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Inflammatory Bowel Disease: From Bench to Bedside pp 371–407Cite as

Radiologic (radiographic) and imaging features of ulcerative colitis and Crohn’s disease

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References

  1. Rice RP. Plain abdominal film roentgenographic diagnosis of ulcerative diseases of the colon. Am J Roentgenol 1968; 104: 544–50.

    CAS  Google Scholar 

  2. Prantera C, Lorenzetti R, Cerro P, Davoli M, Brancato G, Fanucci A. The plain abdominal film accurately estimates extent of active ulcerative colitis. J Clin Gastroenterol 1991; 13: 231–4.

    Article  PubMed  CAS  Google Scholar 

  3. Laufer I. The radiologic demonstration of early changes in ulcerative colitis by double contrast technique. Can Assoc Radiol J 1975; 26: 116–21.

    CAS  Google Scholar 

  4. Laufer I, Hamilton J. The radiological differentiation between ulcerative and granulomatous colitis by double contrast radiology. Am J Gastroenterol 1976; 66: 259–69.

    PubMed  CAS  Google Scholar 

  5. Brahme F, Fork F-T. Roentgenology of the colon in Crohn’s disease. Radiologe 1976; 16: 489–96.

    PubMed  CAS  Google Scholar 

  6. Laufer I. Air contrast studies of the colon in inflammatory bowel disease. Crit Rev Diagn Imaging 1977; 8: 421–47.

    Google Scholar 

  7. Kelvin FM, Oddson TA, Rice RP, Garbutt JT, Bradenham BP. Double contrast barium enema in Crohn’s disease and ulcerative colitis. Am J Roentgenol 1978; 131: 207–13.

    CAS  Google Scholar 

  8. Williams HJ Jr, Stephens DH, Carlson HC. Double-con-trast radiography: colonic inflammatory disease. Am J Roentgenol 1981; 137: 315–22.

    Google Scholar 

  9. Winthrop JD, Balfe DM, Shackelford GD, McAlister WH, Rosenblum JL, Siegel MJ. Ulcerative and granulomatous colitis in children. Radiology 1985; 154: 657–60.

    PubMed  CAS  Google Scholar 

  10. Freeny PC. Crohn’s disease and ulcerative colitis. Postgrad Med 1986; 80: 139–54.

    PubMed  CAS  Google Scholar 

  11. Wruble LD, Bronstein MW. Toxic dilatation of the colon following barium enema examination during the quiescent stage of chronic ulcerative colitis. Am J Dig Dis 1968; 13: 918–24.

    Article  PubMed  CAS  Google Scholar 

  12. Diner WC, Barnhard, HJ. Toxic megacolon. Semin Roent-genol 1973; 8: 433–6.

    Article  CAS  Google Scholar 

  13. Goldberg HI. The barium enema and toxic megacolon: cause-effect relationship? (Letter). Gastroenterology 1975; 68: 617–18.

    PubMed  CAS  Google Scholar 

  14. Halpert RD. Toxic dilatation of the colon. Radiol Clin N Am 1987; 25: 147–55.

    PubMed  CAS  Google Scholar 

  15. Gore RM, Balthazar EJ, Ghahremani GG, Miller FH. CT features of ulcerative colitis and Crohn’s disease. Am J Roentgenol 1996; 187: 3–15.

    Google Scholar 

  16. Cohen AJ, Rowen SJ, Pelod D, Dana ER. The role of antegrade barium studies in the evaluation of colitis. Am J Gastroenterol 1986; 81: 656–61.

    PubMed  CAS  Google Scholar 

  17. Ekberg O, Lindstrom C. Superficial lesions in Crohn’s disease of the small bowel. Gastrointest Radiol 1979; 4: 389–93.

    Article  PubMed  CAS  Google Scholar 

  18. Herlinger H. The small bowel enema and the diagnosis of Crohn’s disease. Radiol Clin N Am 1982; 20: 721–42.

    PubMed  CAS  Google Scholar 

  19. Ott DJ, Chen YM, Gelfand DW, Van Swearingen F, Munitz HA. Detailed per-oral small bowel examination vs. enteroclysis. Radiology 1985; 155: 29–34.

    PubMed  CAS  Google Scholar 

  20. Deignan RW, Malone DE, Taylor S et al. Improving visualisation of distal and terminal ileum during the small bowel meal: an evaluation of fluoroscopic manoeuvres. Clin Radiol 1995; 50: 548–52.

