Evidence map›Paper›PMID 26574490›Full record

Trial reportJournal of Crohn's & colitis2016

PET/MR Versus PET/CT Imaging: Impact on the Clinical Management of Small-Bowel Crohn's Disease.

Gianluca Pellino, Emanuele Nicolai, Onofrio A Catalano, Severo Campione, Francesco P D'Armiento, Marco Salvatore, Alberto Cuocolo, Francesco Selvaggi

2 registry-linked trialsOpen access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Journal of Crohn's & colitis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04630782 unknown statusnot on this mapstarted 2020, after this paper: background citation

Precision Medicine in Systemic Sclerosis Gastrointestinal Disease: Evaluating Imaging and Stool Biomarkers for Differentiating Disease Stages and Treatment Responses

TypeobservationalSponsorSingapore General HospitalRan2020 to 2023Enrolled70ConditionsSystemic Sclerosis, SclerodermaArmsPET-MRI scan
NCT06252493 recruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of PET/MR Enterography for Differentiation of Fibrotic and Inflammatory Strictures in Patients With Crohn's Disease Using a Collagen-binding Radiotracer.

TypeobservationalSponsorMassachusetts General HospitalRan2023 to 2029Enrolled25ConditionsCrohn DiseaseArmsRadiotracer Injection, Contrast Media, Magnetic Resonance, Blood Draw, Glucagon, Imaging
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. Combined [European journal of nuclear medicine and molecular imaging · 2026
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  15. How to Evaluate Fibrosis in IBD?Diagnostics (Basel, Switzerland) · 2023
    Review
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  17. Review
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Gianluca PellinoUnit of Colorectal Surgery, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Naples, Italy.
Emanuele NicolaiIRCCS-SDN , Naples, Italy.
Onofrio A CatalanoDepartment of Radiology, Harvard medical school, Massachusetts General Hospital, Boston, MA.
Severo CampioneDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Francesco P D'ArmientoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Marco SalvatoreIRCCS-SDN , Naples, Italy.
Alberto CuocoloDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Francesco SelvaggiUnit of Colorectal Surgery, Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Naples, Italy fselvaggi@hotmail.com.
University of Naples Federico II · ITSDN Istituto di Ricerca Diagnostica e Nucleare · ITMassachusetts General Hospital · USUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe aim of this study was to compare the accuracy and clinical impact of hybrid positron emission tomography [PET]/magnetic resonance-enterography [MR-E] and PET/computed tomography-enterography [CT-E] in patients with Crohn's disease [CD].

methodsA total of 35 patients with symptomatic small-bowel CD who were scheduled to undergo operation were evaluated before operation by same-day PET/CT-E and PET/MR-E. PET/MR-E was also compared with MR-E alone. Imaging accuracy for detecting pathological sites and discriminating between fibrotic and inflammatory strictures was assessed. Treatment was adjusted according to imaging findings and change in medical/surgical strategy was also evaluated.

resultsPET/CT-E, PET/MR-E, and MR-E were equally accurate in detecting CD sites. PET/MR-E was more accurate in assessing extra-luminal disease [p = 0.002], which was associated with higher need for stoma [p = 0.022] and distant localisation [p = 0.002]. When the latter was observed, laparoscopy was started with hand-assisted device, reducing operative time [p = 0.022]. PET/MR-E was also more accurate in detecting a fibrotic component compared with PET/CT-E [p = 0.043] and with MR-E [p = 0.024]. Fibrosis was more frequently classified as inflammation with MR-E compared with PET/MR-E [p = 0.019]. Out of 8 patients with predominantly inflammatory CD who received medical treatment, 6 [75%] remained surgery free. Overall, 29 patients received surgery. At median follow-up of 9 [6-22] months, no recurrences occurred in either the medical or the surgical group.

conclusionsPreoperative PET/MR-E imaging is highly accurate for assessing CD lesions before operation and contributed to clinical management of patients with small-bowel CD more often than PET/CT-E.

Indexed as

Magnetic Resonance ImagingPositron Emission Tomography Computed TomographyAdolescentAdultAgedCrohn DiseaseFemaleFollow-Up StudiesHumansIntestine, SmallLaparoscopyMaleMiddle AgedPreoperative CareProspective StudiesYoung AdultCrohn’s diseasediagnosis; surgeryfibrosisinflammationmagnetic resonance imagingpathology

Identifiers

PMID26574490
PMCPMC4957472
OpenAlexW2177404985

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.