Inflammatory Bowel Diseases: The Radiologist’s Point of View

  • F. Maccioni
Conference paper


Radiology has always played a fundamental role in the diagnosis and evaluation of inflammatory bowel disease (IBD), and particularly of Crohn’s disease (CD). Barium studies of the gastrointestinal tract are still considered — after more than 50 years from the first radiological description of CD — a primary diagnostic tool in the evaluation of IBD (Marshak et al. 1955; Maglinte et al. 1992; Herlinger et al. 1994). In the last decade, however, the role of radiology has further enlarged, thanks to significant improvements in the field of cross-sectional imaging [ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI)]. This role has significantly changed, moving from the assessment of the luminal and mucosal changes to a more extensive assessment and investigation of the transmural extension of the inflammatory disease.


Inflammatory Bowel Disease Spiral Compute Tomography Crohn Disease Distal Ileum Barium Study 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Gore RM, Balthazar EJ, Ghahremani GG, Miller FH (1996) CT features of ulcerative colitis and Crohn’s disease. AIR 167: 3–15Google Scholar
  2. Gore RM, Ghahremani GG, Miller FH (1997). Inflammatory bowel disease: radiologic diagnosis. In: Balfe DM, Levine MS (eds) Syllabus of RSNA categorical course in gastrointestinal radiology. Radiology Society of North America, Oak Brook, Illinois, pp 95–110Google Scholar
  3. Gourtsoyiannis N, Papanikolaou N, Grammatikakis J, Maris T, Prassopoulos P (2001) MR enteroclysis protocol optimization: comparison between 3D FLASH with fat saturation after intravenous gadolinium injection and true FISP sequences. Eur Radiol 11: 908–913PubMedCrossRefGoogle Scholar
  4. Herlinger H, Rubesin SE, Furth EE (1998) Mesenteric border linear ulcer in Crohn disease: historical, radiologic and pathologic perspectives. Abdom Imaging 23: 122–126PubMedCrossRefGoogle Scholar
  5. Herlinger H. Barium examination (1994) In: Gore RM, Levine MS, Laufer I (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 767–788Google Scholar
  6. Maccioni F, Viscido A, Broglia L, Marrollo R, Masciangelo M, Caprilli R, Rossi P (2000) Evaluation of Crohn disease activity with magnetic resonance imaging. Abdom Imaging 25: 219–228PubMedCrossRefGoogle Scholar
  7. Maglinte DDT, Chernish SM, Kelvin FM, O’Connor KW, et al (1992) Crohn disease of the small intestine: accuracy and relevance of enteroclysis. Radiology 184: 541–545PubMedGoogle Scholar
  8. Marshak RHM, Wolfe BSW (1955) Roentgen findings in regional ileitis. AJR 74:1000–1014 Meyers MA, McGuire PV (1995) Spiral CT demonstration of hypervascularity in Crohn dis-ease: “vascular jejunization of the ileum” or the “comb sign”. Abdom Imaging 20: 327–332Google Scholar
  9. Oostayen JA, Wasser MNJ, Hogezand RA, Griffioen G, de Roos A (1994) Activity of Crohn disease assessed by measurement of superior mesenteric artery flow with Doppler US. Radiology 193: 551–554PubMedGoogle Scholar
  10. Pallotta N, Baccini F, Corrazziari E (2001) Small intestine contrast ultrasonography ( SICUS) in the diagnosis of small intestine lesions. Ultrasound Med Biol 27: 35–341Google Scholar
  11. Pradel JA, David XR, Taourel P, Djafari M, Veyrac M, Bruel JM (1997) Sonographic assessment of the normal and abnormal bowel wall in nondiverticular ileitis and colitis. Abdom Imaging 22: 167–172PubMedCrossRefGoogle Scholar
  12. Rioux M, Gagnon J (1997) Imaging modalities in the puzzling world of inflammatory bowel disease. Abdom Imaging 22: 173–174PubMedCrossRefGoogle Scholar
  13. Sarrazin J, Wilson SR (1996) Manifestations of Crohn disease at US. Radiographics 16: 499–520PubMedGoogle Scholar
  14. Semelka RC, Shoenut RP, Silverman R, et al (1991) Bowel disease: prospective comparison of CT and 1.5 T pre-and post-contrast MR imaging with TI-weighted fat-suppressed and breath-hold FLASH sequences. J Magn Reson Imaging 1: 625–632PubMedCrossRefGoogle Scholar
  15. Sonnenberg A, Erckenbrecht J, Peter P, Nierderau G (1982). Detection of Crohn’s disease by ultrasound. Gastroenterology 83: 430–434PubMedGoogle Scholar
  16. Wills JS, Lobis IF, Denstman FJ (1997) Crohn disease: state of the art. Radiology 202: 597–610PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • F. Maccioni

There are no affiliations available

Personalised recommendations