Evidence map›Paper›PMID 39308430›Full record

ArticleClinical physiology and functional imaging2025

PET/MRI in paediatric inflammatory bowel disease - a prospective accuracy study.

Sina Dalby, Reza Piri, Ole Graumann, Oke Gerke, Thomas Lund Andersen, Anne-Mette Walsted, Kirsten Risby, Rasmus Gaardskær Nielsen, Anders Linnemann, Poul Flemming Høilund-Carlsen and 1 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Clinical physiology and functional imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sina DalbyHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.ORCID http://orcid.org/0000-0003-2478-2206
Reza PiriDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Ole GraumannDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Oke GerkeDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0001-6335-3303
Thomas Lund AndersenDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, Copenhagen, Denmark.
Anne-Mette WalstedDepartment of Paediatrics, Kolding Hospital, Kolding, Denmark.
Kirsten RisbyDepartment of Paediatrics, Kolding Hospital, Kolding, Denmark.
Rasmus Gaardskær NielsenHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Anders LinnemannHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Poul Flemming Høilund-CarlsenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Steffen HusbyDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.

Funding

Aase og Ejnar Danielsens FondDagmar Marshalls FondMaster carpenter Jørgen Holm and wife Elisa F. Hansen's Memorial trustOdense UniversitetshospitalRegion SyddanmarkTakeda Pharmaceuticals International 2018-102587The Danish Crohn's and Colitis Organization
6 · The paper itself

Abstract

Cross-sectional imaging supplements endoscopy in detecting disease manifestations in inflammatory bowel diseases (IBD). This study aimed to evaluate the accuracy of PET/MRI in a paediatric population suspected of IBD. This prospective study consecutively included patients aged 8-17 years under diagnostic evaluation for IBD. Forty-three patients underwent a PET/MRI scan and subsequent ileocolonoscopy, of whom 26 patients diagnosed with IBD participated in a follow-up scan, hereof 19 with Crohn's disease (CD), five with Ulcerative colitis and two with unclassified IBD. The results of PET alone, MRI alone, and PET/MRI combined were compared to a reference standard of endoscopy and histopathology. Of the 208 intestinal segments analysed, 109 showed inflammation, and 99 had no inflammation. In the per-segment analysis PET had a sensitivity of 0.83 (95% CI 0.73-0.93), specificity of 0.59 (95% CI 0.47-0.71), and area under the receiver operating characteristic curve (AUROC) of 0.73 (95% CI 0.67-0.80). MRI had a sensitivity of 0.52 (95% CI 0.41-0.64), specificity 0.89 (95% CI 0.82-0.96), and AUROC of 0.72 (95% CI 0.66-0.77). PET/MRI had a sensitivity of 0.83 (95% CI 0.74-0.94), specificity of 0.57 (95% CI 0.44-0.69), and AUROC of 0.77 (95% CI 0.71-0.84). At follow-up, PET and MRI scores decreased, and the change in MRI was able to identify patients with a clinical response. The accuracy of the PET/MRI scan in detecting inflammation in the terminal ileum and colon was moderate and not superior to either modality alone. With technological advances and combined reading, PET/MRI may still be valuable in selected cases.

Indexed as

Colitis, UlcerativeCrohn DiseaseMagnetic Resonance ImagingMultimodal ImagingPositron-Emission TomographyPredictive Value of TestsAdolescentAge FactorsChildColonColonoscopyFemaleHumansMaleProspective StudiesReproducibility of ResultsadolescentschildrenCrohn's diseasemagnetic resonance imagingPositron emission tomographyUlcerative colitis

Identifiers

PMID39308430
PMCPMC11650528

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.