    Article  PubMed  CAS  Google Scholar 

  21. Fitzgerald EJ, Thompson GT, Somers SS, Franic SF. Pneumocolon as an aid in small-bowel studies. Clin Radiol 1985; 36: 633–7.

    Article  PubMed  CAS  Google Scholar 

  22. Gore RM, Marn CS, Kirby DF, Vogelzang RL, Neiman HL. CT findings in ulcerative, granulomatous and indeterminate colitis. Am J Roentgenol 1984; 143: 279–84.

    CAS  Google Scholar 

  23. Riddlesburger MM Jr. CT of complicated inflammatory bowel disease in children. Pediatr Radiol 1985; 15: 384–7.

    Article  Google Scholar 

  24. Gore RM, Cohen MI, Vogelzang RL, Neiman HL, Tsang T-K. Value of computed tomography in the detection of complications of Crohn’s disease. Dig Dis Sci 1985; 30: 701–9.

    Article  PubMed  CAS  Google Scholar 

  25. Gore RM. Cross-sectional imaging of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 115–31.

    PubMed  CAS  Google Scholar 

  26. Fishman EK, Wolf EJ, Jones B, Bayless TM, Siegelman SS. CT evaluation of Crohn’s disease: effect on patient management. Am J Roentgenol 1987; 148: 537–40.

    CAS  Google Scholar 

  27. Orel SG, Rubesin SE, Jones B, Fishman EK, Bayless TM, Siegelman SS. Computed tomography vs barium studies in an acutely symptomatic patient with Crohn’s disease. J Comput Assist Tomogr 1987; 11: 1009–16.

    PubMed  CAS  Google Scholar 

  28. Jabra A A, Fishman EK, Taylor GA. Crohn disease in the paediatric patient: CT evaluation. Radiology 1991; 179: 495–8.

    PubMed  CAS  Google Scholar 

  29. Yeh H-C, Rabinowitz JG. Granulomatous enterocolitis: findings by ultrasonography and computed tomography. Radiology 1983; 149: 253–9.

    PubMed  CAS  Google Scholar 

  30. Goldberg HI, Gord RM, Margulis AR, Moss AA, Baker EL. Computed tomography in the evaluation of Crohn disease. Am J Roentgenol 1983; 140: 277–82.

    CAS  Google Scholar 

  31. Kaftori JK, Pery M, Kleinhaus U. Ultrasonography in Crohn’s disease. Gastrointest Radiol 1984; 9: 137–42.

    Article  PubMed  CAS  Google Scholar 

  32. Buxton-Thomas MS, Dickinson RJ, Maltby P, Hunter JO, Wright EP. Evaluation of indium scintigraphy in patients with active inflammatory bowel disease. Gut 1984; 25: 1372–5.

    PubMed  CAS  Google Scholar 

  33. Fotherby KJ, Wriaight EP, Garforth H, Hunter O. Indium-111 leucocyte scintigraphy in the investigation and management of inflammatory bowel disease. Postgrad Med J 1986; 62: 457–62.

    PubMed  CAS  Google Scholar 

  34. Froelich JW. Nuclear medicine imaging of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 133–41.

    PubMed  CAS  Google Scholar 

  35. Park RHR, McKillop JH, Duncan A, MacKenzie JF, Russell RI. Can 111 indium autologous mixed leucocyte scanning accurately assess disease extent and activity in Crohn’s disease? Gut 1988; 29: 821–5.

    PubMed  CAS  Google Scholar 

  36. Scholmerich J, Schmidt E, Schumichen C, Billmann P, Schmidt H, Gerok W. Scintigraphic assessment of bowel involvement and disease activity in Crohn’s disease using technique 99m-hexamethyl propylene amine oxine as leukocyte label. Gastroenterology 1988; 95: 1287–93.

    PubMed  CAS  Google Scholar 

  37. Laniado M, Makowiec F, Dammann F, Jehle EC, Claussen CD, Starlinger M. Perianal complications of Crohn disease: MR imaging findings. Eur Radiol 1997; 7: 1035–42.

    Article  PubMed  CAS  Google Scholar 

  38. Maglinte DT, Siegelman ES, Kelvin FM. MR Enteroclysis: the future of small bowel imaging? Radiology 2000; 215: 639–41.

    PubMed  CAS  Google Scholar 

  39. Umshaden HW, Szolar D, Gasser J, Umschaden M, Hasel-back H. Small bowel disease: comparison of MR enteroclysis images with conventional enteroclysis and surgical findings. Radiology 2000; 215: 717–25

    Google Scholar 

  40. Maccioni F, Viscido A, Broglia L et al. Evaluation of Crohn disease activity with magnetic resonance imaging. Abdom Imaging 2000; 25: 219–28.

