Appendix E1 Supplementary table 1. Electronic search strategy for Medline, Embase and Cochrane databases Search details Medline search 1 2 3 4 5 6 7 8 Time period: January 1983 – March 2014 9 10 11 12 13 Crohn’s disease Crohn [tiab] Inflammatory bowel disease 1 OR 2 OR 3 Computed tomography CT [tiab] MRI “Magnetic resonance” [All fields] OR (“magnetic” [All fields] AND “resonance” [All fields]) Ultrasound Scintigraphy Emission computed tomography 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 4 AND 12 Embase search 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Crohn’s disease.ab,ti,sh,kw Inflammatory bowel disease.ab,ti,sh,kw 1 OR 2 Computer Assisted Tomography.ab,ti,sh,kw Exp Computer Assisted Tomography/ Nuclear magnetic resonance imaging.ab,ti,sh,kw Exp Nuclear magnetic resonance imaging/ Echography.ab,ti,sh,kw Exp echography/ Scintigraphy.ab,ti,sh,kw Exp scintigraphy/ Positron emission tomography.ab,ti,sh,kw Exp positron emission tomography/ 4 OR 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 OR 12 OR 13 3 AND 14 Cochrane search 1 2 3 4 5 Crohn disease [Mesh] Inflammatory bowel disease [Mesh] 1 OR 2 Diagnostic techniques and procedures [Mesh] 3 AND 4 Appendix E2 Supplementary table 2. Exclusions after full-text evaluation (n=130) No imaging features used for grading disease activity defined (n=58) Adamek HE, Schantzen W, Rinas U, Goyen M, Ajaj W, Esser C (2012) Ultra-high-field magnetic resonance enterography in the diagnosis of ileitis (Neo-)terminalis: a prospective study. J Clin Gastroenterol 46:311-316 Bettenworth D, Reuter S, Hermann S et al (2013) Translational 18F-FDG PET/CT Imaging to Monitor Lesion Activity in Intestinal Inflammation. J Nucl Med:Biancone L, Calabrese E, Petruzziello C et al (2007) Wireless capsule endoscopy and small intestine contrast ultrasonography in recurrence of Crohn's disease. Inflamm Bowel Dis 13:12561265 Borghi P, Armocida C, Rigo GP et al (1998) Advantages of the echographic staging of intestinal Crohn's disease. Correlations of echographic patterns and histological findings. La Radiologia medica 95:338-343 Borthne AS, Abdelnoor M, Rugtveit J, Perminow G, Reiseter T, Klow NE (2006) Bowel magnetic resonance imaging of pediatric patients with oral mannitol MRI compared to endoscopy and intestinal ultrasound. Eur Radiol 16:207-214 Bremner AR, Griffiths M, Argent JD, Fairhurst JJ, Beattie RM (2006) Sonographic evaluation of inflammatory bowel disease: a prospective, blinded, comparative study. Pediatr Radiol 36:Bru C, Sans M, Defelitto MM et al (2001) Hydrocolonic sonography for evaluating inflammatory bowel disease. AJR Am J Roentgenol 177:99-105 C Calabrese E, Petruzziello C, Onali S et al (2009) Severity of postoperative recurrence in Crohn's disease: correlation between endoscopic and sonographic findings. Inflamm Bowel Dis 15:16351642 Castiglione F, Bucci L, Pesce G et al (2008) Oral contrast-enhanced sonography for the diagnosis and grading of postsurgical recurrence of Crohn's disease. Inflamm Bowel Dis 14:1240-1245 Castiglione F, Mainenti PP, De Palma GD et al (2013) Noninvasive diagnosis of small bowel Crohn's disease: direct comparison of bowel sonography and magnetic resonance enterography. Inflamm Bowel Dis 19:991-998 Charron M, Del Rosario F, Kocoshis S (1999) Assessment of terminal ileal and colonic inflammation in Crohn's disease with 99mTc-WBC. Acta Paediatr 88:193-198 Charron M, del Rosario FJ, Kocoshis SA (1999) Pediatric inflammatory bowel disease: assessment with scintigraphy with 99mTc white blood cells. Radiology 212:507-513 Charron M, Di Lorenzo C, Kocoshis S (1999) Gastric