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Published on: November 27, 2016
Interactive neonatal gastrointestinal magnetic resonance imaging using fruit juice as an oral contrast media
Owen J Arthurs1, Martin J Graves, Andrea D Edwards
1Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK. owen.arthurs@gosh.nhs.uk.
Insights
Pineapple juice, with its short T1 and T2 relaxation times, effectively visualizes the gastrointestinal tract. This natural fruit juice can serve as an oral contrast agent in magnetic resonance imaging (MRI).
Area of Science:
- Medical Imaging
- Gastroenterology
- Biophysics
Background:
- Evaluating fruit juice as an oral contrast agent for gastrointestinal visualization.
- Utilizing interactive inversion recovery (IR) MR pulse sequences.
Purpose of the Study:
- To assess the efficacy of fruit juice as an oral contrast agent for MR imaging of the GI tract.
- To identify suitable fruit juices based on their relaxation properties.
- To optimize MR pulse sequences for enhanced visualization.
Main Methods:
- Investigated relaxation properties (T1 and T2) of 12 natural fruit juices in vitro.
- Administered pineapple juice orally to volunteers (3 adults, 1 child).
- Employed an interactive inversion recovery MR pulse sequence with variable TI.
Main Results:
- Pineapple juice exhibited the shortest T1 (243 ms) and T2 (48 ms) among tested juices.
- Optimal signal differentiation between bowel contents and pineapple juice achieved with TIs of 900-1100 ms.
- Successful suppression of pre-existing bowel fluid signals.
Conclusions:
- Fruit juice, particularly pineapple juice, can function as a positive oral contrast agent.
- Inversion recovery preparation effectively suppresses long T1 bowel contents.
- Pineapple juice shows potential for neonatal gastrointestinal MRI.
Background:
The objective was to evaluate the use of fruit juice with an interactive inversion recovery (IR) MR pulse sequence to visualise the gastrointestinal tract.
Methods:
We investigated the relaxation properties of 12 different natural fruit juices in vitro, to identify which could be used as oral contrast. We then describe our initial experience using an interactive MR pulse sequence to allow optimal visualisation after administering pineapple juice orally, and suppressing pre-existing bowel fluid contents, with variable TI in three adult and one child volunteer.
Results:
Pineapple juice (PJ) had both the shortest T1 (243 ms) and shortest T2 (48 ms) of the fruit juices tested. Optimal signal differentiation between pre-existing bowel contents and oral PJ administration was obtained with TIs of between 900 and 1100 ms.
Conclusion:
The use of an inversion recovery preparation allowed long T1 pre-existing bowel contents to be suppressed whilst the short T1 of fruit juice acts as a positive contrast medium. Pineapple juice could be used as oral contrast agent for neonatal gastrointestinal magnetic resonance imaging.
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