[Optimizing pelvic MR diagnosis with a new gastrointestinal contrast medium].
OBJECTIVE
Optimization of pelvic MRI by a new concept of water-equivalent bowel contrast agent.


METHODS
We performed contrast enhancement of the bowel by oral application of 1000 ml of an aqueous mannitol solution one hour before pelvic MRI. In addition we performed an enema by 250 ml of water in one patient.


RESULTS
Oral and rectal contrast enhancement of the bowel was tolerated without complications by our patients. Pelvic MRI was improved by a better delineation of the bowel.


CONCLUSIONS
The concept of water-equivalent bowel enhancement is promising. It must be assessed by further studies; in particular, it must be compared with the available concepts of positive and negative bowel contrast enhancement.
Schunk
K
K
Klinik und Poliklinik für Radiologie, Johannes-Gutenberg-Universität, Mainz.
Kersjes
W
W
Schadmand-Fischer
S
S
Grebe
P
P
Thelen
M
M
D000328:Adult; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis*; D006106:Granulosa Cell Tumor / Q000175:diagnosis; D006801:Humans; D007078:Ileal Neoplasms / Q000175:diagnosis; D007889:Leiomyoma / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D010051:Ovarian Neoplasms / Q000175:diagnosis; D012811:Sigmoid Neoplasms / Q000175:diagnosis
D003287:Contrast Media