and small bowel Crohn's disease assessed with leukocytes-Tc(99m) scintigraphy. Pediatr Surg Int 15:500-504 Charron M, Di Lorenzo C, Kocoshis S (2000) Are 99mTc leukocyte scintigraphy and SBFT studies useful in children suspected of having inflammatory bowel disease? Am J Gastroenterol 95:12081212 Choi D, Jin Lee S, Ah Cho Y et al (2003) Bowel wall thickening in patients with Crohn's disease: CT patterns and correlation with inflammatory activity. Clin Radiol 58:68-74 Datz FL, Anderson CE, Ahluwalia R et al (1994) The efficacy of indium-111-polyclonal IgG for the detection of infection and inflammation. J Nucl Med 35:Daumal J, Martin-Comin J, Gasull MA et al (1989) [Gammagraphy with 111In-labelled leukocytes in an acute outbreak of inflammatory intestinal disease. Evaluation of the localization, extension and degree of activity]. Med Clin (Barc) 93:325-330 De Franco A, Di Veronica A, Armuzzi A et al (2012) Ileal Crohn disease: mural microvascularity quantified with contrast-enhanced US correlates with disease activity. Radiology 262:de Lima Ramos PA, Martin-Comin J, Prats E et al (1998) [Scintigraphic assessment of the severity of inflammatory bowel disease using Tc 99m exametazime-labeled leukocytes]. Rev Esp Med Nucl 17:351-357 Del Vescovo R, Sansoni I, Caviglia R et al (2008) Dynamic contrast enhanced magnetic resonance imaging of the terminal ileum: differentiation of activity of Crohn's disease. Abdom Imaging 33:417-424 Fitzgerald PG, Topp TJ, Walton JM, Jackson JR, Gillis DA (1992) The use of indium 111 leukocyte scans in children with inflammatory bowel disease. J Pediatr Surg 27:1298-1300 Gee MS, Nimkin K, Hsu M et al (2011) Prospective evaluation of MR enterography as the primary imaging modality for pediatric Crohn disease assessment. AJR Am J Roentgenol 197:224-231 Girlich C, Jung EM, Huber E et al (2011) Comparison between preoperative quantitative assessment of bowel wall vascularization by contrast-enhanced ultrasound and operative macroscopic findings and results of histopathological scoring in Crohn's disease. Ultraschall Med 32:Haber HP, Busch A, Ziebach R, Dette S, Ruck P, Stern M (2002) Ultrasonographic findings correspond to clinical, endoscopic, and histologic findings in inflammatory bowel disease and other enterocolitides. J Ultrasound Med 21:375-382 Hara AK, Alam S, Heigh RI, Gurudu SR, Hentz JG, Leighton JA (2008) Using CT enterography to monitor Crohn's disease activity: a preliminary study. AJR Am J Roentgenol 190:1512-1516 Hara AK, Leighton JA, Heigh RI et al (2006) Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology 238:Hassan C, Cerro P, Zullo A, Spina C, Morini S (2003) Computed tomography enteroclysis in comparison with ileoscopy in patients with Crohn's disease. Int J Colorectal Dis 18:121-125 Heresbach D, Bretagne JF, Raoul JL et al (1993) Indium scanning in assessment of acute Crohn's disease. A prospective study of sensitivity and correlation with severity of mucosal damage. Dig Dis Sci 38:1601-1607 Holtmann MH, Uenzen M, Helisch A et al (2012) 18F-Fluorodeoxyglucose positron-emission tomography (PET) can be used to assess inflammation non-invasively in Crohn's disease. Dig Dis Sci 57:Hotze A, Briele B, Wolf F, Biersack HJ, Knapp FF (1988) Localization and activity of inflammatory bowel disease using 111In leukocyte imaging. Nuklearmedizin 27:83-86 Jacene HA, Ginsburg P, Kwon J et al (2009) Prediction of the need for surgical intervention in obstructive Crohn's disease by 18F-FDG PET/CT. J Nucl Med 50:1751-1759 Jewell FM, Davies A, Sandhu B, Duncan A, Grier D (1996) Technetium-99m-HMPAO labelled leucocytes in