Milk - An Effective Low-Attenuation Computed Tomography Oral Contrast Medium

Rupa, Sharmin Akhtar; Azad, Salahuddin Al; Chakraborty, Nehar Ranjan

doi:10.3329/jemc.v3i2.16126

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…Volumen with 0.1% barium sulphate suspension is being recommended as low-density contrast agent. However, there are some drawbacks such as cost, limited availability, and some patient discomfort such as nausea and vomiting as well as poor palatability [12] [13].…”

Section: Discussionmentioning

confidence: 99%

Utilization of Milk as an Oral Contrast Agent in CT Scan of the Abdomen

Badawood¹,

Alsioufi²,

Fathuddin³

et al. 2015

ACT

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The present study aimed to evaluate using the whole milk as alternative oral contrast for the assessment of gastrointestinal CT enterography. Fifty patients undergo (18 female and 32 male) aged from 21 to 79 years (mean 45 years) undergo abdominal CT at the department of diagnostic radiology of King Abdulaziz University Hospital. They receive 1 -1.5 liter whole milk. Siemens SOMATOM definition CT Scan Machine with 64 slices and dual source was utilized to image all patients in research population group where iodinated oral contrast media was replaced by a whole milk available in the local market. Patients were scanned as per the routine protocol used for CT Abdomen at KAUH-CT Unit: Helical Mode with 0.7 Pitch was performed on all paints in supine position using a 16-detector row scanner (Bright Speed S, General Electric-Milwaukee Wisconsin, USA). The following parameters were applied: collimation of 16 × 0.625 (1.25 -3.75) mm, pitch of 3, Slice thickness: 5 mm, gantry rotation time of 400 mAs, tube voltage of 120 KV and scan time 11.05 second. The images of all cases were reviewed by two qualified radiologists. Conclusion: The present study suggested that whole milk was found to be an effective alternative negative contrast for the assessment of the jejunum, ileum and terminal ileum in CT enterography. It was excellent for gastric imaging and we recommended replacing milk as negative oral contrast since it is available and cost effective. Further research to be conducted with modified milk drinking timing for better large bowel distention.

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Section: Discussionmentioning

confidence: 99%