Overview of currently available studies assessing the sensitivity and specificity of cross-sectional imaging for the detection of Crohn’s disease-associated strictures that use histopathology as a reference standard
Study ID | Study design | Patients with stricture (n) | Reference standard or comparator | Radiographic modality | Sensitivity for stricture diagnosis | Specificity for stricture diagnosis | |
Ultrasound (US) | Maconi et al 16 | Prospective cohort
| 43 | Histopathology (resection) | TUS | 100% | 63% |
Kumar et al 15 | Retrospective cohort
| 8 | Histopathology (resection) | SICUS, with power Doppler | SICUS 88% | SICUS 88% | |
Onali et al 17 | Prospective case–control
| 13 | Histopathology (resection) | SICUS | SICUS 92% | SICUS 0% | |
Pallotta et al 18 | Prospective cohort
| 40 | Histopathology (resection) | SICUS TUS | SICUS 97.5% TUS 80% | SICUS 100% TUS 75% | |
CT | Chiorean et al 24 | Retrospective cohort
| 31 | Histopathology (resection) | CT enteroclysis | 92.3% | 38.9% |
Pellino et al 26 | Prospective cohort
| 31 | Histopathology (resection) | Hybrid positron emission tomography/CT enterography | 85% | NR | |
Vogel et al 25 | Retrospective cohort
| 18 | Histopathology (resection) | CT enterography | 100% | 100% | |
MRI | Kumar et al 15 | Retrospective cohort
| 8 | Histopathology (resection) | MR enterography | 100% | 91% |
Pellino et al 25 | Prospective cohort
| 31 | Histopathology (resection) | Hybrid positron emission tomography/MR enterography | 85% | NR | |
Pous-Serrano et al 28 | Prospective cohort
| 27 | Histopathology (resection) | MR enterography | 75% | 96% | |
Sinha et al 34 | Prospective cohort
| 49 | Histopathology (resection) | HR MR enterography | 86% | 95% |
HR, high resolution; NR, not reported; SICUS, small intestinal contrast ultrasonography; TUS, transabdominal ultrasonography.