    Article  PubMed  CAS  Google Scholar 

  41. Carroll K. Crohn’s disease: new imaging techniques. Bail-lieres Clin Gastroenterol 1998; 12: 35–72.

    Article  CAS  Google Scholar 

  42. Harper RAK. The radiological spectrum of Crohn’s disease. Proc R Soc Med 1971; 64: 43–8.

    Google Scholar 

  43. Bagby RJ, Rogers JV Jr, Hobbs C. Crohn’s disease of the esophagus, stomach and duodenum: a review with emphasis on the radiographic findings. South Med J 1972; 65: 515–23.

    PubMed  CAS  Google Scholar 

  44. Cynn W-S, Chon H, Gureghian PA, Levin BL. Crohn’s disease of the esophagus. Am J Roentgenol Rad Ther Nucl Med 1975; 125: 359–64.

    CAS  Google Scholar 

  45. Levine MS. Crohn’s disease of the upper gastrointestinal tract. Radiol Clin N Am 1987; 25: 79–91.

    PubMed  CAS  Google Scholar 

  46. Javors BR, Wecksell A, Fagelman D. Crohn’s disease: less common radiographic manifestations. Radiographics 1988; 8: 259–75.

    PubMed  CAS  Google Scholar 

  47. Farman J, Faegenburg D, Dallemand S, Chen C-K. Crohn’s disease of the stomach: the ‘rams’s horn’ sign. Am J Roentgenol Rad Ther Nucl Med 1975; 123: 242–51.

    CAS  Google Scholar 

  48. Kokal W, Pickleman J, Steinburg M, Jameson P, Banich FE. Gastrocolic fistula in Crohn’s disease. Surg Gynecol Obstet 1978; 146: 701–4.

    PubMed  CAS  Google Scholar 

  49. Nelson SW. Some interesting and unusual manifestations of Crohn’s disease (‘regional enteritis’) of the stomach, duodenum and small intestine. Am J Roentgenol Rad Ther Nucl Med 1969; 107: 86–101.

    CAS  Google Scholar 

  50. Marshak RH. Granulomatous disease of the intestinal tract (Crohn’s disease). Radiology 1975; 114: 3–22.

    PubMed  CAS  Google Scholar 

  51. Click SN. Crohn’s disease of the small intestine. Radiol Clin N Am 1987; 25; 25–45.

    Google Scholar 

  52. Glass RE, Ritchie JK, Lennard-Jones JE, Hawley PR, Todd IP. Internal fistulas in Crohn’s disease. Dis Colon Rectum 1985; 28: 557–61.

    Article  PubMed  CAS  Google Scholar 

  53. Katz I, Fischer RM. Enteroliths complicating regional enteritis. A report of two cases. Am J Roentgenol Rad Ther Nucl Med 1957; 78: 653–61.

    CAS  Google Scholar 

  54. Brettner A, Euphrat EJ. Radiological significance of primary enterolithiasis. Radiology 1970; 94: 283–8.

    PubMed  CAS  Google Scholar 

  55. Gast P, Belaiche J. Rectal endosonography in inflammatory bowel disease: differential diagnosis and prediction of remission. Endoscopy 1999; 31: 158–66.

    Article  PubMed  CAS  Google Scholar 

  56. Philpotts LE, Heiken JP, Westcott MA, Gore RM. Colitis: use of CT findings in differential diagnosis. Radiology 1994; 190: 445–9.

    PubMed  CAS  Google Scholar 

  57. Goldman SM, Fishman EK, Gatewood OMB, Jones B, Siegelmann SS. CT in the diagnosis of enterovesical fistulae. Am J Roentgenol 1985; 144: 1229–33.

    CAS  Google Scholar 

  58. Gossios KJ, Tsianos EV. Crohn disease: CT findings after treatment. Abdom Imaging 1997; 22: 160–3.

    Article  PubMed  CAS  Google Scholar 

  59. Goldberg HI, Caruthers SB Jr, Nelson JA, Singleton JW. Radiographic findings of the national cooperative Crohn’s disease study. Gastroenterology 1979; 77: 925–37.

    PubMed  CAS  Google Scholar 

  60. Ekberg O, Fork F-T, Hildell J. Predictive value of small bowel radiography for recurrent Crohn disease Am J Roentgenol 1980; 135: 1051–5.

