Tests and monitoring tools

Imaging

Imaging articles covering ultrasound, MRI, CT, and other methods used to study or monitor Crohn's disease and IBD. Monitoring context emphasizes diagnosis, follow-up, disease activity, treatment response, and care decisions.

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Pitfalls in the Diagnosis and Classification of Crohn's Disease: Misdiagnosis, Overdiagnosis, and Misclassification.
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology

Pitfalls in the Diagnosis and Classification of Crohn's Disease: Misdiagnosis, Overdiagnosis, and Misclassification.

Accurate diagnosis and classification affect treatment choices and risks—misdiagnosis can lead to unnecessary immunosuppression, while misclassification can under-recognize severe or proximal disease that needs different...

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Postoperative monitoring in Crohn’s disease: A multimodal machine learning model for predicting early complications and endoscopic recurrence
Langenbeck s Archives of Surgery

Postoperative monitoring in Crohn’s disease: A multimodal machine learning model for predicting early complications and endoscopic recurrence

People with Crohn’s disease who have had, or will have, intestinal surgery may benefit from better tools to predict early complications and endoscopic recurrence. Predictive models could help tailor follow-up and...

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Technical Considerations for Magnetic Resonance Imaging of the Bowel.
Magnetic resonance imaging clinics of North America

Technical Considerations for Magnetic Resonance Imaging of the Bowel.

MRE is a key, non-radiating test for Crohn’s disease that can show active inflammation and complications that endoscopy may miss, so updates on technique matter for diagnosis and monitoring. Better imaging technique can...

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Multimodal prediction of infliximab initiation within 6 months after initiation of conventional therapy in pediatric Crohn's disease: A multicenter algorithm development and validation study.
Journal of pediatric gastroenterology and nutrition

Multimodal prediction of infliximab initiation within 6 months after initiation of conventional therapy in pediatric Crohn's disease: A multicenter algorithm development and validation study.

Predicting early need for infliximab could help identify children with Crohn’s disease who may benefit from earlier biologic therapy instead of prolonged conventional treatment. A reliable prediction tool may shorten...

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Hybrid Molecular Imaging Using PET/CT and PET/MRI in Inflammatory Bowel Disease: Current Applications, Challenges, and Future Perspectives.
Medical science monitor : international medical journal of experimental and clinical research

Hybrid Molecular Imaging Using PET/CT and PET/MRI in Inflammatory Bowel Disease: Current Applications, Challenges, and Future Perspectives.

Noninvasive imaging that better separates inflammation from fibrosis and detects penetrating complications could change monitoring and treatment decisions in IBD and reduce radiation exposure for patients needing...

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Association between Crohn’s disease and pulmonary nodule patterns: an inverse probability-weighted analysis of real-world data
Clinical and Translational Gastroenterology

Association between Crohn’s disease and pulmonary nodule patterns: an inverse probability-weighted analysis of real-world data

The study suggests pulmonary nodules are more common in people with Crohn’s disease and that age and certain medications (not disease phenotype) may better predict nodule burden — information that could influence how...

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Elective combined surgical management of concurrent gastrocolic and duodenocolic fistulae in longstanding Crohn's disease.
Clinical journal of gastroenterology

Elective combined surgical management of concurrent gastrocolic and duodenocolic fistulae in longstanding Crohn's disease.

Internal fistulae can be clinically silent yet serious in long-standing Crohn's disease. Early cross-sectional imaging detected rare gastrocolic and duodenocolic fistulae in this patient, and elective combined surgery...

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A Giant Intra-Abdominal Plasmablastic Neoplasm Favoring Lymphoma Mimicking an Exacerbation of Severe Fistulizing Crohn's Disease: A Case Report.
The American journal of case reports

A Giant Intra-Abdominal Plasmablastic Neoplasm Favoring Lymphoma Mimicking an Exacerbation of Severe Fistulizing Crohn's Disease: A Case Report.

A rapidly growing abdominal mass or unexplained systemic decline in someone with Crohn's disease may represent a rare malignancy (plasmablastic neoplasm) rather than infection or a disease flare; prompt biopsy is...

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Association between Crohn's disease and pulmonary nodule patterns: an inverse probability-weighted analysis of real-world data.
Clinical and translational gastroenterology

Association between Crohn's disease and pulmonary nodule patterns: an inverse probability-weighted analysis of real-world data.

Pulmonary nodules appear more frequently in people with Crohn’s disease and have distinct patterns over time. Knowing which factors predict nodule burden can help clinicians prioritize monitoring and interpret chest...

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An HOCl-responsive chemiluminescent probe for monitoring MPO-mediated HOCl generation for deep-tissue tracking and evaluation of inflammatory bowel disease.
Journal of materials chemistry. B

An HOCl-responsive chemiluminescent probe for monitoring MPO-mediated HOCl generation for deep-tissue tracking and evaluation of inflammatory bowel disease.

A new chemiluminescent probe could help researchers see and measure MPO-driven HOCl inflammation deeper in tissues, which may speed preclinical testing of IBD therapies and biomarker development.

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Computed tomography enterography-defined transmural healing is associated with lower hospitalization risk in patients with Crohn's disease.
Intestinal research

Computed tomography enterography-defined transmural healing is associated with lower hospitalization risk in patients with Crohn's disease.

Transmural healing on CT enterography was associated with fewer hospitalizations over long follow-up, which could matter for long-term disease management and monitoring strategies in Crohn’s disease.

