Idiopathic inflammatory bowel disease: endoscopic-radiologic correlation.
OBJECTIVE
To assess the comparative and adjunctive diagnostic value of double-contrast barium enema examination (DCBE) and colonoscopy in cases of idiopathic inflammatory bowel disease.


METHODS
Radiographic and endoscopic findings were correlated, with use of a standardized evaluation sheet, in a prospective, blinded study in 99 patients with previously well-established Crohn disease of the colon (CD [ n = 51]) or ulcerative colitis (UC [n = 48]).


RESULTS
Overall, substantial to almost perfect agreement was found in more than 80% of scores with respect to the items of the standardized evaluation sheet in the colon segments depicted with both imaging modalities. Almost perfect agreement (kappa > 60%) was found for two essential diagnostic and differential diagnostic features: aphthoid erosions and fine granularity.


CONCLUSIONS
DCBE and colonoscopy are complementary imaging modalities for optimal detection of all mucosal and structural colon lesions, except inflammatory lesions without distortion of the mucosal relief and small numbers of inflamed superficial erosions and ulcers.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001466:Barium Sulfate / Q000008:administration & dosage; D002648:Child; D003092:Colitis / Q000175:diagnosis / Q000000981:diagnostic imaging; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000000981:diagnostic imaging; D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods; D003287:Contrast Media / Q000008:administration & dosage; D003424:Crohn Disease / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004733:Enema; D005260:Female; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging / Q000473:pathology; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D007413:Intestinal Mucosa / Q000000981:diagnostic imaging / Q000473:pathology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D016037:Single-Blind Method; D014456:Ulcer / Q000000981:diagnostic imaging / Q000473:pathology
D003287:Contrast Media; D001466:Barium Sulfate