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• Clinical Article •
Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients with low BMI
PENG Jian  NI Cheng  ZHANG Jie  TAN Fangqin  HAI Yucheng  SHEN Yaqi  HU Daoyu 

Cite this article as: Peng J, Ni C, Zhang J, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients with low BMI. Chin J Magn Reson Imaging, 2019, 10(8): 578-582. DOI:10.12015/issn.1674-8034.2019.08.004.


[Abstract] Objective: To investigate the feasibility and technical points of intestinal filling specifications of ESGAR (European Society of Gastrointestinal and Abdominal Radiology) and ESPR (European Society of Paediatric Radiology) recommendation of MR enterography in patients with low BMI.Materials and Methods: A retrospective study was performed between Nov. 2017 and Dec. 2018, the consecutive patients who are suspecting with small bowel disorders and without gastrointestinal surgery were included. The patients who did not follow the technical recommendations were exclude. Small bowel preparation was performed in accordance with the recommendation. The height, weight and body mass index (BMI) values of the patients were recorded and grouped (low BMI group, normal BMI group and high BMI group). The volume of the contrast agent was recorded (1200-1500 mL in the normal intake group and 1000-1200 mL in the low intake group). The diameters of the duodenum, jejunum (proximal and distal) and ileum (proximal and distal) were measured by two physicians and scored by 4 points. K-W test was used to compare the small bowel distension scores of different BMI groups. Further comparison of the low BMI group was performed.Results: For each BMI group, mean values were 16.8±1.2 kg/m2 (low BMI group), 21.3±1.6 kg/m2 (normal BMI group), and 27.2±5.4 kg/m2 (high BMI group). There was no significant difference in the distension scores (total score and segment score) between each BMI group (P>0.05). There was no significant difference in the distension scores between the low-intake group and the normal intake group (P>0.05) in low BMI patients.Conclusions: ESGAR and ESPR techniques are recommended for different BMI groups, and there is no statistical difference in small bowel distention scores. In the low BMI group, there was no statistically significant difference in small bowel distention scores while taking the reduction of oral contrast dose (1000-1200 mL).
[Keywords] body mass index；magnetic resonance imaging；low intake；European Society of Gastrointestinal and Abdominal Radiology；European Society of Paediatric Radiology

PENG Jian Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

NI Cheng* Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

ZHANG Jie Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

TAN Fangqin Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

HAI Yucheng Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

SHEN Yaqi Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

HU Daoyu Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan 430030, China

*Correspondence to: Ni C, E-mail: nicheng622@126.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Natural Science Foundation of China No. 81701657, 81571642
Received  2019-04-02
Accepted  2019-05-10
DOI: 10.12015/issn.1674-8034.2019.08.004
Cite this article as: Peng J, Ni C, Zhang J, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients with low BMI. Chin J Magn Reson Imaging, 2019, 10(8): 578-582. DOI:10.12015/issn.1674-8034.2019.08.004.

