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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.

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