Multiparametric intestinal ultrasound in inflammatory bowel diseases: a narrative review

MPUS represents a transformative evolution in IBD imaging, particularly in point-of-care and longitudinal disease management. Despite its strong potential, widespread adoption is limited by technical variability, operator dependency, and lack of standardization. Future integration into clinical practice will require multicenter validation, standardized protocols, and training programs. The development of AI-assisted tools and targeted CEUS may soon elevate MPUS from a structural to a functional and molecular imaging modality, opening the door to personalized, precision-based IBD care.