    CAS  Google Scholar 

  61. Lockhart-Mummery HE, Morson BC. Crohn’s disease (regional enteritis) of the large intestine and its distinction from ulcerative colitis. Gut 1960; 1: 87–105

    PubMed  CAS  Google Scholar 

  62. Marshak RH, Wolf BS, Eliasoph J. Segmental colitis. Radiology 1959; 73: 707–16.

    PubMed  CAS  Google Scholar 

  63. Joffe N, Antonioli DA, Bettmann MA, Goldman H. Focal granulomatous (Crohn’s) colitis: radiologic-pathologic correlation. Gastrointest Radiol 1978; 3: 73–80.

    Article  PubMed  CAS  Google Scholar 

  64. Marshak RH, Lindner AE, Maklansky D. Granulomatous colitis. Mt Sinai J Med 1979; 46: 431–54.

    PubMed  CAS  Google Scholar 

  65. Goldberg HI. Focal ulcerations of colon in granulomatous colitis. Am J Roentgenol Rad Ther Nucl Med 1967; 101: 296–300.

    CAS  Google Scholar 

  66. Blum JC, Kelvin FM. Radiologic spectrum of polypoid lesions in ulcerative colitis and Crohn’s disease. South Med J 1981; 74: 850–5.

    PubMed  CAS  Google Scholar 

  67. Lichtenstein JE. Radiologic-pathologic correlation of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 3–24.

    PubMed  CAS  Google Scholar 

  68. O’Donovan AN, Somers S, Farrow R, Mernagh JR, Sridhar S. MR imaging of anorectal Crohn disease: a pictorial essay. Radiographics 1997; 17: 101–7.

    PubMed  CAS  Google Scholar 

  69. Brahme F, Fork F-T. Dynamic aspects of colonic Crohn’s disease. Radiologe 1975; 15: 463–8.

    PubMed  CAS  Google Scholar 

  70. Siskind BN, Burrell MI, Klein Ml, Princenthal RA. Toxic dilatation in Crohn disease with CT correlation. J. Comput Assist Tomogr 1985; 9: 193–5.

    Article  CAS  Google Scholar 

  71. Miller TL, Skucas J, Gudex D, Listinsky C. Bowel cancer characteristics in patients with regional enteritis. Gastro-intest Radiol 1987; 12: 45–52.

    Article  CAS  Google Scholar 

  72. Feczko PJ. Malignancy complicating inflammatory bowel disease. Radiol Clin N Am 1987; 25: 157–74.

    PubMed  CAS  Google Scholar 

  73. Williams SM, Harned RK. Hepatobiliary complications of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 175–88.

    PubMed  CAS  Google Scholar 

  74. Banner MP. Genitourinary complications of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 199–209.

    PubMed  CAS  Google Scholar 

  75. Feczko PJ. Intestinal and extraintestinal complications of inflammatory bowel disease. Radiol Clin N Am 1987; 25: 145–6.

    PubMed  CAS  Google Scholar 

  76. Bjorkengren AG, Resnick D, Sartoris DJ. Enteropathic arthropathies. Radiol Clin N Am 1987; 25: 189–98.

    PubMed  CAS  Google Scholar 

  77. Rioux M, Gagnon J. Imaging modalities in the puzzling world of inflammatory bowel disease. Abdom Imaging 1997; 22: 173–4.

    Article  PubMed  CAS  Google Scholar 

  78. Fennessy J, Sparberg M, Kirsner JB. Early roentgen manifestations of mild ulcerative colitis and proctitis. Radiology 1966; 87: 848–58.

    PubMed  CAS  Google Scholar 

  79. Sparberg M, Fennessy J, Kirsner JB. Ulcerative proctitis and mild ulcerative colitis: a study of 220 patients. Medicine 1966; 45: 391–412.

    Article  PubMed  CAS  Google Scholar 

  80. Bartram CI. Radiology in the current assessment of ulcerative colitis. Gastrointest Radiol 1977; 1: 383–92.

    Article  PubMed  CAS  Google Scholar 

  81. Bartram CI, Walmsley K. A radiological and pathological correlation of the mucosal changes in ulcerative colitis. Clin Radiol 1978; 29: 323–8.

    Article  PubMed  CAS  Google Scholar 

  82. Zeman R, Burrell M, Gold JA. Ulcerative colitis in the elderly. Am J Roentgenol 1980; 135: 164–6.

    CAS  Google Scholar 

  83. Goldberger LE, Neely HR, Stammer JL. Large mucosal bridges. An unusual roentgenographic manifestation of ulcerative colitis. Gastrointest Radiol 1978; 3: 81–3.

