Purpose: The purpose was to find an oral contrast agent that can be utilized in MRI of the small bowel and fulfill the following criteria: natural, with no or minimal side effects, nonexpensive, causes the maximum bowel distension and has the best imaging quality with no artifacts. Methods: Fourteen healthy volunteers were included. Each volunteer underwent 3 MRI examinations on different days using 3 different oral contrast materials; water, milk and pineapple juice. Coronal T2WI MRI was done at KAUH Diagnostic Radiology department. Standardized questionnaire was used to study post-MRI abdominal complaint. Statistical analysis was done using SPSS program version 17.0. Results: All tested contrast agents could significantly distend the small bowel loops with the p value <0.05. Pineapple juice could distend up to 5 segments in 7 volunteers. Good image quality was depicted in 50% of volunteers using juice, while water showed the worst results where 75% had bad image quality. The highest percentage of image artifacts was found with milk (64.3%). Conclusion: Pineapple juice has the highest ability of bowel distention and good image quality with insignificant image artifacts and no reported side effects.
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