Evidence mapPaperPMID 40985233Full record

SynthesisAlimentary pharmacology & therapeutics2025

Systematic Review: Ultrasound Goes Echo-Decarbonising Inflammatory Bowel Disease Care Through Intestinal Ultrasound.

Sara Massironi, Alessandra Zilli, Federica Furfaro, Mariangela Allocca, Laurent Peyrin-Biroulet, Vipul Jairath, Silvio Danese

Abstract readSystematic Review
In one paragraph

Synthesis in Alimentary pharmacology & therapeutics, 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. The Emerging Role of Ultrasonography in Ulcerative Colitis.Diagnostics (Basel, Switzerland) · 2026
    Review
  3. Review
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

7 authors.

Sara MassironiMedicine and Surgery, Vita e Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0003-3214-8192
Alessandra ZilliGastroenterology and Endoscopy Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Federica FurfaroMedicine and Surgery, Vita e Salute San Raffaele University, Milan, Italy.
Mariangela AlloccaGastroenterology and Endoscopy Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Laurent Peyrin-BirouletDepartment of Gastroenterology, University of Lorraine, CHRU-Nancy, Nancy, France.ORCID https://orcid.org/0000-0003-2536-6618
Vipul JairathDepartment of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-1092-0033
Silvio DaneseMedicine and Surgery, Vita e Salute San Raffaele University, Milan, Italy.ORCID https://orcid.org/0000-0001-7341-1351

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a chronic, resource-intensive condition requiring repeated diagnostic assessments. Healthcare contributes ~5% of global greenhouse gas emissions, and key diagnostic tools in IBD-gastrointestinal (GI) endoscopy, computed tomography (CT) and magnetic resonance imaging (MRI)-are associated with substantial environmental impacts. The environmental burden of these diagnostic pathways, however, remains underappreciated.

aimTo systematically assess the carbon footprint and environmental impact of diagnostic imaging modalities commonly used in IBD, with particular focus on intestinal ultrasound (IUS) as a sustainable, low-carbon alternative.

methodsA systematic review was conducted according to PRISMA 2020 guidelines. PubMed, Scopus and Embase were searched from inception to May 2025 for studies reporting the environmental impact of diagnostic modalities relevant to IBD care (GI endoscopy, CT, MRI and IUS). Studies providing quantitative or qualitative data on carbon footprint, energy consumption, waste generation or sustainability metrics were included. Data were synthesised narratively.

resultsThirty-one studies were included. GI endoscopy generates approximately 7.8-56.4 kg CO

conclusionGI endoscopy, CT and MRI are indispensable in IBD care but carry considerable environmental costs. The broader adoption of IUS offers a clinically effective, low-carbon alternative that can contribute to more sustainable IBD management, aligning with planetary health goals.

trial registrationPROSPERO International Prospective Register of Systematic Reviews: CRD420251088016.

Indexed as

Carbon FootprintInflammatory Bowel DiseasesIntestinesEndoscopy, GastrointestinalHumansMagnetic Resonance ImagingUltrasonography

Identifiers

PMID40985233
PMCPMC12543338

What Socratic holds

Textmetadata
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Read underepoch 390

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.