the detection and monitoring of inflammatory bowel disease in children. Br J Radiol 69:508-514 Koutroubakis IE, Koukouraki SI, Dimoulios PD, Velidaki AA, Karkavitsas NS, Kouroumalis EA (2003) Active inflammatory bowel disease: evaluation with 99mTc (V) DMSA scintigraphy. Radiology 229:70-74 Loffler M, Weckesser M, Franzius C, Schober O, Zimmer KP (2006) High diagnostic value of 18FFDG-PET in pediatric patients with chronic inflammatory bowel disease. Ann N Y Acad Sci 1072:379-385 Louis E, Ancion G, Colard A, Spote V, Belaiche J, Hustinx R (2007) Noninvasive assessment of Crohn's disease intestinal lesions with (18)F-FDG PET/CT. J Nucl Med 48:1053-1059 Low RN, Francis IR, Politoske D, Bennett M (2000) Crohn's disease evaluation: comparison of contrast-enhanced MR imaging and single-phase helical CT scanning. J Magn Reson Imaging 11:127-135 Madsen SM, Thomsen HS, Munkholm P et al (2002) Inflammatory bowel disease evaluated by low-field magnetic resonance imaging. Comparison with endoscopy, 99mTc-HMPAO leucocyte scintigraphy, conventional radiography and surgery. Scand J Gastroenterol 37:307-316 Malgras B, Soyer P, Boudiaf M et al (2012) Accuracy of imaging for predicting operative approach in Crohn's disease. Br J Surg 99:1011-1020 Onali S, Calabrese E, Petruzziello C et al (2010) Endoscopic vs ultrasonographic findings related to Crohn's disease recurrence: a prospective longitudinal study at 3 years. J Crohns Colitis 4:319328 Pallotta N, Giovannone M, Pezzotti P et al (2010) Ultrasonographic detection and assessment of the severity of Crohn's disease recurrence after ileal resection. BMC Gastroenterol 10:69 Papos M, Nagy F, Lang J, Csernay L (1993) Technetium-99m hexamethylpropylene amine oxime labelled leucocyte scintigraphy in ulcerative colitis and Crohn's disease. Eur J Nucl Med 20:766769 Papos M, Nagy F, Narai G et al (1996) Anti-granulocyte immunoscintigraphy and [99mTc]hexamethylpropyleneamine-oxime-labeled leukocyte scintigraphy in inflammatory bowel disease. Dig Dis Sci 41:412-420 Piekkala M, Kalajoki-Helmio T, Martelius L, Pakarinen M, Rintala R, Kolho KL (2012) Magnetic resonance enterography guiding treatment in children with Crohn's jejunoileitis. Acta Paediatr 101:631-636 Pilleul F, Godefroy C, Yzebe-Beziat D, Dugougeat-Pilleul F, Lachaux A, Valette PJ (2005) Magnetic resonance imaging in Crohn's disease. Gastroenterol Clin Biol 29:803-808 Rispo A, Bucci L, Pesce G et al (2006) Bowel sonography for the diagnosis and grading of postsurgical recurrence of Crohn's disease. Inflamm Bowel Dis 12:486-490 Rottgen R, Herzog H, Lopez-Haninnen E, Felix R (2006) Bowel wall enhancement in magnetic resonance colonography for assessing activity in Crohn's disease. Clin Imaging 30:27-31 Sauer CG, Middleton JP, Alazraki A et al (2012) Comparison of magnetic resonance enterography with endoscopy, histopathology, and laboratory evaluation in pediatric Crohn disease. J Pediatr Gastroenterol Nutr 55:178-184 Solem CA, Loftus EV, Jr., Fletcher JG et al (2008) Small-bowel imaging in Crohn's disease: a prospective, blinded, 4-way comparison trial. Gastrointest Endosc 68:255-266 Thomson M, Rao P, Berger L, Rawat D (2012) Graded compression and power Doppler ultrasonography versus endoscopy to assess paediatric Crohn disease activity pre- and posttreatment. J Pediatr Gastroenterol Nutr 54:404-408 Tretjak Z, Fettich J, Batagelj I (1990) Technetium-99m-sucralfate scintigraphy: poor correlation with endoscopy and radiology in inflammatory bowel disease. Gastrointest Endosc 36:Vilien M, Nielsen SL, Jorgensen M et al (1992) Leucocyte scintigraphy to localize inflammatory