length measurements have proved vital during MDTs for making appropriate therapeutic decisions. Galenos Publishing 2023-01-31 /pmc/articles/PMC10679580/ /pubmed/36959720 http://dx.doi.org/10.5152/dir.2022.21968 Text en © Copyright 2023 by Turkish Society of Radiology | Diagnostic and Interventional Radiology, published by Galenos Publishing House. https://creativecommons.org/licenses/by-nc/4.0/Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Abdominal Imaging - Technical Note
Minordi, Laura Maria
Larosa, Luigi
Brizi, Maria Gabriella
Armuzi, Alessandro
Manfredi, Riccardo
Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title_full Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title_fullStr Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title_full_unstemmed Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title_short Length of the healthy and pathological small intestine in patients with Crohn’s disease: calculations using computed tomography and magnetic resonance enterography
title_sort length of the healthy and pathological small intestine in patients with crohn’s disease: calculations using computed tomography and magnetic resonance enterography
topic Abdominal Imaging - Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10679580/
https://www.ncbi.nlm.nih.gov/pubmed/36959720
http://dx.doi.org/10.5152/dir.2022.21968
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