A Multi-Center Study Using AI and MR Enterography to Assess Intestinal Fibrosis in Adults with Crohns Disease
Led by Minhu Chen · Updated on 2025-08-05
234
Participants Needed
5
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Intestinal fibrotic strictures are a serious complication affecting over half of patients with Crohns disease CD. Despite new medications, effective treatments are limited. Current methods like endoscopy cannot fully assess bowel wall fibrosis, and standardized imaging assessments are lacking. This study aims to develop and validate a deep learning model using magnetic resonance enterography MRE to better characterize intestinal fibrosis in CD patients requiring bowel resection.
Participants will be recruited from multiple medical centers and divided into groups for training and validating the AI model. The study involves collecting multi-parametric MRI data and surgical specimens, followed by advanced image processing and model development using deep learning techniques. The model will assess fibrosis severity and assist clinical decisions by integrating imaging and molecular data.
During the study, researchers will collect detailed patient information, imaging data, and surgical specimens. They will monitor fibrosis and inflammation scores, MRI measurements, and blood tests before and after surgery. Regular quality assurance and data verification procedures ensure accuracy. The study will follow patients from enrollment through surgery and data analysis to support improved diagnosis and treatment planning in Crohns disease.
CONDITIONS
Brief Title
AI-Assisted MRE for Intestinal Fibrosis in Crohn's Disease
Research Team
M
Minhu Chen, Professor
R
Ren Mao, Professor
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match. Sign up to get personalized trial recommendations delivered to your inbox.
Patients over 18 years old with a confirmed diagnosis of Crohn's disease based on ECCO guidelines
Planning to have bowel resection due to stricture in ileum or colon
Availability of histological specimens of resected intestinal walls matched with MRE
Clear boundaries of the target bowel tract for accurate intestinal segmentation
You will not qualify if you...
Unable to undergo MRI examination
Difficult to obtain suitable tissue after surgery
Poor quality or artifacts in MRE imaging
Target bowel located at anastomosis (anastomotic stricture)
Intestinal lesions concurrent with other diseases
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Diagnostic Evaluation
Duration - Up to 4 weeks before surgery
Participants undergo MR Enterography (MRE) imaging and clinical assessments before surgery to collect multi-parametric MRI data and clinical measures related to Crohn's disease.
1 to 2 visits before surgery
Surgery and Immediate Post-operative Care
Duration - Surgery day and 1 week after surgery
Participants have bowel resection surgery for intestinal strictures, with collection of histologic specimens of the resected intestinal walls.
1 surgery visit and 1 post-operative visit
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
Similar Trials
Randomized Study Comparing Epigenome-Guided versus Standard Biologic Treatment Selection in Adults with Active Crohns Disease
A Multi-Center Study Using AI and MR Enterography to Assess Intestinal Fibrosis in Adults with Crohns Disease
Educational Program to Reduce Ultra-Processed Food Intake in Children and Teens with Inflammatory Bowel Disease
CEDUR Registry for Long-Term Observation of Adults with Crohns Disease, Ulcerative Colitis, and Indeterminate Colitis in Germany
Study of Nutritional Therapy and Infliximab Treatment in Children Aged 9 to 17 With Crohns Disease
Study Comparing AI-Assisted Video Capsule Endoscopy With Standard Reading for Detecting Suspected Crohns Disease
Comparing Biologic Treatments to Prevent Crohns Disease Recurrence After Intestinal Surgery
Study Comparing Inflammatory Activity Using Enteric MRI With and Without Intestinal Distension Products in Adults With Ileal Crohns Disease
Effects of Cranberry Supplement on Gut Microbiome and Inflammation in Adults With Crohns Disease
Randomized Placebo-Controlled Trial on Quality of Life and Gut Health
Study to Evaluate Reducing Ustekinumab Dose in Adults with Crohns Disease and Ulcerative Colitis in Remission
Have more questions? Get in touch with our team for quick support
Published Research Related To This Trial
A novel identification system combining diffusion kurtosis imaging with conventional magnetic resonance imaging to assess intestinal strictures in patients with Crohn's disease.
Development and Validation of a Novel Computed-Tomography Enterography Radiomic Approach for Characterization of Intestinal Fibrosis in Crohn's Disease.
Intestinal fibrosis classification in patients with Crohn's disease using CT enterography-based deep learning: comparisons with radiomics and radiologists.
CT-based radiomics signature of visceral adipose tissue for prediction of disease progression in patients with Crohn's disease: A multicentre cohort study.
Degree of Creeping Fat Assessed by Computed Tomography Enterography is Associated with Intestinal Fibrotic Stricture in Patients with Crohn's Disease: A Potentially Novel Mesenteric Creeping Fat Index.