activity in ulcerative colitis and Crohn's disease. Scand J Gastroenterol 27:582-586 Vogel J, da Luz Moreira A, Baker M et al (2007) CT enterography for Crohn's disease: accurate preoperative diagnostic imaging. Dis Colon Rectum 50:Weldon MJ (1994) Assessment of inflammatory bowel disease activity using 99mTc-HMPAO single-photon emission computerized tomography imaging. Scand J Gastroenterol Suppl 203:6168 Weldon MJ, Masoomi AM, Britten AJ et al (1995) Quantification of inflammatory bowel disease activity using technetium-99m HMPAO labelled leucocyte single photon emission computerised tomography (SPECT). Gut 36:243-250 Wu YW, Tang YH, Hao NX, Tang CY, Miao F (2012) Crohn's disease: CT enterography manifestations before and after treatment. Eur J Radiol 81:52-59 Zappa M, Stefanescu C, Cazals-Hatem D et al (2011) Which magnetic resonance imaging findings accurately evaluate inflammation in small bowel Crohn's disease? A retrospective comparison with surgical pathologic analysis. Inflamm Bowel Dis 17:984-993 Ziech ML, Bipat S, Roelofs JJ et al (2011) Retrospective comparison of magnetic resonance imaging features and histopathology in Crohn's disease patients. Eur J Radiol 80:e299-305 Ziech ML, Lavini C, Caan MW et al (2012) Dynamic contrast-enhanced MRI in patients with luminal Crohn's disease. Eur J Radiol 81:3019-3027 No raw data available for 3 x 3 or 4 x 4 tables (n=36) Adler J, Punglia DR, Dillman JR et al (2012) Computed tomography enterography findings correlate with tissue inflammation, not fibrosis in resected small bowel Crohn's disease. Inflamm Bowel Dis 18:849-856 Afifi AH, Kassem MI (2012) Crohn's disease: Activity, complications and treatment. Evaluation using MDCT enterography and endoscopy. Egyptian Journal of Radiology and Nuclear Medicine 43:507-517 Ajaj WM, Lauenstein TC, Pelster G et al (2005) Magnetic resonance colonography for the detection of inflammatory diseases of the large bowel: quantifying the inflammatory activity. Gut 54:257-263 Alberini JL, Badran A, Freneaux E et al (2001) Technetium-99m HMPAO-labeled leukocyte imaging compared with endoscopy, ultrasonography, and contrast radiology in children with inflammatory bowel disease. J Pediatr Gastroenterol Nutr 32:278-286 Bhargava SA, Orenstein SR, Charron M. Technetium-99m hexamethylpropyleneamine-oximelabeled leukocyte scintigraphy in inflammatory bowel disease in children. The Journal of pediatrics. 1994;125(2):213-217. Biancone L, Schillaci O, Capoccetti F et al (2005) Technetium-99m-HMPAO labeled leukocyte single photon emission computerized tomography (SPECT) for assessing Crohn's disease extent and intestinal infiltration. Am J Gastroenterol 100:344-354 Cucchiara S, Celentano L, de Magistris TM, Montisci A, Iula VD, Fecarotta S (1999) Colonoscopy and technetium-99m white cell scan in children with suspected inflammatory bowel disease. J Pediatr 135:727-732 Friedrich C, Fajfar A, Pawlik M et al (2012) Magnetic resonance enterography with and without biphasic contrast agent enema compared to conventional ileocolonoscopy in patients with Crohn's disease. Inflamm Bowel Dis 18:1842-1848 Gourtsoyiannis N, Papanikolaou N, Grammatikakis J, Papamastorakis G, Prassopoulos P, Roussomoustakaki M (2004) Assessment of Crohn's disease activity in the small bowel with MR and conventional enteroclysis: preliminary results. Eur Radiol 14:1017-1024 Grand DJ, Kampalath V, Harris A et al (2012) MR enterography correlates highly with colonoscopy and histology for both distal ileal and colonic Crohn's disease in 310 patients. Eur J Radiol 81:e763-769 Hyun SB, Kitazume Y, Nagahori M et al (2011) Magnetic resonance enterocolonography is useful for simultaneous evaluation of small and large intestinal lesions in Crohn's disease. Inflamm Bowel Dis 17:1063-1072 Johnson KT, Hara AK, Johnson CD (2009) Evaluation of colitis: usefulness of CT enterography technique. Emerg Radiol 16:277-282 Langhorst J, Kuhle CA, Ajaj W et al (2007) MR colonography without bowel purgation for the assessment of inflammatory bowel diseases: diagnostic accuracy and patient acceptance. Inflamm Bowel Dis 13:1001-1008 Lapp RT, Spier BJ, Perlman SB, Jaskowiak CJ, Reichelderfer M (2011) Clinical utility of positron emission tomography/computed tomography in inflammatory bowel disease. Mol Imaging Biol 13:573-576 Lasocki A, Pitman A, Williams R, Lui B, Kalade AV, Farish S (2011) Relative efficacy of different MRI signs in diagnosing active Crohn's disease, compared against a histological gold standard. J Med Imaging Radiat Oncol 55:11-19 Lawrance IC, Welman CJ, Shipman P, Murray K (2009) Correlation of MRI-determined small bowel Crohn's disease categories with medical response and surgical pathology. World J Gastroenterol 15:3367-3375 Maccioni F, Viola F, Carrozzo F et al (2012) Differences in the location and activity of intestinal Crohn's disease lesions between adult and paediatric patients detected with MRI. Eur Radiol 22:2465-2477 Marcos HB, Semelka RC (2000) Evaluation of Crohn's disease using half-fourier RARE and gadolinium-enhanced SGE sequences: initial results. Magn Reson Imaging 18:263-268 Menys A, Atkinson D, Odille F et al (2012) Quantified terminal ileal motility during MR enterography as a potential biomarker of Crohn's disease activity: a preliminary study. Eur Radiol 22:Minordi LM, Vecchioli A, Poloni G, Guidi L, De Vitis I, Bonomo L (2009) Enteroclysis CT and PEGCT in patients with previous small-bowel surgical resection for Crohn's disease: CT findings and correlation with endoscopy. Eur Radiol 19:- Oussalah A, Laurent V, Bruot O et al (2010) Diffusion-weighted magnetic resonance without bowel preparation for detecting colonic inflammation in inflammatory bowel disease. Gut 59:1056-1065 Paredes JM, Ripolles T, Cortes X et al (2013) Contrast-enhanced ultrasonography: usefulness in the assessment of postoperative recurrence of Crohn's disease. J Crohns Colitis 7:192-201 Paredes JM, Ripolles T, Cortes X et al (2010) Non-invasive diagnosis and grading of postsurgical endoscopic recurrence in Crohn's disease: usefulness of abdominal ultrasonography and (99m)Tc-hexamethylpropylene amineoxime-labelled leucocyte scintigraphy. J Crohns Colitis 4:537-545 Parisinos CA, McIntyre VE, Heron T et al (2010) Magnetic resonance follow-through imaging for evaluation of disease activity in ileal Crohn's disease: an observational, retrospective cohort study. Inflamm Bowel Dis 16:1219-1226 Pascu M, Roznowski AB, Muller HP, Adler A, Wiedenmann B, Dignass AU (2004) Clinical relevance of transabdominal ultrasonography and magnetic resonance imaging in patients with inflammatory bowel disease of the terminal ileum and large bowel. Inflamm Bowel Dis 10:373382 Pullman WE, Sullivan PJ, Barratt PJ, Lising J, Booth JA, Doe WF (1988) Assessment of inflammatory bowel disease activity by technetium 99m phagocyte scanning. Gastroenterology 95:989-996 Rigazio C, Ercole E, Laudi C et al (2009) Abdominal bowel ultrasound can predict the risk of surgery in Crohn's disease: proposal of an ultrasonographic score. Scand J Gastroenterol 44:585593 Rimola J, Ordas I, Rodriguez S et al (2011) Magnetic resonance imaging for evaluation of Crohn's disease: validation of parameters of severity and