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 inSA journal of radiology Vol. 24; no. 1; p. 1875
Main Authors Mohabir, Sheryl, Pitcher, Richard D, Perumal, Rubeshan, Goodier, Matthew D M
Format Journal Article
LanguageEnglish
Portuguese
Published South Africa African Online Scientific Information Systems (Pty) Ltd t/a AOSIS 2020
AOSIS (Pty) Ltd
AOSIS
Radiological Society of South Africa
Subjects
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
South Africa
negative oral contrast
pancreatic duct
pineapple juice
common bile duct
MRCP
pancreatobiliary ducts
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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
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  surname: Mohabir
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  organization: Department of Radiology, Grey's Hospital Pietermaritzburg, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32832119$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords negative oral contrast
pancreatic duct
pineapple juice
common bile duct
MRCP
pancreatobiliary ducts
Language English
Portuguese
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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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SourceType Open Website
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StartPage 1875
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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