PDF(Pubmed)
Abstract：
Background/Objectives: Inflammatory bowel diseases (IBDs) are chronic disorders that require close monitoring with imaging techniques such as magnetic resonance enterography (MRE). Standardization of radiological reports is crucial for the optimal management of IBD. We surveyed Italian radiologists regarding their experiences with MRE examinations and reporting for IBD. Methods: All members of the Italian Society of Medical and Interventional Radiology (SIRM) were invited to complete an anonymous questionnaire in April 2023. Comparison tests between variables were assessed using the χ2 test or Fisher exact test according to the least frequency group. Significance level was set for p-value < 0.05. Results: A total of 253 radiologists responded to the survey. Around 70% of the respondents declared personal clinical experience with IBD. Great agreement with the items included and described for both disease activity (i.e., intestinal wall thickness, presence of mucosal ulcers, presence of edema, mucous enhancement) and complications was reported. One-third of the respondents regularly used a structured MRE report. Centers with a high number of IBD patients per year (>1000) mostly used 3 T scanners or both 1.5 T and 3 T scanners (p < 0.001). The incorporation of scores of disease activity was associated with university and high-volume hospitals (p < 0.001). Conclusions: This survey highlighted the current routine practice and experience of MRE reports of IBD patients among Italian radiologists. We found deficiencies in the use of radiological scores in MRE reports and attendance at IBD multidisciplinary meetings.
摘要：
背景/目的：炎症性肠病（IBDs）是一种慢性疾病，需要使用磁共振小肠造影（MRE）等成像技术进行密切监测。放射学报告的标准化对于IBD的最佳管理至关重要。我们调查了意大利放射科医生的MRE检查和IBD报告经验。方法：2023年4月，邀请意大利医学和介入放射学学会（SIRM）的所有成员完成匿名问卷。根据最小频率组使用χ2检验或Fisher精确检验评估变量之间的比较检验。显著性水平设定为p值<0.05。结果：共有253名放射科医生对调查做出了回应。大约70％的受访者表示有IBD的个人临床经验。与包括和描述的两种疾病活动的项目非常一致(即，肠壁厚度，粘膜溃疡的存在，水肿的存在，粘液增强）和并发症。三分之一的受访者经常使用结构化的MRE报告。每年有大量IBD患者（>1000）的中心主要使用3T扫描仪或同时使用1.5T和3T扫描仪（p<0.001）。疾病活动评分的纳入与大学和高容量医院相关(p<0.001)。结论：这项调查强调了意大利放射科医生中IBD患者MRE报告的当前常规做法和经验。我们发现在MRE报告中使用放射学评分和参加IBD多学科会议方面存在缺陷。
