Early MRI findings of small bowel obstruction: an experimental study in rats

Daniela Berritto1, Francesca Iacobellis, Maria Paola Belfiore

  • 1Radiology Department, Seconda Università di Napoli, Piazza Miraglia 2, 80138, Naples, Italy.

La Radiologia Medica
|January 11, 2014
PubMed
Abstract

Insights

Early magnetic resonance imaging (MRI) can detect small bowel obstruction (SBO) features like bowel wall changes and fluid. These MRI findings correlate with histological results, suggesting MRI

Area of Science:

  • Veterinary Radiology
  • Gastrointestinal Imaging
  • Small Animal Research

Background:

  • Small bowel obstruction (SBO) is a common surgical emergency.
  • Early diagnosis of SBO is crucial for effective management.
  • Non-invasive imaging modalities are essential for SBO assessment.

Purpose of the Study:

  • To identify early magnetic resonance imaging (MRI) findings in a rat model of SBO.
  • To analyze the temporal evolution of these MRI findings.
  • To compare MRI observations with histological results.

Main Methods:

  • Surgical induction of SBO in 10 rats.
  • Monitoring using 7-Tesla micro-MRI (7 T μ-MR) at various time points up to 8 hours.
  • Macroscopic observation of a control group.
  • Histological analysis of excised bowel tissue.

Main Results:

  • Early MRI (15 min) revealed bowel wall hyperintensity and free peritoneal fluid.
  • Progressive changes included proximal loop hyperintensity, increased fluid, bowel wall thickening, and wall hyperintensity by 4 hours.
  • Hypotonic and paralytic ileus were identified by 6 and 8 hours, respectively.
  • All MRI findings were histologically confirmed.

Conclusions:

  • Early MRI features of SBO include peritoneal free fluid and injured bowel hyperintensity.
  • The chronological evolution of these MRI findings is demonstrated.
  • MRI shows potential for early SBO diagnosis and management by correlating imaging with histological patterns.