The efficacy of pineapple juice as a negative oral contrast agent in magnetic resonance cholangiopancreatography
During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally. To evaluate...
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Published in | SA journal of radiology Vol. 24; no. 1; p. 1875 |
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Main Authors | , , , |
Format | Journal Article |
Language | English Portuguese |
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African Online Scientific Information Systems (Pty) Ltd t/a AOSIS
2020
AOSIS (Pty) Ltd AOSIS Radiological Society of South Africa |
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Abstract | During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally.
To evaluate the efficacy of a local, off-the-shelf pineapple juice preparation as a negative oral contrast agent for MRCP.
An observational, analytical study was conducted during January-December 2017. A 1.5 Tesla MRCP sequence was performed immediately before and after ingestion of 250 mL of a local, commercially-available pineapple juice preparation. Image evaluation was performed by two radiologists with independent, blind assessment of gastric/duodenal signal intensity and biliary /pancreatic duct visibility, before and after pineapple juice.
Fifty adult patients (F = 44, 88%) with median age 44 years (IQR: 34.75, 57) were included. After pineapple juice administration, there was significant measured (1661.51 vs. 1409.94,
< 0.01) and perceived (2.16 vs. 2.72,
< 0.01) duodenal signal reduction but no significant change in measured (1081.17 vs. 1044.38,
= 0.34) or perceived (2.73 vs. 2.84,
= 0.14) gastric signal intensity. Visibility of the common bile duct was significantly improved (3.67 vs. 3.86,
< 0.01), whilst that of the main pancreatic duct showed no significant change (2.92 vs. 2.86,
= 0.44).
The local pineapple juice preparation used in this study is an effective, affordable and natural negative oral contrast agent for enhancement of MRCP images, and specifically improves visualisation of the common bile duct. |
---|---|
AbstractList | Background: During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally. Objectives: To evaluate the efficacy of a local, off-the-shelf pineapple juice preparation as a negative oral contrast agent for MRCP. Method: An observational, analytical study was conducted during January–December 2017. A 1.5 Tesla MRCP sequence was performed immediately before and after ingestion of 250 mL of a local, commercially-available pineapple juice preparation. Image evaluation was performed by two radiologists with independent, blind assessment of gastric/duodenal signal intensity and biliary /pancreatic duct visibility, before and after pineapple juice. Results: Fifty adult patients (F = 44, 88%) with median age 44 years (IQR: 34.75, 57) were included. After pineapple juice administration, there was significant measured (1661.51 vs. 1409.94, p 0.01) and perceived (2.16 vs. 2.72, p 0.01) duodenal signal reduction but no significant change in measured (1081.17 vs. 1044.38, p = 0.34) or perceived (2.73 vs. 2.84, p = 0.14) gastric signal intensity. Visibility of the common bile duct was significantly improved (3.67 vs. 3.86, p 0.01), whilst that of the main pancreatic duct showed no significant change (2.92 vs. 2.86, p = 0.44). Conclusion: The local pineapple juice preparation used in this study is an effective, affordable and natural negative oral contrast agent for enhancement of MRCP images, and specifically improves visualisation of the common bile duct. During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally. To evaluate the efficacy of a local, off-the-shelf pineapple juice preparation as a negative oral contrast agent for MRCP. An observational, analytical study was conducted during January-December 2017. A 1.5 Tesla MRCP sequence was performed immediately before and after ingestion of 250 mL of a local, commercially-available pineapple juice preparation. Image evaluation was performed by two radiologists with independent, blind assessment of gastric/duodenal signal intensity and biliary /pancreatic duct visibility, before and after pineapple juice. Fifty adult patients (F = 44, 88%) with median age 44 years (IQR: 34.75, 57) were included. After pineapple juice administration, there was significant measured (1661.51 vs. 1409.94, p < 0.01) and perceived (2.16 vs. 2.72, p < 0.01) duodenal signal reduction but no significant change in measured (1081.17 vs. 1044.38, p = 0.34) or perceived (2.73 vs. 2.84, p = 0.14) gastric signal intensity. Visibility of the common bile duct was significantly improved (3.67 vs. 3.86, p < 0.01), whilst that of the main pancreatic duct showed no significant change (2.92 vs. 2.86, p = 0.44). The local pineapple juice preparation used in this study is an effective, affordable and natural negative oral contrast agent for enhancement of MRCP images, and specifically improves visualisation of the common bile duct. During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally. To evaluate the efficacy of a local, off-the-shelf pineapple juice preparation as a negative oral contrast agent for MRCP. An observational, analytical study was conducted during January-December 