Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT.
BACKGROUND:Although neutral oral contrast agents are widely in use, a consensus regarding a standardized protocol in abdominal staging CT does not exist. PURPOSE:To test the null hypothesis that there is no quantitative or qualitative difference between water and mannitol for evaluation of the small...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0225160 |
| _version_ | 1819259580177186816 |
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| author | Till F Kaireit Carolin Huisinga Matti Peperhove Frank Wacker Kristina I Ringe |
| author_facet | Till F Kaireit Carolin Huisinga Matti Peperhove Frank Wacker Kristina I Ringe |
| author_sort | Till F Kaireit |
| collection | DOAJ |
| description | BACKGROUND:Although neutral oral contrast agents are widely in use, a consensus regarding a standardized protocol in abdominal staging CT does not exist. PURPOSE:To test the null hypothesis that there is no quantitative or qualitative difference between water and mannitol for evaluation of the small bowel at abdominal staging CT. MATERIAL AND METHODS:180 patients prospectively underwent abdominal staging CT with oral administration of either 1 liter mannitol solution (n = 88) or water (n = 92). Intestinal distension was measured in 6 different segments of the small intestine. In addition, two radiologists separately evaluated diagnostic image quality with regards to luminal distension (three-point scale) in each segment and the possibility to rule out a possible underlying pathology. Quantitative and qualitative results were compared (Mann-Whitney test). RESULTS:Quantitatively, intestinal distension was comparable in all segments (p>0.05), except for the horizontal duodenum (p = 0.019). The mean luminal diameter over all intestinal segments was 19.0 mm (18.1-19.9 mm) for the water group and 18.4 mm (17.5-19.2 mm) for the mannitol group, respectively. Qualitatively, ratings were comparable for the first three segments, while distal segments were rated better using mannitol. Side effects were only observed using mannitol (n = 26; 29.5%). CONCLUSIONS:Orally administered water and mannitol solution for evaluation of the small bowel at abdominal staging CT in clinical routine resulted in comparable results for the quantitative, but not for the qualitative analysis. Looking more differentiated at the overall performance, water has advantages in terms of patient comfort, side effects and costs, and can therefore be regarded as noninferior to mannitol in this specific patient group. |
| first_indexed | 2024-12-23T19:12:16Z |
| format | Article |
| id | doaj.art-67e0b77563434dffaefa5f54794160ed |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-23T19:12:16Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-67e0b77563434dffaefa5f54794160ed2022-12-21T17:34:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011411e022516010.1371/journal.pone.0225160Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT.Till F KaireitCarolin HuisingaMatti PeperhoveFrank WackerKristina I RingeBACKGROUND:Although neutral oral contrast agents are widely in use, a consensus regarding a standardized protocol in abdominal staging CT does not exist. PURPOSE:To test the null hypothesis that there is no quantitative or qualitative difference between water and mannitol for evaluation of the small bowel at abdominal staging CT. MATERIAL AND METHODS:180 patients prospectively underwent abdominal staging CT with oral administration of either 1 liter mannitol solution (n = 88) or water (n = 92). Intestinal distension was measured in 6 different segments of the small intestine. In addition, two radiologists separately evaluated diagnostic image quality with regards to luminal distension (three-point scale) in each segment and the possibility to rule out a possible underlying pathology. Quantitative and qualitative results were compared (Mann-Whitney test). RESULTS:Quantitatively, intestinal distension was comparable in all segments (p>0.05), except for the horizontal duodenum (p = 0.019). The mean luminal diameter over all intestinal segments was 19.0 mm (18.1-19.9 mm) for the water group and 18.4 mm (17.5-19.2 mm) for the mannitol group, respectively. Qualitatively, ratings were comparable for the first three segments, while distal segments were rated better using mannitol. Side effects were only observed using mannitol (n = 26; 29.5%). CONCLUSIONS:Orally administered water and mannitol solution for evaluation of the small bowel at abdominal staging CT in clinical routine resulted in comparable results for the quantitative, but not for the qualitative analysis. Looking more differentiated at the overall performance, water has advantages in terms of patient comfort, side effects and costs, and can therefore be regarded as noninferior to mannitol in this specific patient group.https://doi.org/10.1371/journal.pone.0225160 |
| spellingShingle | Till F Kaireit Carolin Huisinga Matti Peperhove Frank Wacker Kristina I Ringe Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. PLoS ONE |
| title | Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. |
| title_full | Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. |
| title_fullStr | Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. |
| title_full_unstemmed | Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. |
| title_short | Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT. |
| title_sort | evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging ct |
| url | https://doi.org/10.1371/journal.pone.0225160 |
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