Abstract
The present study aimed to evaluate using the whole milk as alternative oral contrast for the as-sessment 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 pa-tients 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 po-sition 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.
Highlights
IntroductionIt is essential in computed tomographic (CT) scanning of abdomen to fill the stomach, small bowl, large bowl and the rectum by a con-
It is essential in computed tomographic (CT) scanning of abdomen to fill the stomach, small bowl, large bowl and the rectum by a con-How to cite this paper: Badawood, A., Alsioufi, N., Fathuddin, S., Mishah, N. and Jastaniah, S. (2015) Utilization of Milk as an Oral Contrast Agent in CT Scan of the Abdomen
This was done to assess the usefulness of the contrast visualization of the gut effectively for better evaluation of gastrointestinal tract that can help us to reduce the cost, improve patient care and patient safety in CT scan with better tolerance of milk compared to the oral contrast
Summary
It is essential in CT scanning of abdomen to fill the stomach, small bowl, large bowl and the rectum by a con-. Replacement of oral iodinated contrast media by milk can help us to reduce the cost, improve patient care and patient safety in CT scan with better tolerance of milk compared to the oral contrast [1] [2]. Higher attenuated oral contrast agents in the form of iodinated compounds or barium suspensions have been used effectively for computed tomographic (CT) examinations of the abdomen [3] [4]. Positive contrast agents like iodinated water-soluble agents and various barium sulfate suspensions have been used The ideal such contrast agent should lead to ready bowel differentiation from surrounding structures without any resultant artifacts Full-strength suspensions as used in conventional radiography obviously have no role. Replacement of oral iodinated contrast media by milk can help us to reduce the cost, improve patient care and patient safety in CT scan with better tolerance of milk compared to the oral contras so the aim of the current research study was to evaluate the cost effectiveness and assessment of milk as an oral contrast-enhanced abdominal CT that replacing oral iodinated contrast media
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