2017. A 1.5 Tesla MRCP sequence was performed immediately before and after ingestion of 250 mL of a local, commercially-available pineapple juice preparation. Image evaluation was performed by two radiologists with independent, blind assessment of gastric/duodenal signal intensity and biliary /pancreatic duct visibility, before and after pineapple juice. Fifty adult patients (F = 44, 88%) with median age 44 years (IQR: 34.75, 57) were included. After pineapple juice administration, there was significant measured (1661.51 vs. 1409.94, < 0.01) and perceived (2.16 vs. 2.72, < 0.01) duodenal signal reduction but no significant change in measured (1081.17 vs. 1044.38, = 0.34) or perceived (2.73 vs. 2.84, = 0.14) gastric signal intensity. Visibility of the common bile duct was significantly improved (3.67 vs. 3.86, < 0.01), whilst that of the main pancreatic duct showed no significant change (2.92 vs. 2.86, = 0.44). The local pineapple juice preparation used in this study is an effective, affordable and natural negative oral contrast agent for enhancement of MRCP images, and specifically improves visualisation of the common bile duct. Abstract only BACKGROUNDDuring magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and duodenum. Pineapple juice may be an alternative to commercially available negative contrast agents, but has not been evaluated locally. OBJECTIVESTo evaluate the efficacy of a local, off-the-shelf pineapple juice preparation as a negative oral contrast agent for MRCP. METHODAn observational, analytical study was conducted during January-December 2017. A 1.5 Tesla MRCP sequence was performed immediately before and after ingestion of 250 mL of a local, commercially-available pineapple juice preparation. Image evaluation was performed by two radiologists with independent, blind assessment of gastric/duodenal signal intensity and biliary /pancreatic duct visibility, before and after pineapple juice. RESULTSFifty adult patients (F = 44, 88%) with median age 44 years (IQR: 34.75, 57) were included. After pineapple juice administration, there was significant measured (1661.51 vs. 1409.94, p < 0.01) and perceived (2.16 vs. 2.72, p < 0.01) duodenal signal reduction but no significant change in measured (1081.17 vs. 1044.38, p = 0.34) or perceived (2.73 vs. 2.84, p = 0.14) gastric signal intensity. Visibility of the common bile duct was significantly improved (3.67 vs. 3.86, p < 0.01), whilst that of the main pancreatic duct showed no significant change (2.92 vs. 2.86, p = 0.44). CONCLUSIONThe local pineapple juice preparation used in this study is an effective, affordable and natural negative oral contrast agent for enhancement of MRCP images, and specifically improves visualisation of the common bile duct. |
Audience | Academic |
Author | Perumal, Rubeshan Goodier, Matthew D M Mohabir, Sheryl Pitcher, Richard D |
AuthorAffiliation | Stellenbosch University University of KwaZulu-Natal |
AuthorAffiliation_xml | – name: Stellenbosch University – name: University of KwaZulu-Natal |
Author_xml | – sequence: 1 givenname: Sheryl orcidid: 0000-0003-0997-0479 surname: Mohabir fullname: Mohabir, Sheryl organization: Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa – sequence: 2 givenname: Richard D orcidid: 0000-0003-3910-0749 surname: Pitcher fullname: Pitcher, Richard D organization: Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa – sequence: 3 givenname: Rubeshan orcidid: 0000-0001-8892-2904 surname: Perumal fullname: Perumal, Rubeshan organization: Centre for the AIDS Programme of Research in South Africa, University of KwaZulu-Natal, Durban, South Africa – sequence: 4 givenname: Matthew D M orcidid: 0000-0002-6091-1768 surname: Goodier fullname: Goodier, Matthew D M organization: Department of Radiology, Grey's Hospital Pietermaritzburg, University of KwaZulu-Natal, KwaZulu-Natal, South Africa |
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Keywords | negative oral contrast pancreatic duct pineapple juice common bile duct MRCP pancreatobiliary ducts |
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Snippet | During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach and... Abstract only Background During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach... Background: During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach... BACKGROUNDDuring magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach... BACKGROUND: During magnetic resonance cholangiopancreatography (MRCP), the pancreatobiliary ducts can be obscured by the high-intensity signal from the stomach... |
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SubjectTerms | Bile Bile ducts common bile duct Contrast agents Contrast media Duodenum Endoscopy Fruit juices Health Care Sciences & Services Juices Juices (Beverages) Medicine, General & Internal mrcp negative oral contrast Original Research Pancreas pancreatic duct pancreatobiliary ducts pineapple juice Radiology, Nuclear Medicine & Medical Imaging Stomach Studies Variance analysis |
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Title | The efficacy of pineapple juice as a negative oral contrast agent in magnetic resonance cholangiopancreatography |
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