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Crohn's disease is a chronic, incurable inflammatory bowel disease with an unpredictable course, characterized by alternating remission and inflammatory flares. Current follow-up strategies are poorly suited to early flare detection, leading to uncontrolled disease progression and complications. A major clinical challenge is distinguishing reversible inflammatory activity from irreversible intestinal fibrosis, as existing imaging techniques lack specificity. This study aims to perform comprehensive ex vivo multiparametric MRI, combined with biophysical measurements and histopathology, on resected intestinal specimens to precisely map inflammation and fibrosis and to validate in vivo MRI-derived biomarkers for personalized therapeutic decision-making.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Crohn's Disease Patients Undergoing Intestinal Resection | Patients with Crohn's disease undergoing planned intestinal resection surgery. Resected intestinal specimens will be analyzed ex vivo using multiparametric magnetic resonance imaging, biophysical measurements (mechanical and electrical properties), and histopathological examination. No experimental intervention is performed on participants beyond standard surgical care. |
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| Measure | Description | Time Frame |
|---|---|---|
| Ex vivo MRI assessment of intestinal biophysical properties - T2 relaxometry | Measurement of T2 relaxometry (ms) of resected intestinal tissue using ex vivo MRI. | Baseline (J0): day of surgery |
| Ex vivo MRI assessment of intestinal biophysical properties - T1 relaxometry | Measurement of T1 relaxometry (ms) of resected intestinal tissue using ex vivo MRI. | Baseline (J0): day of surgery |
| Ex vivo MRI assessment of intestinal electrical properties - conductivity | Measurement of tissue conductivity (S/m) using MR electrical properties tomography (MR-EPT). | Baseline (J0): day of surgery |
| Ex vivo MRI assessment of intestinal electrical properties - permittivity | Measurement of tissue relative permittivity (unitless) using MR electrical properties tomography (MR-EPT). | Baseline (J0): day of surgery |
| Ex vivo MRI assessment of intestinal mechanical properties - elastography | Measurement of tissue stiffness (kPa) using magnetic resonance elastography. | Baseline (J0): day of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Histopathological quantification of intestinal fibrosis - total area | Measurement of fibrotic area (mm²) on the entire histological section from the area of maximal stenosis. | Baseline (J0): day of surgery |
| Histopathological quantification of intestinal inflammation - total area |
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Inclusion Criteria:
Exclusion Criteria:
- None
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Adults (≥18 years) diagnosed with Crohn's disease who are undergoing planned intestinal resection surgery at CHRU Nancy.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guillaume DROUOT, PhD | Contact | +33383157666 | g.drouot@chru-nancy.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU Nancy | Vandœuvre-lès-Nancy | 54511 | France |
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| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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Measurement of inflammatory area (mm²) on the entire histological section from the area of maximal stenosis. |
| Baseline (J0): day of surgery |
| Association between ex vivo and in vivo MRI lesion characteristics | Correlation between lesion properties measured ex vivo and in vivo MRI parameters of the same lesions. | Baseline (J0): day of surgery |
| Association between intestinal lesion characteristics and clinical events | Correlation between in vivo MRI-derived intestinal lesion characteristics and occurrence of clinical events (emergency visits for abdominal pain, hospitalizations for digestive causes, additional intestinal resection) within 12 months post-surgery. | 12 months post-surgery |
| D007410 | Intestinal Diseases |