Application Research of T2 * Mapping in Evaluating Inflammatory Activity in Crohn Disease[J]. Journal of Sun Yat-sen University (Medical Sciences), 2017, 38(5).
Application Research of T2 * Mapping in Evaluating Inflammatory Activity in Crohn Disease[J]. Journal of Sun Yat-sen University (Medical Sciences), 2017, 38(5).DOI:
【Objective】To explore the efficacy of T2 * mapping for evaluating inflammatory activity in the patients with Crohn disease(CD).【Methods】A total of 98 CD patients underwent MR enterographywith T2 * WI. T2* values were measured by put? ting regions of interest on the thickening bowel wall on T2 * mapping. The activity of bowel segment was scored by magnetic resonance index of activity(MaRIA),to analyze the relationship between T2 * values with CD activity. 【Results】A total of 160 bowel segments were evaluated and includedinactive(MaRIA < 7,n = 26),mild(7 ≤ MaRIA < 11,n = 23),and moderately-severe(MaRIA ≥ 11, n = 111)active lesions. The differences in T2 * values amongthese three groups were significant(all P < 0.05). T2 * values of 160 bowel segments correlatedclosely withMaRIA(r = 0.743,P < 0.05). High accuracy of T2 * values was shown for differentiating inac? tive from active CD(AUC=0.877)anddifferentiating inactive-mild from moderate-severe CD(AUC = 0.848). The threshold T2 * value of 20 ms allowed differentiation of mild from moderate-severe CD with74.5% sensitivity and 84% specificity. 【Conclusions】T2 * values, as thequantitative indexof T2 * mapping,correlate well with CD activity and showsatisfiedefficacy for diagnosing inflammatoryactivity.