Section for Biomedical Imaging, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Institute for Biomedical Imaging, Hamburg University of Technology, Hamburg, Germany.
Sci Rep. 2023 Dec 27;13(1):22976. doi: 10.1038/s41598-023-50041-3.
Gastrointestinal bleeding, as a potentially life-threatening condition, is typically diagnosed by radiation-based imaging modalities like computed tomography or more invasively catheter-based angiography. Endoscopy enables examination of the upper gastrointestinal tract and the colon but not of the entire small bowel. Magnetic Particle Imaging (MPI) enables non-invasive, volumetric imaging without ionizing radiation. The aim of this study was to evaluate the feasibility of detecting gastrointestinal bleeding by single- and multi-contrast MPI using human-sized organs. A 3D-printed small bowel phantom and porcine small bowel specimens were prepared with a defect within the bowel wall as the source of a bleeding. For multi-contrast MPI, the bowel lumen was filled with an intestinal tracer representing an orally administered tracer. MPI was performed to evaluate the fluid exchange between the vascular compartment of the bowel wall and the lumen while a blood pool tracer was applied. Leakage of the blood pool tracer was observed to the bowel lumen. Multi-contrast MPI enabled co-registration of both tracers at the same location within the bowel lumen indicating gastrointestinal bleeding. Single- and multi-contrast MPI are feasible to visualize gastrointestinal bleeding. Therefore, MPI might emerge as a useful tool for radiation-free detection of bleeding within the entire gastrointestinal tract.
胃肠道出血是一种潜在的危及生命的疾病,通常通过基于辐射的成像方式如计算机断层扫描或更具侵袭性的导管血管造影来诊断。内镜检查可用于检查上胃肠道和结肠,但不能检查整个小肠。磁粒子成像(MPI)可实现非侵入性、容积成像,且无电离辐射。本研究旨在评估使用人体大小的器官进行单对比和多对比 MPI 检测胃肠道出血的可行性。使用带有肠壁缺陷的 3D 打印小肠模型和猪小肠标本制备出血源。对于多对比 MPI,将肠腔充满代表口服示踪剂的肠道示踪剂。进行 MPI 以评估肠壁血管腔与肠腔之间的液体交换,同时应用血池示踪剂。观察到血池示踪剂渗漏到肠腔中。多对比 MPI 能够在肠腔的同一位置对两种示踪剂进行配准,表明存在胃肠道出血。单对比和多对比 MPI 可用于可视化胃肠道出血。因此,MPI 可能成为一种有用的工具,用于无辐射检测整个胃肠道的出血。
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