Comments on: USG and MRI for IBD http://www.catscanman.net/blog/2009/03/usg-and-mri-for-ibd/ random noise, nebulous views & artifacts Mon, 21 May 2012 09:19:15 +0000 http://wordpress.org/?v=2.7 hourly 1 By: Peng http://www.catscanman.net/blog/2009/03/usg-and-mri-for-ibd/comment-page-1/#comment-47553 Peng Sat, 14 Mar 2009 23:20:45 +0000 http://www.catscanman.net/blog/?p=1219#comment-47553 I agree, but we so often have negative barium follow-through studies for patients with vague symptoms that I have been trying to figure out whether a careful ultrasound would suffice in some cases, given that you can often see bowel wall thickening on US. On a related topic I thought it was interesting that in this recent article the authors found no significant difference in sensitivity between CT, MT or BaFT for detection of terminal ileitis. http://radiology.rsnajnls.org/cgi/content/abstract/2513081184v1 Peng I agree, but we so often have negative barium follow-through studies for patients with vague symptoms that I have been trying to figure out whether a careful ultrasound would suffice in some cases, given that you can often see bowel wall thickening on US.

On a related topic I thought it was interesting that in this recent article the authors found no significant difference in sensitivity between CT, MT or BaFT for detection of terminal ileitis.
http://radiology.rsnajnls.org/cgi/content/abstract/2513081184v1

Peng

]]> By: Vijay http://www.catscanman.net/blog/2009/03/usg-and-mri-for-ibd/comment-page-1/#comment-47537 Vijay Fri, 13 Mar 2009 12:49:27 +0000 http://www.catscanman.net/blog/?p=1219#comment-47537 Thanks for the comment Dr. Peng. The problem with utlrasound is not just that it's technically demanding. Even the most proficient sonographer would never be sure if s/he picked up all the findings in a given case however optimal be the patient. CT (and MRI, with reservations) give an operator and modality independent full picture view. Thanks for the comment Dr. Peng.

The problem with utlrasound is not just that it’s technically demanding. Even the most proficient sonographer would never be sure if s/he picked up all the findings in a given case however optimal be the patient. CT (and MRI, with reservations) give an operator and modality independent full picture view.

]]> By: Peng http://www.catscanman.net/blog/2009/03/usg-and-mri-for-ibd/comment-page-1/#comment-47536 Peng Fri, 13 Mar 2009 12:34:10 +0000 http://www.catscanman.net/blog/?p=1219#comment-47536 I've been thinking about this one. If ultrasound is a good but technically demanding examination for IBD , perhaps it's worth spending time learning to do it well. It's nicer and cheaper for the patient. I’ve been thinking about this one. If ultrasound is a good but technically demanding examination for IBD , perhaps it’s worth spending time learning to do it well. It’s nicer and cheaper for the patient.

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