quantitative index of activity. Inflamm Bowel Dis 17:1759-1768 Rimola J, Rodriguez S, Garcia-Bosch O et al (2009) Magnetic resonance for assessment of disease activity and severity in ileocolonic Crohn's disease. Gut 58:1113-1120 Ripolles T, Martinez MJ, Paredes JM, Blanc E, Flors L, Delgado F (2009) Crohn disease: correlation of findings at contrast-enhanced US with severity at endoscopy. Radiology 253:241-248 Ripolles T, Rausell N, Paredes JM, Grau E, Martinez MJ, Vizuete J (2013) Effectiveness of contrastenhanced ultrasound for characterisation of intestinal inflammation in Crohn's disease: a comparison with surgical histopathology analysis. J Crohns Colitis 7:120-128 Sailer J, Peloschek P, Reinisch W, Vogelsang H, Turetschek K, Schima W (2008) Anastomotic recurrence of Crohn's disease after ileocolic resection: comparison of MR enteroclysis with endoscopy. Eur Radiol 18:2512-2521 Shyn PB, Mortele KJ, Britz-Cunningham SH et al (2010) Low-dose 18F-FDG PET/CT enterography: improving on CT enterography assessment of patients with Crohn disease. J Nucl Med 51:1841-1848 Silverstein J, Grand D, Kawatu D, Shah SA, Steinkeler J, LeLeiko N (2012) Feasibility of using MR enterography for the assessment of terminal ileitis and inflammatory activity in children with Crohn disease. J Pediatr Gastroenterol Nutr 55:173-177 Stathaki MI, Koutroubakis IE, Koukouraki SI et al (2008) Active inflammatory bowel disease: head-to-head comparison between 99mTc-hexamethylpropylene amine oxime white blood cells and 99mTc(V)-dimercaptosuccinic acid scintigraphy. Nucl Med Commun 29:27-32 Steward MJ, Punwani S, Proctor I et al (2012) Non-perforating small bowel Crohn's disease assessed by MRI enterography: derivation and histopathological validation of an MR-based activity index. Eur J Radiol 81:2080-2088 No endoscopy, biopsies or intra-operative findings (n=25) Arndt JW, Grootscholten MI, van Hogezand RA, Griffioen G, Lamers CB, Pauwels EK (1997) Inflammatory bowel disease activity assessment using technetium-99m-HMPAO leukocytes. Dig Dis Sci 42:387-393 Becker W, Fischbach W, Jenett M, Reiners C, Borner W (1986) 111In-oxine-labelled white blood cells in the diagnosis and follow-up of Crohn's disease. Klin Wochenschr 64:141-148 Brouwers AH, De Jong DJ, Dams ET et al (2000) Tc-99m-PEG-Liposomes for the evaluation of colitis in Crohn's disease. J Drug Target 8:225-233 Darnault P, Bretagne JF, Moisan A et al (1985) [Scintigraphy with indium 111-labeled polynuclears: correlation with the extensiveness and activity of cryptogenetic enterocolitis]. Gastroenterol Clin Biol 9:690-696 Dhote R, Beades E, Le Dinh T et al (1995) [Scintigraphy using leukocytes marked with 99m-TcHMPAO in Crohn's disease]. Acta Gastroenterol Belg 58:353-363 Florie J, Wasser MN, Arts-Cieslik K, Akkerman EM, Siersema PD, Stoker J (2006) Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn's disease. AJR Am J Roentgenol 186:1384-1392 Futagami Y, Haruma K, Hata J et al (1999) Development and validation of an ultrasonographic activity index of Crohn's disease. Eur J Gastroenterol Hepatol 11:1007-1012 Grieser C, Denecke T, Steffen IG et al (2012) Magnetic resonance enteroclysis in patients with Crohn's disease: fat saturated T2-weighted sequences for evaluation of inflammatory activity. J Crohns Colitis 6:294-301 Hata J, Haruma K, Suenaga K et al (1992) Ultrasonographic assessment of inflammatory bowel disease. Am J Gastroenterol 87:443-447 Hata J, Haruma K, Yamanaka H et al (1994) Ultrasonographic evaluation of the bowel wall in inflammatory bowel disease: comparison of in vivo and in vitro studies. Abdom Imaging 