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Diagnostic accuracy of magnetic resonance enterography and intestinal ultrasound for treatment response assessment in Crohn's disease (MANTRA): protocol for a multicentre, non-randomised, multiple-arm, prospective cohort comparison study.
BMJ open

Cure8 research brief

Diagnostic accuracy of magnetic resonance enterography and intestinal ultrasound for treatment response assessment in Crohn's disease (MANTRA): protocol for a multicentre, non-randomised, multiple-arm, prospective cohort comparison study.

2 min read
Tests and monitoring Mri Enterography Intestinal ultrasound Phase 2 clinical trial Adult patients Clinicians Researchers Patients On Biologics

Why This Matters

This study could clarify which imaging test—MRE or IUS—is more accurate or appropriate for monitoring treatment response in Crohn's disease, potentially standardising follow-up and informing patient and clinician choices.

Who Should Pay Attention

Adults with Crohn's disease, clinicians ordering follow-up imaging (gastroenterologists, radiologists), and researchers in imaging and IBD monitoring.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This is a published study protocol (MANTRA, NCT06800326) recruiting adults (≥16) with luminal Crohn's disease starting or on steroids, immunomodulators, biologics/biosimilars, or small molecules.

Participants will have both MRE and IUS performed within 6 weeks of each other during follow-up; one scan will be routine care and the other performed as part of the study. Radiologists interpreting each test will be masked to the other modality, and a multidisciplinary consensus panel using all clinical information will serve as the reference standard.

The study will measure comparative accuracy for established response categories, explore the effect of which modality was used at baseline, evaluate scoring systems, assess management impact, and collect patient-reported imaging preferences. Results are planned for peer-reviewed publication and conference presentation.

Keep In Mind

This is a published protocol/abstract (BMJ Open) describing planned methods; it does not present study results. The trial is multicentre in the UK and Belgium with a planned sample of ~155 patients (registered NCT06800326).

Source Details

Review the original publication for the complete reporting, methods, and context.

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Research paper Evidence type derived from source or registry metadata.
PublicationBMJ open
AuthorsMaira Hameed, Busola Adebusoye, Sue Mallett +6 more
InstitutionUniversity College London Centre for Medical Imaging, London, UK.
Study typeJournal article
Indexed viaPubMed
Source typeResearch paper
PublishedJul 27, 2026, 12:00 AM
Content availableJournal abstract

Conflict statement: Competing interests: SAT is a consultant to AstraZeneca, has research grant support from Takeda and is a shareholder in Motilent. The other authors declare no competing interests.

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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