caa a22 4500 605495173 CHVBK 20210128100530.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00261-015-0423-y doi (NATIONALLICENCE)springer-10.1007/s00261-015-0423-y Pediatric inflammatory bowel disease: imaging issues with targeted solutions [Elektronische Daten] [Sudha Anupindi, Daniel Podberesky, Alexander Towbin, Jesse Courtier, Michael Gee, Kassa Darge, Jonathan Dillman] To date, there have been many advances in inflammatory bowel disease (IBD) imaging in every cross-sectional imaging modality, particularly in children. The main emphasis in pediatric IBD imaging is on robust and reproducible measures of small bowel Crohn's disease inflammation, accurate diagnosis of IBD-related complications, and minimizing radiation burden to the patient, as repeat imaging is necessary over the course of their disease. In this article, we discuss the current state-of-the-art imaging techniques, in addition to routine fluoroscopy, including MR and CT enterography and bowel ultrasound. We also present the emerging use of new methods to characterize disease severity and distinguish active inflammation from fibrosis such as diffusion-weighted imaging, bowel elastography, and contrast-enhanced ultrasound. The diagnostic performance of particular examinations, their strengths and weaknesses, and role in IBD management will be discussed. Although these advanced imaging techniques applied to children are similar to those performed in adults, special considerations related to their application in pediatric patients will also be reviewed. Springer Science+Business Media New York, 2015 Inflammatory bowel disease nationallicence CTE/MRE nationallicence Ultrasound nationallicence Fluoroscopy nationallicence Children nationallicence Pediatric concerns nationallicence Anupindi Sudha Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 34th Street and Civic Center Blvd, 19104, Philadelphia, PA, USA aut Podberesky Daniel Department of Radiology, Nemours Children's Hospital, 32827, Orlando, FL, USA aut Towbin Alexander Department of Radiology, Cincinnati Children's Hospital Medical Center, 45241, Cincinnati, OH, USA aut Courtier Jesse Department of Radiology, UCSF Benioff Children's Hospital, 94121, San Francisco, CA, USA aut Gee Michael Division of Pediatric Imaging, Department of Radiology, Massachusetts General Hospital, 02114, Boston, MA, USA aut Darge Kassa Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 34th Street and Civic Center Blvd, 19104, Philadelphia, PA, USA aut Dillman Jonathan Section of Pediatric Radiology, Department of Radiology, C.S. Mott Children's Hospital, University of Michigan Health System, 48109, Ann Arbor, MI, USA aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 975-992 0942-8925 40:5<975 2015 40 261 https://doi.org/10.1007/s00261-015-0423-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0423-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anupindi Sudha Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 34th Street and Civic Center Blvd, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Podberesky Daniel Department of Radiology, Nemours Children's Hospital, 32827, Orlando, FL, USA aut NATIONALLICENCE 700 1- Towbin Alexander Department of Radiology, Cincinnati Children's Hospital Medical Center, 45241, Cincinnati, OH, USA aut NATIONALLICENCE 700 1- Courtier Jesse Department of Radiology, UCSF Benioff Children's Hospital, 94121, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Gee Michael Division of Pediatric Imaging, Department of Radiology, Massachusetts General Hospital, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Darge Kassa Department of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 34th Street and Civic Center Blvd, 19104, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Dillman Jonathan Section of Pediatric Radiology, Department of Radiology, C.S. Mott Children's Hospital, University of Michigan Health System, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 975-992 0942-8925 40:5<975 2015 40 261