• 제목/요약/키워드: barium contrast study

Search Result 25, Processing Time 0.02 seconds

Massive barium sulfate aspiration during upper gastrointestinal contrast material study in an elderly patient with dysphagia

  • Yun, Hae Ryong;Kim, Chang-gon;Park, Jihye;Park, Yong eun;lee, Yong-il;Yoo, Byung-Woo;Chung, Kyung Soo;Kim, Young Sam;Song, Joo Han
    • Journal of Yeungnam Medical Science
    • /
    • v.33 no.2
    • /
    • pp.162-165
    • /
    • 2016
  • Barium sulfate is an inert material used as a radiographic contrast medium during upper gastrointestinal contrast studies for evaluation of patients with dysphagia. Oral barium aspiration is an uncommon but well-reported complication of this procedure. While barium aspiration of small amounts may not cause any symptoms, massive barium aspiration can be life-threatening, particularly in elderly patients with multiple comorbidities. In this case report, we describe an elderly patient with multiple comorbidities who presented with thyrotoxicosis and dysphagia, and then died after massive barium aspiration. Despite administration of intensive medical care with ventilator support and therapeutic bronchoalveolar lavage to remove the aspirated barium, the patient died of multiple organ failure 9 days after barium aspiration. Clinicians should pay attention to elderly patients with predisposing factors for aspiration in whom upper gastrointestinal barium contrast studies are indicated, and should consider other diagnostic tools for evaluation of dysphagia in this population.

Modified Upper Gastrointestinal Study Using Methylcellulose After Administration of Barium Suspension : Comparison with Conventional Series (바륨 현탁액과 메틸셀룰로스(Methylcellulose)를 사용한 변형 상부위장관조영술 :전통적 바륨조영술과의 비교)

  • 이기창;최민철;서민호;정주현;윤정희
    • Journal of Veterinary Clinics
    • /
    • v.17 no.2
    • /
    • pp.411-415
    • /
    • 2000
  • For comparison with conventional barium-gastrointestinal study, modified method using barium and methylcellulose was performed in 16 normal dogs (4-8 kg) divided into two groups. The group 1 received 8ml/kg of 40% w/v barium suspension only, and group 2 had taken 15 ml/kg of 0.6% w/v methylcellulose after administration 4 ml/kg of 40% w/v barium suspension by feeding tube. The barium suspension was prepared mixing full strength-barium suspension with water and methylcellulose solution was produced by blending methylcellulose sterilized water Sequential radiographs, lateral and ventrodorsal projections were obtained at 5 minute, 20 minute,40 minute. 60 minute and every 30 minutes thereafter, until the contrast is seen in the large intestine Inage qual- ity was rated by three veterinary radiologists as " poor" " fair ". "good", or "excellent" We analyzed the relationship between image quality,, transit time. Between two techniques, the modified method with 4ml of 40% w/v barium suspension and 15 ml of 0.6% w/v methylcellulose showed much better image quality ["excellent" result in 7 of the 8 subjects (88%)] and shorter transit time (107 minutes) toe the cecum. In addition, the best image quality was obtained at 20 and 40 minutes after admin-istration of contrast agent. It call be concluded the modified gastrointestinal study using methylcel-lulose after administration of barium suspension was a simple technique and easily improved the image quality and diagnostic accuracy of gstrointestinal disorders in small animal.racy of gstrointestinal disorders in small animal.

  • PDF

Evaluation of Commercialized Barium Products for Upper GI Contrast Study in Beagle Dogs (비글견에서 상부 위장관 조영술을 통한 상용화된 바륨 조영제의 평가)

  • Choi, Ho-Jung;Hwang, Yoon-Tae;Lee, Ki-Ja;Kim, Hwan-Cheol;Choi, Ji-Young;Chang, Jin-Hwa;Lee, Hee-Chun;Lee, Young-Won
    • Journal of Veterinary Clinics
    • /
    • v.28 no.1
    • /
    • pp.87-93
    • /
    • 2011
  • Upper gastrointestinal contrast studies were performed to compare the quality of images using two different commercialized barium products in 10 healthy beagle dogs of each group; 30% barium suspension in group 1, and 35% dilute barium suspension in group 2. Contrast media were administered through gastric tube at a dose rate of 10 ml/kg in all groups. All procedures were evaluated by three criteria: the quality of the images obtained, the transit time and the distensibility of the bowel. The imaging in group 1 showed good image quality, a rapid transit time, and good distensibility of bowel loop.

Influence on PET Exam Caused by Density Differences of Barium-sulfate Contrast Media (Barium 조영제의 농도 차이가 PET 검사에 미치는 영향)

