Schunk K, Wiessner J, Schadmand S, Kaltenborn H, Düber C, Brunier A
Institut für Klinische Strahlenkunde, Johannes Gutenberg-Universität Mainz.
Rofo. 1992 May;156(5):443-7. doi: 10.1055/s-2008-1032918.
In 56 patients undergoing abdominal CT the gastrointestinal tract was defined by negative contrast instead of the conventional positive contrast from an iodine containing contrast medium. The contrast material was a 2 1/2% mannitol solution and was used for filling the rectum. Filling of the gastrointestinal tract was of similar quality to that obtained with positive contrast media. The number of artifacts due to high contrast boundaries was slightly greater with the negative contrast than it would have been with positive contrast. Differentiation of the gastrointestinal tract from other abdominal organs was equally good for both methods. The negative contrast method was poor in diagnosing cystic tumours but proved much better than positive contrast for evaluating the wall of the gastrointestinal tract.
在56例接受腹部CT检查的患者中,胃肠道是通过阴性对比剂而非传统的含碘阳性对比剂来显示的。对比剂为2.5%的甘露醇溶液,用于直肠灌注。胃肠道的充盈质量与使用阳性对比剂时相似。与阳性对比剂相比,阴性对比剂因高对比边界导致的伪影数量略多。两种方法对胃肠道与其他腹部器官的区分效果相同。阴性对比剂法在诊断囊性肿瘤方面较差,但在评估胃肠道壁方面比阳性对比剂法要好得多。