Ulcerative Colitis Clinical Trial
Official title:
Prototype Study on Association Between Clinical, Laboratory and Thermographic Findings in Patients With Ulcerative Colitis
Ulcerative colitis represents a chronic condition occurring in relapsing and remitting fashion with uncertain outcome and requires lifelong treatment with considerable side effects. Diagnostic methods currently in use, clinical (endoscopy), imaging (CT, MR) or laboratory (C - reactive protein, fecal calprotectin) give an insight into disease activity but are possibly associated with significant discomfort for the patient and / or increased risk of irradiation and potential allergic reactions on contrast agents. For that reason there is a need for a noninvasive, biologically inert method for evaluation of disease activity in inflammatory bowel disease (IBD). Thermography possesses most of these characteristics. The aim of this study is to find potential link between pathological thermographic signs and endoscopic findings, serum C reactive protein (CRP) and calprotectin in the stool of patients with active and extensive ulcerative colitis.
Hypothesis: Documenting pathological thermographic signs in patients with extensive
ulcerative colitis investigators will demonstrate pathological thermography criteria that
correlate with standard inflammatory markers such as Mayo endoscopic subscore (ESS), CRP and
calprotectin in patients with ulcerative colitis.
Aims: The aim of this study is to record abdominal thermographic images of patients with
active ulcerative colitis (UC), to create interpretational thermographic criteria for these
images and to compare them to abdominal infrared (IR) images of healthy volunteers.
Furthermore, investigators intend to correlate these criteria with standard markers of
inflammation such as CRP and calprotectin in patients with UC at the beginning of treatment
and at the end.
Materials and methods: For the purpose of this work, 36 patients with extensive UC and 30
healthy individuals will be put throe thermographic imagining, have their stool tested for
calprotectin and their blood for CRP. In addition, patients with UC will receive colonoscopy
evaluations.
Expected scientific contribution: The results of this paper would give an additional
contribution to existing tools for pursuing ulcerative colitis activity thus demonstrating
the potential of thermography as a complementary method to standard methods in assessing
disease activity. Establishing diagnostic criteria for this method would be a good addition
to present clinical practice.
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