Quantitative magnetic resonance imaging in perianal crohn’s disease at 1.5 and 3.0 T: A feasibility study

Alyami, Ali; Hoad, Caroline L.; Tench, Christopher; Bannur, Uday; Clarke, Christopher; Latief, Khalid; Argyriou, Konstantinos; Lobo, Alan; Lung, Philip; Baldwin-Cleland, Rachel; Sahnan, Kapil; Hart, Ailsa; Limdi, Jimmy K.; McLaughlin, John; Atkinson, David; Parker, Geoffrey J. M.; O’Connor, James P. B.; Little, Ross A.; Gowland, Penny A.; Moran, Gordon W.

Abstract

Perianal Crohn’s Disease (pCD) is a common manifestation of Crohn’s Disease. Absence of reliable disease measures makes disease monitoring unreliable. Qualitative MRI has been increasingly used for diagnosing and monitoring pCD and has shown potential for assessing response to treatment. Quantitative MRI sequences, such as diffusion-weighted imaging (DWI), dynamic contrast enhancement (DCE) and magnetisation transfer (MT), along with T2 relaxometry, offer opportunities to improve diagnostic capability. Quantitative MRI sequences (DWI, DCE, MT and T2) were used in a cohort of 25 pCD patients before and 12 weeks after biological therapy at two different field strengths (1.5 and 3 T). Disease activity was measured with the Perianal Crohn’s Disease Activity index (PDAI) and serum C-reactive protein (CRP). Diseased tissue areas on MRI were defined by a radiologist. A baseline model to predict outcome at 12 weeks was developed. No differences were seen in the quantitative MR measured in the diseased tissue regions from baseline to 12 weeks; however, PDAI and CRP decreased. Baseline PDAI, CRP, T2 relaxometry and surgical history were found to have a moderate ability to predict response after 12 weeks of biological treatment. Validation in larger cohorts with MRI and clinical measures are needed in order to further develop the model.

Citation

Alyami, A., Hoad, C. L., Tench, C., Bannur, U., Clarke, C., Latief, K., …Moran, G. W. (2021). Quantitative magnetic resonance imaging in perianal crohn’s disease at 1.5 and 3.0 T: A feasibility study. Diagnostics, 11(11), Article 2135. https://doi.org/10.3390/diagnostics11112135

• Journal Article Type: Article
• Acceptance Date: Nov 12, 2021
• Online Publication Date: Nov 17, 2021
• Publication Date: Nov 1, 2021
• Deposit Date: Nov 18, 2021
• Publicly Available Date: Nov 18, 2021
• Journal: Diagnostics
• Electronic ISSN: 2075-4418
• Publisher: MDPI AG
• Peer Reviewed: Peer Reviewed
• Volume: 11
• Issue: 11
• Article Number: 2135
• DOI: https://doi.org/10.3390/diagnostics11112135
• Keywords: Clinical Biochemistry
• Public URL: https://nottingham-repository.worktribe.com/output/6729743
• Publisher URL: https://www.mdpi.com/2075-4418/11/11/2135/htm