Crohn Disease Imaging (2025)-W6-CGI0921-2025

Video Transcription

Video Summary

The video transcript discusses the complexities of diagnosing and managing Crohn's disease, specifically focusing on stricturing and penetrating disease. It emphasizes the importance of standardized references and techniques to ensure consistent diagnoses across various institutions. One key objective is to identify phenotypic features using established guidelines, which improves observer agreement and diagnostic accuracy.<br /><br />The discussion highlights that a significant percentage of patients initially present with stricturing Crohn's disease that can lead to further complications like bowel obstruction. Pathologically, strictures are complicated by a mix of inflammation and fibrosis, and while current medical treatments address inflammation, they do not reverse established fibrosis, often necessitating surgical intervention.<br /><br />Advanced imaging, including MRI and CT enterography, plays a critical role not only in diagnosing and monitoring disease progression but also in assessing treatment efficacy. MRI is particularly beneficial for evaluating the intricate details of perianal fistulas often seen in Crohn's cases. The transcript outlines the procedural and preparatory steps needed for effective imaging, noting the importance of consistent methodology and collaboration among healthcare providers to improve patient outcomes.<br /><br />Ultrasound is also noted as a valuable tool, praised for its lack of radiation and convenience, though it requires specialized training and collaboration for optimal use. The session concludes with a discussion on the importance of structured reporting to enhance communication, accuracy, and potential research pursuits in the context of Crohn's management.

Keywords

Crohn's disease

stricturing

penetrating disease

diagnostic accuracy

MRI

CT enterography

phenotypic features

inflammation

ultrasound

structured reporting