19:395399 Limberg B (1986) Diagnosis of inflammatory and tumorous changes of the large intestine using colonic sonography. Deutsche medizinische Wochenschrift 111:1273-1276 Martinez MJ, Ripolles T, Paredes JM, Blanc E, Marti-Bonmati L (2009) Assessment of the extension and the inflammatory activity in Crohn's disease: comparison of ultrasound and MRI. Abdom Imaging 34:141-148 Migaleddu V, Scanu AM, Quaia E et al (2009) Contrast-enhanced ultrasonographic evaluation of inflammatory activity in Crohn's disease. Gastroenterology 137:43-52 Molnar T, Papos M, Gyulai C et al (2001) Clinical value of technetium-99m-HMPAO-labeled leukocyte scintigraphy and spiral computed tomography in active Crohn's disease. Am J Gastroenterol 96:1517-1521 Poitras P, Carrier L, Chartrand R et al (1987) Indium-111 leukocyte scanning of the abdomen. Analysis of its value for diagnosis and management of inflammatory bowel disease. J Clin Gastroenterol 9:- Pradel JA, David XR, Taourel P, Djafari M, Veyrac M, Bruel JM (1997) Sonographic assessment of the normal and abnormal bowel wall in nondiverticular ileitis and colitis. Abdom Imaging 22:167-172 Pullman W, Hanna R, Sullivan P, Booth JA, Lomas F, Doe WF (1986) Technetium-99m autologous phagocyte scanning: a new imaging technique for inflammatory bowel disease. Br Med J (Clin Res Ed) 293:171-174 Saverymuttu SH, Camilleri M, Rees H, Lavender JP, Hodgson HJ, Chadwick VS (1986) Indium 111granulocyte scanning in the assessment of disease extent and disease activity in inflammatory bowel disease. A comparison with colonoscopy, histology, and fecal indium 111-granulocyte excretion. Gastroenterology 90:1121-1128 Scholmerich J, Schmidt E, Schumichen C, Billmann P, Schmidt H, Gerok W (1988) Scintigraphic assessment of bowel involvement and disease activity in Crohn's disease using technetium 99mhexamethyl propylene amine oxine as leukocyte label. Gastroenterology 95:1287-1293 Sopena F, Nerin JM, Prats E et al (1991) [Gammagraphy with labeled leukocytes as an activity and extension index of Crohn disease]. Rev Esp Enferm Dig 79:387-392 Spinelli F, Milella M, Sara R et al (1991) The 99mTc-HMPAO leukocyte scan: an alternative to radiology and endoscopy in evaluating the extent and the activity of inflammatory bowel disease. J Nucl Biol Med 35:82-87 Tarjan Z, Toth G, Gyorke T, Mester A, Karlinger K, Mako EK (2000) Ultrasound in Crohn's disease of the small bowel. Eur J Radiol 35:176-182 Tillack C, Seiderer J, Brand S et al (2008) Correlation of magnetic resonance enteroclysis (MRE) and wireless capsule endoscopy (CE) in the diagnosis of small bowel lesions in Crohn's disease. Inflamm Bowel Dis 14:1219-1228 Tong JL, Feng Q, Shen J et al (2013) Computed tomography enterography versus balloon-assisted enteroscopy for evaluation of small bowel lesions in Crohn's disease. J Gastroenterol Hepatol. 10.1111/jgh.12231 Verdu Rico J, Juste Ruiz M, Jover R et al (2006) [99mTc-HMPAO-leukocyte-labeled scintigraphy in the detection and follow-up of inflammatory bowel disease]. An Pediatr (Barc) 64:457-463 Less than 10 included patients (n=6) Alvarez Beltran M, Barber Martinez de la Torre I, Segarra Canton O, Redecillas Ferreiro S, Castellote Alonso A, Infante Pina D (2013) [MRI enterography in the assessment of paediatric Crohn's disease]. An Pediatr (Barc) 78:314-320 Charron M, Di Lorenzo C, Kocoshis SA et al (2001) (99m)Tc antigranulocyte monoclonal antibody imaging for the detection and assessment of inflammatory bowel disease newly diagnosed by colonoscopy in children. Pediatr Radiol 31:796-800 Durno CA, Sherman P, Williams T, Shuckett B, Dupuis A, Griffiths