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