RESULTS OF PREPARED DILUTE BARIUM SULPHATE FORMULA SUSPENSION USED IN CONVENTIONAL CT OF ABDOMEN
Abstract
PURPOSE:
To produce well or acceptable barium sulphate formula suspension for CT of abdomen and pelvis using barium sulphate for conventional GI radiology.
MATERIALS and METHODS:
the patients undergone CT of the abdomen and the pelvis in Pranangklao Hospital during September 1, 2005 to April 12, 2006 were randomized to receive three types of contrast media: two dilute barium sulphate suspensions (one was hospital made, P.K contrast) and one water soluble iodine contrast media, and were studied by conventional CT to observe the data of the quality of bowel opacification, contrast related artifact, contrast palatability, early side effect and cost, by 3 radiologists independently and 1 CT technician. The data were tabulated and analysed using chi-square test, exact test, and percentage.
RESULT:
134 patients, for the acceptability of the patients, there were no statistic significant differences between the three contrast media in the drinking and vomiting but showed significant differences in the tastes, swallowing difficulty and nauseatic effects, whereas water soluble iodine contrast media was a little better. There were no statistic significances in the bowel opacification except at the stomach. Also there were no differences in the disturb artifacts. The P.K contrast was the cheapest, 4-10 times lower, than the other two contrasts used in this study.
CONCLUSION:
Barium sulphate for conventional GI radiology with proper suspension agent and formula can be used well in bowel opacification for CT of abdomen and pelvis and is the accepted agent for patients because of its safety and low cost.
Downloads
Metrics
References
Chambers SE, Best JJK. A comparison of dilute barium and dilute water-soluble contrast in opacification of the bowel for abdominal computed tomography. Clin Radiol 1984; 35: 463-4.
Megibow AJ, Bosniak MA. Dilute barium as acontrast agent for abdominal CT. AJR 1980; 134: 1273-4.
Nyman U, Dinnetz G, Andersson I. E-Z~CAT - Anoral contrast medium for use in computed tomography of the abdomen. Acta Radiolog Diag 1984;25:121-4.
Hatfield KD, Segal SD, Tait K. Barium sulphate for abdominal computer assisted tomography. JCAT1980;4:570.
Carr DH, Banks LM. Comparison of barium and diatrizoate bowel labelling agents in computed tomography. Clin Radiol 1984; 35: 463-4.
Doyle GJ, Donnell SCO, Mcdonald JR, Murthy LNS, Keir MJ, Wright AR. Evaluated of "Gastromiro" for bowel opacification during computed tomography: comparison with diatrizoate and barium sulphate. BrJ Radiol 1993; 66: 681-4.
Raptopoulos V. Technical principles in CT evaluation of the gut. Radiol Clin North Am. 1989;27:613-5.
Matsuoka Y, Masumato T, Koga H, Suzuki K, Ushimi T, Terda H, et al. Positive and negative oral contrast agents for combined abdominal and pelvis helical CT: first iodinated agent and second water. Radiation Medicine 2000; 18(3): 213-6.
Winter TC, Ager JD, Nghiem HV, Hill RS, Harrison SD, Freeny PC. Upper gastrointestinal tract and abdomen: water as an orally administered contrast agent for helical CT. Radiology 1996; 201: 365-70.
Thompson SE, Raptopoulos V, Sheiman R, MeNicholas MJ, Prassopoulos P. Abdominal helical CT: milk as a low-attenuation oral contrast agent. Radiology 1999;211:870-5.
Sahani DV, Jbaveri RS, Dsouza RV, Varghese JC, Halper E, Harisinghani MP, et all. Evaluation of simethicone-coated cellulose as a negative oral contrast agent for abdominal CT. Acad Radiol 2003; 10(5): 491-6.
Kivisaari L, Kormano M. Comprision of diatrizoate and barium sulphate bowel markers in clinical CT. EurJ Radiol 1982; 2: 33-4.
Johansen GJ. Assessment of a non-ionic contrast medium (Amipaque) in the gastrointestinal tract. Invest Radiol 1978; 13: 523.
Megigow AJ, Babb JS, Hecht EM, Cho JJ, Boruch MM, Williams AB. Evaluation of bowel distention and bowel wall appearance by using neutral oral contrast agent for multi-detector row CT. Radiology 2005; 238: 87-95.
Setty B, Blake M, Holalkere NS, Sahani D, Mueller P, Fischman A. Nuclear medicine (technical advances in PET and hybrid imaging) evaluation of the effects of oral water and Volumen on bowel on PET-CT. RSNA 2005-RSNA Event 2005(cited 2006 March 16) Available from URI: http://rsna2005.rsna.org/rana2005/V2005/conference/event_display.cfm
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The ASEAN Journal of Radiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)