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ECCO-ESGAR Topical Review on Optimizing Reporting for Cross-Sectional Imaging in Inflammatory Bowel Disease

Research output: Contribution to journalReviewpeer-review


  • Torsten Kucharzik
  • Jeroen Tielbeek
  • Dan Carter
  • Stuart A Taylor
  • Damian Tolan
  • Rune Wilkens
  • Robert V Bryant
  • Christine Hoeffel
  • Isabelle De Kock
  • Christian Maaser
  • Giovanni Maconi
  • Kerri Novak
  • Søren R Rafaelsen
  • Martina Scharitzer
  • Antonino Spinelli
  • Jordi Rimola
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BACKGROUND AND AIMS: The diagnosis and follow up of patients with inflammatory bowel disease [IBD] requires cross-sectional imaging modalities, such as intestinal ultrasound [IUS], magnetic resonance imaging [MRI] and computed tomography [CT]. The quality and homogeneity of medical reporting are crucial to ensure effective communication between specialists and to improve patient care. The current topical review addresses optimized reporting requirements for cross-sectional imaging in IBD.

METHODS: An expert consensus panel consisting of gastroenterologists, radiologists and surgeons convened by the ECCO in collaboration with ESGAR performed a systematic literature review covering the reporting aspects of MRI, CT, IUS, endoanal ultrasonography and transperineal ultrasonography in IBD. Practice position statements were developed utilizing a Delphi methodology incorporating two consecutive rounds. Current practice positions were set when ≥80% of the participants agreed on a recommendation.

RESULTS: Twenty-five practice positions were developed, establishing standard terminology for optimal reporting in cross-sectional imaging. Assessment of inflammation, complications and imaging of perianal CD are outlined. The minimum requirements of a standardized report, including a list of essential reporting items, have been defined.

CONCLUSIONS: This topical review offers practice recommendations to optimize and homogenize reporting in cross-sectional imaging in IBD.

Original languageEnglish
Article numberjjab180
JournalJournal of Crohn's & colitis
Issue number4
Pages (from-to)523-543
Number of pages21
Publication statusPublished - Apr 2022

Bibliographical note

© The Author(s) 2021. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. All rights reserved. For permissions, please email:

    Research areas

  • cross-sectional imaging, endoanal ultrasonography [EAUS], Inflammatory bowel disease [IBD], intestinal ultrasound [IUS], magnetic resonance imaging [MRI], reporting, transperineal ultrasonography [PUS

ID: 68352186