[1]
朱大兵，谢劲军，林百润．磁共振小肠造影用于小肠疾病诊断的临床价值研究.临床医学工程, 2016, 23(10): 1304-1305.
[2]
楼金玕，赖灿，陈飞波，等．磁共振小肠造影在儿童小肠疾病诊治中的应用．中华儿科杂志, 2016, 54(1): 52-55.
[3]
王梓，胡道予，汤浩，等．多模态MR与CT小肠造影诊断小肠肿瘤性疾病的对比观察．放射学实践, 2015, 30(4): 355-359.
[4]
Masselli G, Di Tola M, Casciani E, et al. Diagnosis of small-bowel diseases: Prospective comparison of multi-detector row CT enterography with MR enterography. Radiology, 2016, 279(2): 420-431.
[5]
Barat M, Hoeffel C, Bouquot M, et al. Preoperative evaluation of small bowel complications in Crohn's disease: comparison of diffusion-weighted and contrast-enhanced MR imaging. Eur Radiol, 2018, 29(4): 2034-2044.
[6]
Panes J, Bouhnik Y, Reinisch W, et al. Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis, 2013, 7(7): 556-585.
[7]
Taylor SA, Avni F, Cronin CG, et al. The first joint ESGAR/ ESPR consensus statement on the technical performance of cross-sectional small bowel and colonic imaging. Eur Radiol, 2017, 27(6): 2570-2582.
[8]
周紫玲，胡道予，沈亚琪．对ESGAR和ESPR肠道成像检查技术首次联合声明（2017）的解读．放射学实践, 2018, 33(8): 773-779.
[9]
中国肥胖问题工作组数据汇总分析协作组．我国成人体重指数和腰围对相关疾病危险因素异常的预测价值：适宜体重指数和腰围切点的研究．中华流行病学杂志, 2002, 23(1): 10-15.
[10]
Seo N, Park SH, Kim KJ, et al. MR Enterography for the evaluation of small-bowel inflammation in crohn disease by using diffusion-weighted imaging without intravenous contrast material: A prospective noninferiority study. Radiology, 2016, 278(3): 762-772.
[11]
Li M, Dick A, Hassold N, et al. CAIPIRINHA-accelerated T1W 3D-FLASH for small-bowel MR imaging in pediatric patients with Crohn's disease: assessment of image quality and diagnostic performance. World J Pediatr, 2016, 12(4): 455-462.
[12]
Dillman JR, Smith EA, Sanchez R, et al. DWI in pediatric small-bowel crohn disease: Are apparent diffusion coefficients surrogates for disease activity in patients receiving infliximab therapy?. AJR Am J Roentgenol, 2016, 207(5): 1002-1008.
[13]
陈憩，赵雪松，缪飞，等．小肠MR序列比较研究．中国医学计算机成像杂志, 2015, 21(6): 548-551.
[14]
Bekendam M, Puylaert C, Phoa S, et al. Shortened oral contrast preparation for improved small bowel distension at MR enterography. Abdom Radiol (NY), 2017, 42(9): 2225-2232.
[15]
Schmidt SA, Baumann JA, Stanescu-Siegmund N, et al. Oral distension methods for small bowel MRI: comparison of different agents to optimize bowel distension. Acta Radiol, 2016, 57(12): 1460-1467.
[16]
Wang G, Gao J, Zhao S, et al. Achieving consistent image quality and overall radiation dose reduction for coronary CT angiography with body mass index-dependent tube voltage and tube current selection. Clin Radiol, 2014, 69(9): 945-951.
[17]
Sun G, Hou YB, Zhang B, et al. Application of low tube voltage coronary CT angiography with low-dose iodine contrast agent in patients with a BMI of 26-30 kg/m2. Clin Radiol, 2015, 70(2): 138-145.
[18]
Wang R, Schoepf UJ, Wu R, et al. Image quality and radiation dose of low dose coronary CT angiography in obese patients: sinogram affirmed iterative reconstruction versus filtered back projection. Eur J Radiol, 2012, 81(11): 3141-3145.
[19]
管荣平，谢军舰，吴振东，等. MR小肠造影前口服等渗甘露醇时间的探讨．中国医学计算机成像杂志, 2017, 23(5): 460-464.
[20]
Berne RM, Levy MN, Koppen BM, et al. Physiology. 5th edition, St. Louis: Elsevier Mosby, 2004.
[21]
Kuehle CA, Ajaj W, Ladd SC, et al. Hydro-MRI of the small bowel: effect of contrast volume, timing of contrast administration, and data acquisition on bowel distention. AJR Am J Roentgenol, 2006, 187(4): W375-385.
[22]
Ajaj W, Goehde SC, Schneemann H, et al. Dose optimization of mannitol solution for small bowel distension in MRI. J Magn Reson Imaging, 2004, 20(4): 648-653.
[23]
Limketkai BN, Parian AM, Shah ND, et al. Short bowel syndrome and intestinal failure in Crohn's disease. Inflamm Bowel Dis, 2016, 22(5): 1209-1218.
[24]
Drastich P, Oliverius M. Crohn's disease and intestinal transplantation. Dig Dis, 2017, 35(1-2): 127-133.
[25]
Bruining DH, Zimmermann EM, Loftus EJ, et al. Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel crohn's disease. Radiology, 2018, 286(3): 776-799.

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