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Engineering a Built-in Piezoelectric Electron Sponge in Swallow Nanozyme for Inflammatory Bowel Disease Therapy.
Small (Weinheim an der Bergstrasse, Germany)

Engineering a Built-in Piezoelectric Electron Sponge in Swallow Nanozyme for Inflammatory Bowel Disease Therapy.

The article reports a new oral nanozyme that combines imaging and ROS-scavenging therapy aimed at IBD lesions—an early-stage approach that could one day enable targeted, noninvasive treatment and lesion tracking.

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Advanced endoscopy and artificial intelligence-enabled vascular healing for ulcerative colitis: promising frontiers or mere mirage?
Clinical Endoscopy

Advanced endoscopy and artificial intelligence-enabled vascular healing for ulcerative colitis: promising frontiers or mere mirage?

If validated, AI-enhanced vascular assessment during endoscopy could give clearer, more reproducible information about mucosal and histologic healing — which matters for monitoring disease activity and guiding treatment...

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Complementary Roles of Artificial Intelligence and Disease-Specific Optical Diagnosis During Ulcerative Colitis Surveillance: A Prospective Tandem Colonoscopy Study.
Journal of clinical medicine

Complementary Roles of Artificial Intelligence and Disease-Specific Optical Diagnosis During Ulcerative Colitis Surveillance: A Prospective Tandem Colonoscopy Study.

AI-assisted detection tools and disease-specific optical classifications could improve lesion detection and real-time characterization during UC surveillance, potentially affecting surveillance accuracy and...

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Preexisting depression and early outcomes in inflammatory bowel disease: a propensity score-matched cohort study.
Proceedings (Baylor University. Medical Center)

Preexisting depression and early outcomes in inflammatory bowel disease: a propensity score-matched cohort study.

Depression before an IBD diagnosis was linked to more early treatment escalation and acute-care use after diagnosis. Recognizing preexisting depression could help clinicians identify patients who may benefit from closer...

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Multimodal Imaging-Based Anatomical Characterization of DSS-Induced Experimental Ulcerative Colitis in Rat Model.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft

Multimodal Imaging-Based Anatomical Characterization of DSS-Induced Experimental Ulcerative Colitis in Rat Model.

Non-invasive imaging biomarkers that track intestinal inflammation and structure could speed preclinical testing of IBD therapies and guide translational imaging research relevant to clinical monitoring of ulcerative...

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Improved diagnostic capability, rather than biologics, reduces surgical rates in Chinese Crohn's disease patients: A multicenter study.
Chinese medical journal

Improved diagnostic capability, rather than biologics, reduces surgical rates in Chinese Crohn's disease patients: A multicenter study.

If you're living with Crohn's disease, earlier and better diagnosis (for example, more cross-sectional imaging) may partly explain falling surgery rates over time. This study suggests system-level diagnostic improvements...

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Clinical utility of magnetic resonance enterography for pediatric Crohn’s disease: a review with illustrative cases and a focus on Japan
Japanese Journal of Radiology

Clinical utility of magnetic resonance enterography for pediatric Crohn’s disease: a review with illustrative cases and a focus on Japan

MRE is a key radiation-free imaging tool for children with Crohn’s disease; this review summarizes its clinical utility and how it fits with other pediatric-focused diagnostic approaches in Japan.

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Baseline Magnetic Resonance Enterography Stratifies Persistence Risk of Crohn's Disease Strictures.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Baseline Magnetic Resonance Enterography Stratifies Persistence Risk of Crohn's Disease Strictures.

Baseline MRE features may help predict which Crohn's strictures will not improve with advanced medical therapy, informing monitoring and surgical planning. Better stratification could guide decisions about earlier...

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Raising the Bar in Crohn's Disease: Is Transmural Healing Achievable?
Diagnostics (Basel, Switzerland)

Raising the Bar in Crohn's Disease: Is Transmural Healing Achievable?

Transmural healing may better reflect the full depth of inflammation in Crohn’s disease than mucosal healing alone and is associated with improved long-term outcomes in many studies. If validated and adopted, TH could...

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Development of multimodal multiscale imaging platform for high-content molecular profiling of mucosal healing to predict the risk of relapse in ulcerative colitis
NIH RePORTER

Development of multimodal multiscale imaging platform for high-content molecular profiling of mucosal healing to predict the risk of relapse in ulcerative colitis

Patients and clinicians struggle to predict relapse in ulcerative colitis because current endoscopic, histologic, and noninvasive biomarkers are imperfect. A tissue-based imaging and spatial-omics approach could identify...

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Early Markers Associated with Crohn’s Disease in Emergency Department Patients with New-Onset Terminal Ileitis: An Exploratory Retrospective Cohort Study
Journal of Clinical Medicine

Early Markers Associated with Crohn’s Disease in Emergency Department Patients with New-Onset Terminal Ileitis: An Exploratory Retrospective Cohort Study

Patients who present with new radiologic terminal ileitis sometimes develop Crohn’s disease. Identifying simple blood and imaging markers that predict who is at higher risk could help prioritize follow-up or specialist...

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Compartment-specific collagen architecture in Crohn’s disease biopsies using SHG/TPE microscopy: a pilot feasibility study
Journal of Histotechnology

Compartment-specific collagen architecture in Crohn’s disease biopsies using SHG/TPE microscopy: a pilot feasibility study

A quantitative, biopsy-based measure of collagen architecture could help study intestinal fibrosis, which underlies stricture formation in Crohn’s disease. Feasibility data support further validation work that may lead...

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