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How to Evaluate Fibrosis in IBD?

dc.contributor.authorSousa, Helena Tavares
dc.contributor.authorMagro, Fernando
dc.date.accessioned2023-09-11T15:49:49Z
dc.date.available2023-09-11T15:49:49Z
dc.date.issued2023-07
dc.description.abstractIn this review, we will describe the importance of fibrosis in inflammatory bowel disease (IBD) by discussing its distinct impact on Crohn's disease (CD) and ulcerative colitis (UC) through their translation to histopathology. We will address the existing knowledge on the correlation between inflammation and fibrosis and the still not fully explained inflammation-independent fibrogenesis. Finally, we will compile and discuss the recent advances in the noninvasive assessment of intestinal fibrosis, including imaging and biomarkers. Based on the available data, none of the available cross-sectional imaging (CSI) techniques has proved to be capable of measuring CD fibrosis accurately, with MRE showing the most promising performance along with elastography. Very recent research with radiomics showed encouraging results, but further validation with reliable radiomic biomarkers is warranted. Despite the interesting results with micro-RNAs, further advances on the topic of fibrosis biomarkers depend on the development of robust clinical trials based on solid and validated endpoints. We conclude that it seems very likely that radiomics and AI will participate in the future non-invasive fibrosis assessment by CSI techniques in IBD. However, as of today, surgical pathology remains the gold standard for the diagnosis and quantification of intestinal fibrosis in IBD.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/diagnostics13132188pt_PT
dc.identifier.eissn2075-4418
dc.identifier.urihttp://hdl.handle.net/10400.1/19961
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectInflammatory bowel diseasept_PT
dc.subjectFibrosispt_PT
dc.subjectIinflammationpt_PT
dc.subjectimagingpt_PT
dc.subjectBiomarkerspt_PT
dc.titleHow to Evaluate Fibrosis in IBD?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue13pt_PT
oaire.citation.startPage2188pt_PT
oaire.citation.titleDiagnosticspt_PT
oaire.citation.volume13pt_PT
person.familyNameSousa
person.givenNameHelena Tavares
person.identifier.ciencia-idCF1F-1163-1C4A
person.identifier.orcid0000-0002-6626-205X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e
relation.isAuthorOfPublication.latestForDiscovery6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e

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