    Article  PubMed  CAS  Google Scholar 

  84. Keating JW Jr, Mindell HJ. Localized giant pseudopolyposis in ulcerative colitis. Am J Roentgenol 1976; 126: 1178–80.

    Google Scholar 

  85. Lesher DT, Phillips JC, Rabinowitz JG. Pseudopolyposis as the only manifestation of ulcerative colitis. Am J Gastroenterol 1978; 70: 670–2.

    PubMed  CAS  Google Scholar 

  86. Gore RM. Colonic contour changes in chronic ulcerative colitis: reappraisal of some old concepts. Am J Roentgenol 1992; 158: 59–61.

    CAS  Google Scholar 

  87. Kolodny M. Reversible right colonic strictures in chronic ulcerative colitis. Radiology 1970; 97: 83–4.

    PubMed  CAS  Google Scholar 

  88. Keeley F, Gohel VK, Hodes PJ. A roentgenologic remission in ulcerative colitis. Am J Roentgenol Rad Ther Nucl Med 1961; 86: 906–10.

    CAS  Google Scholar 

  89. Goldberg HI, Carbone JV, Margulis AR. Roentgeno-graphic reversibility of ulcerative colitis in children treated with steroid enemas. Am J Roentgenol Rad Ther Nucl Med 1968; 103: 365–79.

    CAS  Google Scholar 

  90. Lennard-Jones JE. Reversibility of some radiological abnormalities in inflammatory disease of the colon. Proc R Soc Med 1970; 63: 66–8.

    PubMed  Google Scholar 

  91. James EM, Carlson HC. Chronic ulcerative colitis and colon cancer: can radiographic appearance predict survival patterns? Am J Roentgenol 1978; 130: 825–30.

    CAS  Google Scholar 

  92. Frank PH, Riddell RH, Feczko PJ, Levin B. Radiological detection of colonic dysplasia (precarcinoma) in chronic ulcerative colitis. Gatrointest Radiol 1978; 3: 209–19.

    Article  CAS  Google Scholar 

  93. Hooyman JR, MacCarty RL, Carpenter HA, Schroeder KW, Carlson HC. Radiographic appearance of mucosal dysplasia associated with ulcerative colitis. Am J Roentgenol 1987; 149: 47–51.

    CAS  Google Scholar 

  94. Kolmannskog F, Aakhus T, Fausa O et al. Cholangiographic findings in ulcerative colitis. Acta Radiol Diagn 1981; 22: 151–7.

    CAS  Google Scholar 

  95. Mahadeva R, Walsh G, Flower CD, Shneerson JM. Clinical and radiological characteristics of lung disease in inflammatory bowel disease. Eur Resp J 2000; 15: 41–8.

    Article  CAS  Google Scholar 

  96. Ros PR, Buetow PC, Pantograg-Brown L, Forsmark CE, Sobin LH. Pseudomembranous colitis. Radiology 1996; 198: 1–9.

    PubMed  CAS  Google Scholar 

  97. Stephens DH, Mantell BE, Kelly KA. Radiology of the continent ileostomy. Am J Roentgenol 1979; 132: 717–21.

    CAS  Google Scholar 

  98. Hillard AE, Mann FE, Becker JM, Nelson JA. The ileoanal J pouch: radiographic evaluation. Radiology 1985; 155: 591–4.

    PubMed  CAS  Google Scholar 

  99. Kremers PW, Scholz FJ, Schoetz DJ Jr, Veidenheimer MC, Coller JA. Radiology of the ileoanal reservoir. Am J Roentgenol 1985; 145: 559–67.

    CAS  Google Scholar 

  100. Thoeni RF, Fell SC, Engelstad B, Schrock TB. Ileoanal pouches: comparison of CT, scintigraphy, and contrast enemas for diagnosing postsurgical complications. Am J Roentgenol 1990; 154: 73–8.

    CAS  Google Scholar 

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  1. Mercy Hospital, Grenville Place, Cork, Ireland

    Edward Fitzgerald (Consultant Radiologist)

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  1. Edward Fitzgerald
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  1. Cedars-Sinai IBD Center, Los Angeles, CA, USA

    Stephan R. Targan  & Loren C. Karp  & 

  2. Cork University Hospital, Cork, Ireland

    Fergus Shanahan

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Fitzgerald, E. (2003). Radiologic (radiographic) and imaging features of ulcerative colitis and Crohn’s disease. In: Targan, S.R., Shanahan, F., Karp, L.C. (eds) Inflammatory Bowel Disease: From Bench to Bedside. Springer, Boston, MA. https://doi.org/10.1007/0-387-25808-6_19

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