Share：
Share this content in WeChat
X
[Chinese][PDF]105672
• Clinical Article •
Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery
HAI Yucheng  NI Cheng  SHEN Yaqi  TAN Fangqin  HU Daoyu 

Cite this article as: Hai YC, Ni C, Shen YQ, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery. Chin J Magn Reson Imaging, 2020, 11(2): 129-133. DOI:10.12015/issn.1674-8034.2020.02.011.


[Abstract] Objective: To investigate the feasibility of intestinal filling specifications of European Society of Gastrointestinal and Abdominal Radiology (ESGAR) and European Society of Paediatric Radiology (ESPR) recommendation of MR enterography in patients undergoing gastrointestinal tumor surgery and to analyze the effect of gastrointestinal surgery on bowel distention.Materials and Methods: A retrospective study was performed between Mar. 2017 and Mar. 2019, the consecutive patients who underwent gastrointestinal tumor surgery were included. Small bowel preparation was performed in accordance with the recommendation. The volume of the contrast agent was recorded. The patients who ingested 1500 mL of contrast agent were divided into the stomach tumor group, the small bowel tumor group and the colorectal tumor group according to the history of surgery. The diameters of the duodenum, jejunum (proximal and distal) and ileum (proximal and distal) were measured by two physicians and scored by 4 points and the image quality was assessed by 3 points. K-W test was used to compare the small bowel distension scores and the image quality of different groups.Results: There was no significant difference in the distension scores of duodenum, distal jejunum and proximal and distal ileum between each group (P>0.05). There was significantly better distention of the proximal jejunum (adjusted honestly significant difference, P<0.05) in stomach tumor group compared with the small bowel tumor group. There was significantly better distention of the proximal jejunum (adjusted honestly significant difference, P<0.05) in colorectal tumor group compared with the small bowel tumor group.Conclusions: ESGAR and ESPR techniques are recommended for people who need response assessment of post-operative gastrointestinal tumor evaluation. Gastrointestinal tumor surgery has no significant effect on the bowel distension with the exception of proximal jejunum.
[Keywords] gastrointestinal tumor；magnetic resonance imaging；bowel distention；European Society of Gastrointestinal and Abdominal Radiology；European Society of Paediatric Radiology

HAI Yucheng 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

SHEN Yaqi 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

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

*Correspondence to: Tan FQ, E-mail: 854435864@qq.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of National Natural Science Foundation of China No.81701657, 81571642, 81801695, 81771801
Received  2019-10-28
Accepted  2019-11-29
DOI: 10.12015/issn.1674-8034.2020.02.011
Cite this article as: Hai YC, Ni C, Shen YQ, et al. Application of intestinal filling specifications of ESGAR and ESPR MR enterography recommendation in patients undergoing gastrointestinal tumor surgery. Chin J Magn Reson Imaging, 2020, 11(2): 129-133. DOI:10.12015/issn.1674-8034.2020.02.011.

