Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Low-Radiation Dose CT Enterography for Crohn’s
AJR Am J Roentgenol; ePub 2017 Dec 20; Rosenfeld, et al
Although CT enterography (CTE) has been shown to accurately detect inflammatory changes in patients with Crohn’s disease, concerns remain about the relatively high dose of ionizing radiation generated by the procedure. A recent experiment using a model-based iterative reconstruction technique (MBIR) found that a low-radiation dose version of CTE was both sensitive and specific. Study highlights include:
- Among 163 Crohn’s disease patients, 92 of whom had active disease, low-dose CTE was equivalent to standard dose CTE.
- The low-dose approach resulted in a sensitivity rate of 85% to 94% and a specificity of 84% to 97%.
- Radiation exposure was reduced by 3.30 mSV on average using the MBIR technique.
Rosenfeld G, Brown J, Vos PM, et al. Prospective comparison of standard-versus low-radiation-dose CT enterography for the quantitative assessment of Crohn disease. [Published online ahead of print December 20, 2017] AJR Am J Roentgenol. doi:10.2214/AJR.17.18296.