دورية أكاديمية
CT Enterography Using Four Different Endoluminal Contrast Agents: A Comparative Study
| العنوان: | CT Enterography Using Four Different Endoluminal Contrast Agents: A Comparative Study |
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| المؤلفون: | Deepak Singla, Shruti Chandak, Ankur Malhotra, Arjit Agarwal, Tanu Raman, Mohini Chaudhary |
| المصدر: | Journal of Gastrointestinal and Abdominal Radiology, Vol 05, Iss 01, Pp 016-022 (2022) |
| بيانات النشر: | Thieme Medical and Scientific Publishers Pvt. Ltd., 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Internal medicine LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | intestine, iohexol, mannitol, multidetector computed tomography, polyethylene glycols, radiology, Internal medicine, RC31-1245, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Objectives To determine the most preferable endoluminal contrast agent among mannitol, polyethylene glycol (PEG), iohexol, and water by comparing various qualitative (distension, fold visibility, and homogeneity) and quantitative parameters (distension) along with artifacts and patient feedback for computed tomography enterography (CTE). Methods This was a prospective study including 120 patients of age more than or equal to 18 years who were randomized equally into four groups. Group 1 was given 1500 mL of 3% mannitol solution, group 2 was given 1500 mL of PEG, group 3 was given 20 mL of iohexol dissolved in 1500 mL of water, and group 4 was given 1500 mL of plain water. CTE was done and images were evaluated in axial and coronal planes. Various quantitative and qualitative parameters were taken at the level of second part of duodenum, jejunum, ileum and ileocecal junction (ICJ). Artifacts and patient feedback were also taken into consideration. Results The quantitative distension and grading, qualitative distension, fold visibility, and homogeneity of the second part of duodenum, jejunum at the level of superior mesenteric artery, inferior mesenteric artery and renal artery on both sides of abdomen, ileum at the level of aortic bifurcation, common iliac bifurcation, and deep pelvis on both sides of abdomen and ICJ were significantly more in PEG group as compared with mannitol group, followed by iohexol and water group. The results were calculated by ANOVA test using p-value. In terms of patient feedback and artifacts, water was the best agent. Conclusions PEG is the most suitable contrast agent to carry out CTE. Distension, fold visibility, and homogeneity are the essential features for a better diagnostic outcome of CTE, which was better with PEG. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2581-9178 |
| Relation: | https://doaj.org/toc/2581-9178 |
| DOI: | 10.1055/s-0041-1730101 |
| URL الوصول: | https://doaj.org/article/0043cd03b61b41efb1f332339757fd2d |
| رقم الأكسشن: | edsdoj.0043cd03b61b41efb1f332339757fd2d |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25819178 |
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| DOI: | 10.1055/s-0041-1730101 |