[1]
中华人民共和国卫生部医政司．胃癌诊疗规范（2011年版)．中国医学前沿杂志（电子版), 2012, 4(5): 62-71.
[2]
国家卫生计生委医政医管局，中华医学会肿瘤学分会．中国结直肠癌诊疗规范（2015版)．中华普通外科学文献（电子版), 2015, 9(6): 506-523.
[3]
沈琳，李健，秦叔逵，等．中国胃肠间质瘤诊断治疗共识（2013年版).临床肿瘤学杂志, 2013, 18(11): 1025-1032.
[4]
Aycock RD, Westafer LM, Boxen JL, et al. Acute kidney injury after computed tomography: A meta-analysis. Ann Emerg Med, 2018, 71(1): 44-53. DOI: 10.1016/j.annemergmed.2017.06.041.
[5]
中华医学会放射学分会对比剂安全使用工作组．碘对比剂使用指南（第2版)．中华医学杂志, 2014, 94(43): 3363-3369. DOI: 10.3760/cma.j.issn.0376-2491.2014.43.003.
[6]
李荣，唐云．胃肠道肿瘤与肾功能不全．中国实用外科杂志, 2002, 22(2): 13-15.
[7]
Masselli G, Polettini E, Casciani E, et al. Small-bowel neoplasms: Prospective evaluation of MR enteroclysis1. Radiology, 2009, 251(3): 743. DOI: 10.1148/radiol.2513081819.
[8]
Lu J, Zhou Z, Morelli JN, et al. A systematic review of technical parameters for MR of the small bowel in non-IBD conditions over the last ten years. Sci Rep, 2019, 9(1): 14100. DOI: 10.1038/s41598-019-50501-9.
[9]
Tunaci A. Postoperative imaging of gastrointestinal tract cancers. Eur J Radiol, 2002, 42(3): 224-230.
[10]
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. DOI: 10.1007/s00330-016-4615-9.
[11]
彭健，倪程，张杰，等. ESGAR和ESPR肠道MR成像推荐联合共识中肠道充盈规范在低BMI患者中的应用研究．磁共振成像, 2019, 10(8): 578-582.
[12]
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.
[13]
Cronin CG, Lohan DG, Browne AM, et al. Does MRI with oral contrast medium allow single-study depiction of inflammatory bowel disease enteritis and colitis?. Eur Radiol, 2010, 20(7): 1667-1674. DOI: 10.1007/s00330-009-1701-2.
[14]
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. DOI: 10.1148/radiol.2015150263.
[15]
魏来，朱荆皓，彭屹峰．磁共振全身弥散成像对胃肠道恶性肿瘤的术后随访价值．磁共振成像, 2016, 7(11): 847-850.
[16]
Pappalardo G, Gualdi G, Nunziale A, et al. The impact of magnetic resonance in the preoperative staging and the surgical planning for treating small bowel neoplasms. Surgery Today, 2013, 43(6): 613-619. DOI: 10.1007/s00595-012-0270-1.
[17]
任小军，章士正．小肠MRI的临床应用和进展．磁共振成像, 2013, 4(6): 471-475.
[18]
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. DOI: 10.1016/j.crohns.2013.02.020.
[19]
Ajaj W, Goyen M, Schneemann H, et al. Oral contrast agents for small bowel distension in MRI: influence of the osmolarity for small bowel distention. Eur Radiol, 2005, 15(7): 1400-1406. DOI: 10.1007/s00330-005-2711-3.
[20]
Kolbe AB, Fletcher JG, Froemming AT, et al. Evaluation of patient tolerance and small-bowel distention with a new small-bowel distending agent for enterography. AJR Am J Roentgenol, 2016, 206(5): 994.
[21]
Sinha R, Rawat S. MRI enterography with divided dose oral preparation: Effect on bowel distension and diagnostic quality. Indian J Radiol Imaging, 2013, 23(1): 86-91. DOI: 10.4103/0971-3026.113623.
[22]
Silva AC, Beaty SD, Hara AK, et al. Spectrum of normal and abnormal CT appearances of the ileocecal valve and cecum with endoscopic and surgical correlation. Radiographics, 2007, 27(4): 1039-1054. DOI: 10.1148/rg.274065164.
[23]
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.
[24]
Young BM, Fletcher JG, Booya F, et al. Head-to-head comparison of oral contrast agents for cross-sectional enterography: small bowel distention, timing, and side effects. J Comput Assist Tomogr, 2008, 32(1): 32-38. DOI: 10.1097/RCT.0b013e318061961d.
[25]
Bekendam MIJ, Puylaert CAJ, Phoa SKSS, et al. Shortened oral contrast preparation for improved small bowel distension at MR enterography. Abdom Radiol(NY), 2017, 42(9): 2225-2232. DOI: 10.1007/s00261-017-1133-4.
[26]
Bharucha AE, Fidler JL, Huprich JE, et al. A prospective randomized controlled study of erythromycin on gastric and small intestinal distention: Implications for MR enterography. Eur J Radiol, 2014, 83(11): 2001-2006. DOI: 10.1016/j.ejrad.2014.08.005.
[27]
Bruining DH, Zimmermann EM, Loftus EV, et al. Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel crohn's disease. Gastroenterology, 2018, 154(4): 1172-1194. DOI: https://doi.org/10.1053/j.gastro.2017.11.274.

PREV Differential diagnosis of breast medullary carcinoma and fibroadenoma by MRI
NEXT Study on behavior of different surface charge nanoparticles through the extravascular fluid transport pathway
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn