Evidence map›Paper›PMID 40662968›Full record

ReviewRadiology2025

SAR Consensus Recommendations for Defining Small Bowel Crohn Disease Strictures at CT and MR Enterography.

Bari Dane, Jonathan R Dillman, Jeff Fidler, Sudha A Anupindi, Clifton G Fulmer, Ilyssa O Gordon, David H Bruining, Parakkal Deepak, Abdul-Rahman Abualruz, Mahmoud Al-Hawary and 8 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. [Diagnostic imaging of the small bowel].Radiologie (Heidelberg, Germany) · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Bari DaneDepartment of Radiology, NYU Langone Health, 660 1st Ave, New York, NY 10016.ORCID 0000-0003-2205-3309
Jonathan R DillmanDepartment of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0003-0124-0164
Jeff FidlerDepartment of Radiology, Mayo Clinic, Rochester, Minn.ORCID 0000-0001-8275-126X
Sudha A AnupindiDepartment of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pa.ORCID 0000-0002-7784-3108
Clifton G FulmerDepartment of Pathology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0003-1453-9421
Ilyssa O GordonDepartment of Pathology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-1893-7200
David H BruiningDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minn.ORCID 0000-0003-4320-8429
Parakkal DeepakDivision of Gastroenterology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo.ORCID 0000-0002-3436-9784
Abdul-Rahman AbualruzDepartment of Radiology, Keck School of Medicine of USC, Los Angeles, Calif.ORCID 0000-0003-2397-787X
Mahmoud Al-HawaryDepartment of Radiology, MD Anderson Cancer Center, Houston, Tex.ORCID 0000-0002-3699-1147
Emre AltinmakasDepartment of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY.
Flavius F GuglielmoDepartment of Radiology, Thomas Jefferson University, Philadelphia, Pa.ORCID 0000-0001-7861-3593
Tracy JaffeDepartment of Radiology, Duke University School of Medicine, Durham, NC.ORCID 0000-0002-5420-8742
Jordi RimolaIBD Unit, Radiology Department, Hospital Clinic de Barcelona, IDIBAPS, CIBER-EHD, Barcelona, Spain.
Dominik BettenworthDivision of Gastroenterology, University of Munster, Munster, Germany.ORCID 0000-0002-1435-4825
Florian RiederDepartment of Gastroenterology, Hepatology and Nutrition; Digestive Diseases Institute; Department of Inflammation and Immunity; Lerner Research Institute; Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-9087-1568
Joel G Fletcher *Department of Radiology, Mayo Clinic, Rochester, Minn.ORCID 0000-0002-8941-5434
Mark E Baker *Imaging Department, Diagnostics Institute and Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-5023-3361

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

More than half of patients with Crohn disease will develop strictures. Strictures are areas of bowel luminal narrowing composed of a combination of inflammatory cells, muscular hypertrophy, and fibrosis. Most patients with strictures eventually require endoscopic or surgical intervention. This article reviews small bowel Crohn disease stricture histopathology, current imaging definitions and challenges, and stricture management. Current imaging-based stricture definitions use different criteria and do not recognize strictures without upstream dilation nor failed endoscopic passage. This consensus was endorsed by the Society of Abdominal Radiology and developed by the Society of Abdominal Radiology Inflammatory Bowel Disease Disease Focused Panel as well as gastroenterology and pathology experts in Crohn disease strictures. Updated imaging stricture definitions and recommendations are presented. Most importantly, the panel now defines a Crohn disease small bowel stricture using a threshold small bowel dilation of 2.5 cm (rather than 3.0 cm) and incorporates failed endoscopic passage, even when there is no associated bowel dilation at CT or MR enterography. With these updated imaging stricture definitions, it is hoped that patients with Crohn disease may benefit from more timely stricture identification and management.

Indexed as

Crohn DiseaseIntestinal ObstructionIntestine, SmallMagnetic Resonance ImagingTomography, X-Ray ComputedConstriction, PathologicHumans

Identifiers

PMID40662968
PMCPMC12314767

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.