{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:24:23Z","timestamp":1788870263534,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,6,9]],"date-time":"2014-06-09T00:00:00Z","timestamp":1402272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Key Clinical Department in Ministry of Public Health, China","award":["303004269002"],"award-info":[{"award-number":["303004269002"]}]},{"name":"Scientific Project of Guangzhou, China","award":["2011YZ-00004"],"award-info":[{"award-number":["2011YZ-00004"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Magnetic resonance enterography (\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      ) has been proposed as a non\u2010ionising alternative method to computed tomography enterography (\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      ). Some studies have directly compared\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      in patients with small bowel Crohn's disease (\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      ) with variable results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the overall diagnostic accuracy in assessing the activity of small bowel and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>\n                      and Cochrane databases were searched for studies on the accuracy of\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      , as compared with a pre\u2010defined reference standard. Pooled sensitivity, specificity, the weighted area under the curve (\n                      <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>\n                      ), incremental yield (\n                      <jats:styled-content style=\"fixed-case\">IY<\/jats:styled-content>\n                      ) and other diagnostic indices were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 290\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      patients from six different studies were analysed. The pooled sensitivity and specificity for\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      in detecting active small bowel\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      was 87.9% [95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ), 81.8\u201392.5] and 81.2% (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 71.9\u201388.4) respectively. The\n                      <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>\n                      under the summary receiver\u2010operating characteristic (s\n                      <jats:styled-content style=\"fixed-case\">ROC<\/jats:styled-content>\n                      ) of\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      was 0.905 (SEM 0.03, standard error of the mean). Likewise, the pooled sensitivity and specificity of\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      in detecting active small bowel\n                      <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                      was 85.8% (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 79.2\u201390.9) and 83.6% (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 75.3\u201390.1) with the\n                      <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>\n                      of 0.898. The\n                      <jats:styled-content style=\"fixed-case\">AUC<\/jats:styled-content>\n                      of\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      in detecting fistula, stenosis and abscess was 0.936, 0.931 and 0.996, respectively, compared to 0.963, 0.616 and 0.899 of\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      . No statistically significant\n                      <jats:styled-content style=\"fixed-case\">IY<\/jats:styled-content>\n                      for\n                      <jats:styled-content style=\"fixed-case\">MRE<\/jats:styled-content>\n                      vs.\n                      <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>\n                      was found (fixed model,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &gt;\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Magnetic resonance enterography has a diagnostic effectiveness comparable to computed tomography enterography, thus may serve as a radiation\u2010free alternative for evaluation of patients with Crohn's disease.<\/jats:p>\n                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