Hydro-mri Of The Small Bowel

Hydro-MRI of the Small Bowel: Effect of Contrast Volume, Timing of Contrast Administration, and Data Acquisition on Bowel Distention Christiane A. Kuehle1 AJR October 2006; 187:W375–W38

Dr. Daniel Avalos R2 RX Lunes 25 de mayo de 2009

Influence of type of contrast medium

Influence of type of contrast medium

Influence of type of contrast medium

B, Water. C, Locust bean gum with mannitol. D, VoLumen (E-Z-EM) with 1.4% sorbitol. E, VoLumen with 2% sorbitol

For duodenum there were no statistically significant differences between substances. All agents administered at volume of 900 mL.

Influence of type of contrast medium

F, Water. G, Locust bean gum with mannitol. H, VoLumen with 1.4% sorbitol. I, VoLumen with 2% sorbitol.

There was no statistical difference among agents in regard to ileal distention. All agents administered at volume of 1,350 mL.

Timing of data acquisition.

Timing of data acquisition.

C, Time zero. D, Fifteen minutes after contrast ingestion, distention is significantly decreased. E, Thirty minutes after contrast ingestion. F, Forty-five minutes after contrast ingestion

MR images of duodenumwith 1,350 mL locust bean gum with mannitol. Prompt data acquisition after ingestion was essential in duodenum and proximal jejunum.

Timing of data acquisition.

Timing of data acquisition.

H, Time zero. I, Fifteen minutes after contrast ingestion. J, Thirty minutes after contrast ingestion. K, Forty-five minutes after contrast ingestion.

MR images obtained with 1,350 mL VoLumen (E-Z-EM) with 1.4% sorbitol show ileum. Ileal distention had no statistically significant differences for imaging between time zero and 45 minutes after contrast ingestion.

Influence of contrast volume.

all small-bowel segments

duodenal

Influence of contrast volume.

C, Moderate increase at 450 mL. D, Moderate increase at 900 mL. E, Moderate increase at 1,350 mL. F, No increase at 1,800 mL.

MR images 5 minutes after ingestion of water show distention of duodenum

Influence of contrast volume.

Graph shows distention of ileum.

Influence of contrast volume.

H, 450 mL. I, 900 mL. J, 1,350 mL. K, 1,800 mL

MR images obtained 45 minutes after ingestion of VoLumen 1.4% sorbitol show ileum. Expanding dose of agent from 450 to 1,350 mL led to statistically significant improvement in distention of ileum

Side effects and subject acceptance at volume of 1,800 mL