+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Diagnostic medical radiation in inflammatory bowel disease: how to limit risk and maximize benefit

, : Diagnostic medical radiation in inflammatory bowel disease: how to limit risk and maximize benefit. Inflammatory Bowel Diseases 19(11): 2501-2508

Diagnosis and management of inflammatory bowel disease (IBD) requires repeat diagnostic imaging for monitoring of disease activity. Recent evidence has suggested that patients with IBD are at increased risk of radiation exposure from repeat imaging. The aim of this article was to highlight risks associated with increasing radiation exposure and identify alternatives to minimize exposure. The increasing use of computed tomography (CT) in both Crohn's disease and ulcerative colitis has brought additional benefits to guiding management through non-invasive measures. However, the massive increase in use of CT scans poses a risk of exposing patients with IBD to high levels of diagnostic medical radiation. High levels of diagnostic medical radiation are associated with an increased risk of malignancy in several studies. Numerous studies have identified particular risk factors in IBD associated with high levels of diagnostic medical radiation which are also associated with a more severe disease course. Imaging techniques such as magnetic resonance enterography, ultrasound, small bowel follow through, and capsule endoscopy are alternatives to CT scans as they do not utilize radiation. Gastroenterologists managing patients with IBD, particularly Crohn's disease, should be aware of the increased risk of high cumulative doses of radiation exposure, particularly from CT scanning. Alternative forms of imaging should be carefully considered when evaluating patients, in particularly those with identifiable risk factors for an aggressive disease course.


PMID: 23792551

DOI: 10.1097/MIB.0b013e31828dc6b6

Other references

Pak, D.D.; Yevtyagin, V.V.; Saribekyan, E.K.; Yermakov, A.V., 2002: Sparing and one-stage plastic surgery for breast tumors. Voprosy Onkologii (St Petersburg) 48(4-5): 615-619

Adeloye, A.J.; Nawaz, N.R.; Montaseri, M., 1999: Climate change water resources planning impacts incorporating reservoir surface net evaporation fluxes: a case study. In this study reservoir storage-yield-reliability planning analyses were carried out on two multiple reservoir systems, one in England and the other in Iran, to investigate the possible effects of reservoir surface net evaporation flux for both ba...

Sacchetti, C.; Gracis, G.P., 1977: Frequency of congenital anomalies in pediatric ophthalmology. Minerva Pediatrica 29(6): 349-352

Hogan, M.J.; Sirotkin, R.A.; Gallagher, R.E., 1977: Clinical problem solving: the relationship of cognitive abilities to PMP performance. The relationship between patterns of individual differences on PMP performance and selected Gulford's Structure of Intellect test of cognitive abilities is shown. The groups were interpretable using the Guilford tests and confirm the use of t...

Zhang, C.; Wang, L.; Tu, Z.; Sun, X.; He, Q.; Lei, Z.; Xu, C.; Liu, Y.; Zhang, X.; Yang, J.; Liu, X.; Xu, Y., 2014: Organophosphorus pesticides detection using broad-specific single-stranded DNA based fluorescence polarization aptamer assay. An approach is developed to detect the organophosphorus pesticides via competitive binding to a recombinant broad-specificity DNA aptamer with a molecular beacon (MB), the binding of the MB to the aptamer results in the activation of a fluorescent...

Horter, R., 1960: Survival rates of freeze-dried bacteria after two years of storage. The survival rates of freeze-dried bacteria and cocci after storage for 2 years at + 4[degree]C were determined. All ampoules were closed in vacuo when the drying process was finished. In 23 out of 32 freeze-dryed strains a survival rate of 80 to...

Scillato Yane G.J.; Carlini A.A.; Vizcaino S.F., 1993: Xenarthra (Mammalia, Edentata) of the middle Miocene of Argentina. Ameghiniana 30(3): 352

Mehndiratta S.S.; Wig N.N., 1975: Psycho social effects of long term cannabis use in india a study of 50 heavy users and controls. Drug & Alcohol Dependence 1(1): 71-81

Bunt, A.C., 1991: The relationship of oxygen diffusion rate to the air-filled porosity of potting substrates. Growing media were prepared from mixtures of Canadian sphagnum peat, fine or coarse sands, perlite and a mixture of redwood bark and sawdust. The oxygen diffusion rates (ODR) were determined with a platinum micro-electrode in 13 mixtures in 14 cm...

Carrasco, A., 1989: Photoreactivating capacity in Clostridium butyricum and Clostridium acetobutylicum. Letters in applied microbiology 8(4): 131-134