Evidence map›Paper›PMID 39613873›Full record

ArticleAbdominal radiology (New York)2025

Optimization of dual-energy CT enterography parameters for the assessment of Crohn's disease activity: a retrospective study.

Genghuan Ni, Gang Su, Haiyan Shen, Peiyun Zhu, Hongwei Zhao, Weiqun Ao

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Article in Abdominal radiology (New York), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Genghuan NiThe Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Gang SuThe Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Haiyan ShenThe Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Peiyun ZhuThe Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Hongwei ZhaoThe Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
Weiqun AoTongde Hospital of Zhejiang Province, Hangzhou, China. 78123858@qq.com.

Funding

Medical Science and Technology Project of Zhejiang Province 2022KY122, 2024KY052Science and Technology Bureau of Jiaxing City 2020AD30085Zhejiang Traditional Chinese Medicine Administration 2024ZL040
6 · The paper itself

Abstract

purposeDiscuss the selection of imaging parameters in dual-energy CT enterography (DECTE) assessment for patients with Crohn's disease (CD) at different activity levels.

methodThis study analyzed data from 55 CD patients who had DECTE and endoscopy from 2020 to 2022. Patients were divided into moderate-severe (Crohn's Disease Endoscopic Index of Severity (CDEIS) ≥ 10) and remission-mild (CDEIS < 10) groups. Imaging indicators such as intestinal wall thickness, iodine concentration (IC), and lesion wall enhancement (ΔHu) were compared, and their correlations with CDEIS scores were analyzed. The receiver operating characteristic (ROC) curve was used to evaluate DECTE's effectiveness in assessing CD activity with multiparameter versus single-parameter methods. Decision curve analysis (DCA) and calibration curve analysis (CCA) were applied to assess patient benefits from the multiparameter assessment model.

resultsIC, ΔHu, wall thickness, and comb sign varied significantly between groups (P < 0.05). In the moderate-severe group, ΔHu correlated more strongly with CDEIS than in the remission-mild group. Lesion IC also highly correlated with CDEIS in both groups. DECTE, using multiparameter assessment, achieved an AUC of 0.933(95% CI 0.982-0.999, sensitivity was 0.906, specificity was 0.870) for diagnosing moderate to severe CD activity, surpassing single parameters assessment. CCA and DCA showed that multiparameter assessment had good calibration and net clinical benefits.

conclusionCompared to moderate-severe CD, the assessment of disease activity in patients with mild-moderate CD was more important using DECTE. A multiparameter assessment can enhance the diagnostic efficacy of DECT for patients with CD.

Indexed as

Crohn DiseaseRadiography, Dual-Energy Scanned ProjectionTomography, X-Ray ComputedAdultFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexAssessmentComputed tomography enterographyCrohn's diseaseDual-energy

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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.