Mesenteric ischemia due to hemorrhagic shock: MR imaging diagnosis and monitoring in a canine model.
OBJECTIVE
To test whether changes in the percentage of oxygenated hemoglobin (%HbO2) and blood flow in the superior mesenteric vein (SMV), as measured with magnetic resonance (MR) imaging in vivo, can be used to diagnose and monitor mesenteric ischemia due to hemorrhagic shock in a canine model.


METHODS
Eight mongrel dogs (weight range, 20-30 kg) underwent fasting for 24 hours before the experiments. MR imaging measurements of SMV %HbO2 and volume flow rate were obtained at the resting state and after 5%, 10%, and 15% of the blood volume of the dogs had been removed sequentially, which led to a total blood volume depletion of 30%. In four dogs, resuscitation was performed with normal saline solution in a volume equal to the total volume of blood removed.


RESULTS
SMV %HbO2 and SMV flow measurements at the different stages of blood removal were all significantly different (P < .05) from baseline measurements and from each other. After volume replacement with normal saline solution, SMV %HbO2 and flow were not significantly different (P > .05) from the baseline values.


CONCLUSIONS
SMV %HbO2 and volume flow rate, as measured with MR imaging in vivo, can be used to diagnose and monitor mesenteric ischemia due to hemorrhagic shock in a canine model.
Li
K C
KC
Department of Radiology, Stanford University School of Medicine, CA 94305, USA.
Pelc
L R
LR
Puvvala
S
S
Wright
G A
GA
D000818:Animals; D004285:Dogs; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D019028:Magnetic Resonance Imaging, Cine; D008642:Mesenteric Veins / Q000473:pathology; D008643:Mesentery / Q000098:blood supply* / Q000473:pathology; D010092:Oximetry; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology; D012771:Shock, Hemorrhagic / Q000150:complications*; D013152:Splanchnic Circulation