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Clinical Application of Intestinal Ultrasound in Inflammatory Bowel Disease

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Abstract

Purpose of Review

Intestinal ultrasound (IUS) is a non-invasive, accurate, and well-tolerated tool that provides real-time assessment of inflammatory bowel disease (IBD) activity and is therefore an ideal monitoring tool. This review describes the evolving role of IUS in each phase of clinical management of IBD.

Recent Findings

Accumulating evidence has demonstrated that IUS is an excellent tool for the assessment of suspected IBD, with a very high negative predictive value. It accurately assesses disease activity, disease complications, and in the pre-treatment phase, provides a benchmark for subsequent follow-up. IUS can detect early therapeutic response and correlates well with other established monitoring modalities with arguably superior predictive capabilities and ability to assess a deeper degree of remission, transmural healing (TH).

Summary

IUS has a crucial role in the management of IBD and has ushered in a new era of monitoring with more rapid evaluation and the opportunity for early optimization, deeper therapeutic targets, and improved outcomes.

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Data Availability

No datasets were generated or analysed during the current study.

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NKC and DTR conceptualized the manuscript, NKC, JS-P, and AK contributed to the first draft, and all authors contributed to editing of the manuscript. Figures were prepared by NKC and JS-P.

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Correspondence to Noa Krugliak Cleveland.

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JS-P and AK report no relevant disclosures. NKC serves as a consultant to Takeda and for NeuroLogica, a subsidiary of Samsung Electronics, and as a speaker for Bristol-Myers Squibb. DTR has received grant support from Takeda; and has served as a consultant for Abbvie, Alimentiv Inc., Altrubio, Amgen, Avalo Therapeutics, Bristol-Myers Squibb, Buhlmann Diagnostics Corp, ClostraBio, Connect BioPharma, Datos Health Ltd, EcoR1, Evinature Ltd, Ferring Pharma, Image Analysis Group (IAG), Iterative Health, Janssen Pharmaceuticals, Lilly Eli & Co, Menten AI, Odyssey Thera, Pfizer, Prometheus Biosciences, Reistone Biopharma, Samsung Neurologica, Sangamo Therapeutics, Shanghai Pharma Biotherapeutics USA, Takeda, Target RWE, Tissium S.A., and Trellus Health.

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Krugliak Cleveland, N., St-Pierre, J., Kellar, A. et al. Clinical Application of Intestinal Ultrasound in Inflammatory Bowel Disease. Curr Gastroenterol Rep 26, 31–40 (2024). https://doi.org/10.1007/s11894-024-00915-x

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