Comparison of two Meglumine-Diatrizoate based bowel preparations for computed tomography colonography: Comparison of patient symptoms and bowel preparation quality

被引:2
|
作者
Wilson, S. [1 ]
Thompson, J. D. [2 ]
机构
[1] North West Anglia NHS Fdn Trust, Peterborough PE3 9GZ, England
[2] Univ Salford, Manchester M6 6PU, Lancs, England
关键词
Computed tomography colonography; Meglumine-Diatrizoate; Bowel preparation; Visual grading; CT-COLONOGRAPHY; DIAGNOSTIC PERFORMANCE; RADIOLOGISTS; ACCEPTANCE; SOFTWARE; IOHEXOL; POLYPS; CANCER;
D O I
10.1016/j.radi.2020.04.007
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Introduction: To investigate the impact of two Meglumine-Diatrizoate based bowel preparation regimes for computed tomography colonography (CTC) on the patient experience and image quality. Methods: 100 patients consumed Meglumine-Diatrizoate at 24 h and 12 h prior to the CTC examination. 50 patients followed regime 1 (50:50), 50 ml of Meglumine-Diatrizoate at both 24 and 12 h prior to the examination. 50 patients followed regime 2 (75:25), 75 ml of Meglumine-Diatrizoate at 24 h prior to the examination and 25 ml of Meglumine-Diatrizoate at 12 h prior to the examination. All patients completed a questionnaire to indicate the time of onset of adverse effects and when they were most severe. Five advanced practitioners assessed the image quality in a visual grading study. Visual grading characteristic (VGC) analysis was applied with regime 1 as the reference condition and regime 2 and test condition; test alpha was set at 0.05. Results: Image quality was assessed with successful bowel cleansing as the scoring criteria for the visual grading study. The bowel cleansing as provided by the two Meglumine-Diatrizoate regimes was revealed not to be statistically different, with the area under the VGC curve and 95% confidence intervals 0.487 (0.287, 0.701), p = 0.887. Patients taking the 75:25 bowel preparation experienced a shorter median time to the onset of adverse effects. Conclusion: There was no observed difference in Image quality criteria score for the two Meglumine-Diatrizoate based bowel preparation with more predictable adverse effects of Meglumine-Diatrizoate with the 75:25 preparation. Implications for practice: Providing patients with a higher contrast burden 24 h prior to CTC may have a positive impact on the patient experience without compromising image quality. (C) 2020 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E290 / E296
页数:7
相关论文
共 50 条
  • [21] CT colonography with minimal bowel preparation: evaluation of tagging quality, patient acceptance and diagnostic accuracy in two iodine-based preparation schemes
    Liedenbaum, Marjolein H.
    de Vries, A. H.
    Gouw, C. I. B. F.
    van Rijn, A. F.
    Bipat, S.
    Dekker, E.
    Stoker, J.
    EUROPEAN RADIOLOGY, 2010, 20 (02) : 367 - 376
  • [22] Capsule endoscopy - comparison of two strategies of bowel preparation
    Niv, Y
    Niv, G
    Wiser, K
    Demarco, DC
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 22 (10) : 957 - 962
  • [23] A comparison of the effectiveness and patient tolerance of three bowel preparations for flexible sigmoidoscopy
    Wang, EM
    Lai, KH
    Lo, GH
    Hsu, PI
    GASTROINTESTINAL ENDOSCOPY, 1999, 49 (04) : AB200 - AB200
  • [24] Computed tomography of the bowel: A prospective comparison study between four techniques
    Paparo, Francesco
    Garlaschi, Alessandro
    Biscaldi, Ennio
    Bacigalupo, Lorenzo
    Cevasco, Luca
    Rollandi, Gian Andrea
    EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (01) : E1 - E10
  • [25] Bowel Preparation for CT Colonography: Blinded Comparison of Magnesium Citrate and Sodium Phosphate for Catharsis
    Borden, Zachary S.
    Pickhardt, Perry J.
    Kim, David H.
    Lubner, Meghan G.
    Agriantonis, Demetrios J.
    Hinshaw, J. Louis
    RADIOLOGY, 2010, 254 (01) : 138 - 144
  • [26] Randomized single blind trial of two low-volume bowel preparations for screening computed tomographic colonography
    G. M. Forbes
    J. T. Edwards
    N. M. Foster
    C. J. Wood
    R. M. Mendelson
    Abdominal Imaging, 2004, 30 : 48 - 52
  • [27] Randomized single blind trial of two low-volume bowel preparations for screening computed tomographic colonography
    Forbes, GM
    Edwards, JT
    Foster, NM
    Wood, CJ
    Mendelson, RM
    ABDOMINAL IMAGING, 2005, 30 (01): : 48 - 52
  • [28] Comparison of two bowel preparations for colonoscopy Moviprep and Citrafleet in daily practice
    Geyer, Martin
    Leiner, Dominik
    SWISS MEDICAL WEEKLY, 2017, 147 : 19S - 19S
  • [29] COMPARISON OF PATIENT EXPERIENCE OF COLONOSCOPY AND CT COLONOGRAPHY IN THE ENGLISH BOWEL CANCER SCREENING PROGRAMME
    Plumb, A. A.
    Ghanouni, A.
    Rees, C. J.
    Hewitson, P.
    Miller, H.
    Bevan, R.
    Taylor, S. A.
    Halligan, S.
    von Wagner, C.
    GUT, 2014, 63 : A136 - A137
  • [30] Comparison of three different iodine-based bowel regimens for CT colonography
    Delia Campanella
    Lia Morra
    Silvia Delsanto
    Vincenzo Tartaglia
    Roberto Asnaghi
    Alberto Bert
    Emanuele Neri
    Daniele Regge
    European Radiology, 2010, 20 : 348 - 358