AM (2000) Magnetic resonance imaging to distinguish the type and severity of pediatric inflammatory bowel diseases. J Pediatr Gastroenterol Nutr 30:Lantto E, Jarvi K, Krekela I et al (1992) Technetium-99m hexamethyl propylene amine oxine leucocytes in the assessment of disease activity in inflammatory bowel disease. Eur J Nucl Med 19:14-18 Papos M, Varkonyi A, Lang J et al (1996) HM-PAO-labeled leukocyte scintigraphy in pediatric patients with inflammatory bowel disease. J Pediatr Gastroenterol Nutr 23:547-552 Stahlberg D, Veress B, Mare K et al (1997) Leukocyte migration in acute colonic inflammatory bowel disease: comparison of histological assessment and Tc-99m-HMPAO labeled leukocyte scan. Am J Gastroenterol 92:283-288 Separate analysis CD patients not possible (n=2) Caobelli F, Panarotto MB, Andreoli F, Ravelli A, De Agostini A, Giubbini R (2011) Is 99mTcHMPAO granulocyte scan an alternative to endoscopy in pediatric chronic inflammatory bowel disease (IBD)? Eur J Pediatr 170:51-57 Laghi A, Borrelli O, Paolantonio P et al (2003) Contrast enhanced magnetic resonance imaging of the terminal ileum in children with Crohn's disease. Gut 52:393-397 Duplicate publication (n=1) Gallego Ojea JC, Echarri Piudo AI, Porta Vila A (2011) [Crohn's disease: the usefulness of MR enterography in the detection of recurrence after surgery]. Radiologia 53:552-559 Incorrect type of work (n=1) Gandolfi L (1996) Comparison of magnetic resonance imaging and endoscopy in distinguishing the type and severity of inflammatory bowel disease. Gastrointest Endosc 43:Article not in English, German, French, Italian, Spanish or Dutch (n=1) Li WJ, Jiang WY, Zhang XF, Liu XS, Shi RH, Zhang HJ (2013) Value of CT enteroclysis in the diagnosis of Crohn's disease. World Chinese Journal of Digestology 21:220-225 Appendix E3 Supplementary table 3. Three-by-three contingency table for studies evaluating computed tomography (CT) Study Reference test None Mild Frank CT None Mild Frank None Mild Frank None Mild Frank Mao [16] 3 1 0 1 3 5 0 0 19 Mohamed [17] 0 0 0 0 0 0 0 1 25 51 0 0 5 2 0 1 3 8 Per-patient Per-segment Kolkman [18] CT = Computed Tomography Supplementary table 4. Three-by-three contingency tables for studies evaluating magnetic resonance imaging (MRI) Study Reference test None Mild Frank MRI None Mild Frank None Mild Frank None Mild Frank Schill [19] 0 0 0 0 4 0 0 1 71 Gallego [20] 4 1 0 0 24 9 0 4 19 Koilakou [21] 2 1 0 0 5 1 0 0 17 Horsthuis [22] observer 1 0 0 0 3 1 1 2 2 6 Horsthuis [22] observer 2 0 0 0 4 0 1 1 5 4 Horsthuis [22] observer 3 0 0 0 0 3 2 0 3 7 Girometti [23] 14 2 0 2 12 0 0 0 15 Horsthuis [24] observer 1 0 5 0 0 8 1 0 3 3 Horsthuis [24] observer 2 4 1 0 1 7 1 0 2 4 Florie [25] observer 1 6 3 1 0 4 4 0 4 9 Florie [25] observer 2 5 4 1 2 3 3 1 2 10 Shoenut [26] 0 0 0 0 1 0 0 0 11 Shoenut [27] 0 0 0 0 0 4 0 1 14 Schreyer [28] 112 1 1 11 3 1 14 3 30 Schreyer [29] 46 0 0 25 2 0 1 1 7 Per-patient Per-segment MRI = Magnetic Resonance Imaging Supplementary table 5. Three-by-three contingency tables for studies evaluating ultrasound (US) Study Reference test None Mild Frank US None Mild Frank None Mild Frank None Mild Frank 5 1 2 5 5 5 0 5 4 Neye [31] 54 4 0 12 7 6 3 6 34 Bozkurt [32] 51 26 3 9 29 35 0 11 28 Per-patient Drews [30] Per-segment US = Ultrasound Supplementary table 6. Three-by-three contingency tables for studies evaluating scintigraphy Study Reference test None Mild Frank Scintigraphy None Mild Frank None Mild Frank None Mild Frank 1 0 0 2 3 1 1 2 0 Kolkman [18] 50 1 0 4 2 1 1 3 8 Scarrietta [34] 10 0 0 4 24 4 0 4 42 Per-patient Biancone [33] Per-segment