Small Bowel MRI: Impact of Contrast Volume, Contrast Formula And Timing of Data Acquisition on Bowel Distension

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Journal Title, Volume, Page: 
Proc. Intl. Soc. Mag. Reson. Med. 13 (2005)
Year of Publication: 
2005
Authors: 
C. A. Kuehle
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
W. Ajaj
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
Current Affiliation: 
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
S. Massing
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
S. C. Ladd
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
J. Barkhausen
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
T. C. Lauenstein
Institute of Diagnostic and Interventional Radiology, University Hospital of Essen, Essen, NRW, Germany
Preferred Abstract (Original): 

 The prevalence of inflammatory small bowel diseases (IBD) varies within different geographic areas with highest rates of 445 per 100000 for Crohn’s disease (CD) and ulcerative colitis (UC) in the western world (1). The peak age of onset is between 15 and 30 years (1). Although IBD is a common disease, the clinical diagnosis is often hampered by nonspecific symptoms. Thus, the accurate diagnosis is most frequently obtained by small bowel (SB) imaging using x-ray, ultrasound or magnetic resonance imaging. Whereas small bowel imaging has been dominated by x-ray techniques for decades, recently MRI enteroclysis has emerged an attractive alternative. Bowel distension, a prerequisite for good image quality is frequently achieved by administration of fluids via a naso-duodenal tube. However, this procedure is perceived as traumatizing by many patients and the placement of the tube usually requires fluoroscopy (2). Therefore, we propose a non-invasive distension method for small bowel MRI. This study aimed to optimize the volume of different oral contrast solutions and the timing of administration and image acquisition

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