  • Choi, Woo-Joon;Shin, Sang-Ki;Nam, Ki-Pyo;Park, Soon-Ki
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.12 no.1
    • /
    • pp.27-32
    • /
    • 2008
  • Purpose: The evaluation of SUV (Standardized Uptake Values) for quantitative analysis in PET exam is the most significant. In PET exam, we make attenuation correction images by using $^{68}Ge$, $^{137}Cs$ or CT data. At this time, a distorted attenuation map affects quantitative analysis. After the exam using barium-sulfate and high density of barium contrast make attenuation map distorted. And then it brings bed influences on SUV. The aim of this study is to verify the relationship between high density barium-sulfate and SUV in PET exam. Materials and Methods By using $^{18}F$-FDG, we made barium-sulfate powder, density of 0, 1.5, 3, 5, 10 and 15% respectively and acquired PET and PET/CT images per each density. And we examined SUV variations from PET and PET/CT images according to differences of barium's density. Moreover, we finally calculated SUV causing variations in HU (Hounsfield Units) values to justify whether the differences of barium density bring any changes in PET/CT exam. Results: From PET images acquired from transmission scan with $^{68}Ge$, we got SUV figures from 6.46 to 6.8 in barium density between 0 to 15 percent. On the other hand, In PET images acquired from Tx scan that using CT, SUV was 6.77 to 23.73, derived from the same barium density. And CT HU values range from 29 to 2004. Conclusion: PET images from Tx data using $^{68}Ge$ weren't affected by barium density and had no differences in SUV. But in the PET/CT images using CT Tx data, there's considerable variations in HU and SUV values according to a difference of barium density in HU values. To perform a precise examination, barium sulfate should be removed from a human body before performing a PET exam.

  • PDF

Comparison of Radiograpic Contrast Techniques and Contrast Media on Dacryocygtorhinography in Dogs (개에서 누낭비강조영술시 조영방법 및 조영제의 비교)

  • Seo Kang-Moon;Cheong Jong-Tae;Kweon Oh-Kyeong;Sung Jai-Ki;Nam Tchi-Chou
    • Journal of Veterinary Clinics
    • /
    • v.11 no.1
    • /
    • pp.359-368
    • /
    • 1994
  • This study was undertaken to evaluate image quality and level of discomfort during examination with various contrast media(meglumine ioxitalamate: Telebrix $30^{\circledR}$ , diatrizoate sodium: Hypaque $50^{\circledR}$, sodium ioxaglate + meglumine ioxaglate: Hexabrix , iopamidol: Iopamiro $300^{\circledR}$ , iodized poppyseed oil: $Lipiodol^{\circledR}$ and barium sulfate: Baritop$^{\circledR}$and various radiographic contrast techniques(eye dropping: group 1, single injection to the superior punctum: group 2 and continuous injection to the superior punctum: group 3) on dacryocystorhinography in dogs. The results were as follows; 1. The Image quality of radiographic contrast technique of continuous Injection of contrast media(group 3) was better than the other techniques. 2. Average scores for dacryocystorhinography quality of sodium ioxaglate + meglumine ioxaglate, iopamidol, barium sulfate, iodized Poppyseed oil, meglumine ioxitalamate and diatrizoats sodium were 3.67${\pm}$0.47, 3.67${\pm}$0.47, 3.50${\pm}$0.50, 3.33${\pm}$0.75, 2.50${\pm}$0.50 and 2.50${\pm}$0.76, respectively in group 3. 3. Diatrizoate sodium produced more discomfort than the other media. It was considered that the best radiographic contrast technique of dacryocystorhinography was continuous injection of contrast media to the superior punctum and sodium ioxaglate + meglumine ioxaglate, iopamidol, iodized Poppyseed oil and barium sulfate were the excellent contrast media for dacryocystorhinography in dogs.

  • PDF

Study on the High Tension on Radiography and Density of Barium Sulphate (관전압(管電壓)과 황산(黃酸)바륨의 농도(濃度)에 관(關)한 연구(硏究))

  • Kyong, Kwang-Hyon;Huh, Joon
    • Journal of radiological science and technology
    • /
    • v.3 no.1
    • /
    • pp.43-48
    • /
    • 1980
  • An experimental study was carried out to make a comparison between tube voltage and density of barium sulphate in the stomach radiography. The results were summarized as follows: 1. The percentage of density on concentrations of barium sulphate as contrast media could not show in differences with changes of voltages applied X-ray tube. 2. The changes of density visualized on X-ray film mainly depend upon with thickness of stomach filled barium sulphate than the ratio of barium sulphite and plain water volume. 3. The lesions positioned in upper part within stomach exhibited their best discrimination performanance with depth in the low tube voltage, followed in order by the middle part and lower part. However, the discrimination performanance at the high tension radiography uniformly visualized over X-ray film without density in change.

  • PDF

Development of Shielding using Medical Radiological Contrast Media; Comparison Analysis of Barium Sulfate Iodine Shielding ability by Monte Carlo Simulation (의료방사선 조영제를 이용한 차폐체 개발; 몬테카를로 시뮬레이션을 통한 황산바륨과 요오드의 차폐능 비교분석)

  • Kim, Seon-Chil
    • Journal of the Korean Society of Radiology
    • /
    • v.11 no.5
    • /
    • pp.329-334
    • /
    • 2017
  • The purpose of this study is to estimating the possibility of manufacturing radiation shielding sheet by searching for environmentally friendly materials suitable for medical environment of medical radiation shielding. There are many tungsten products which are currently used as shielding materials in place of lead, but there are small problems in the mass production of lightweight shielding sheets due to economical efficiency. To solve these problems, a lightweight, environmentally friendly material with economical efficiency is required. In this study, Barium sulphate and Iodine were proposed. Both materials are already used as contrast medias in radiography, and it is predicted that the shielding effect will be sufficient in a certain region as a shielding material because of the characteristic of absorbing radiation. Therefore, in this study, we used a Monte Carlo simulation to simulate radiation shielding materials. When it is a contrast agent such as Barium sulfate and Iodine, the radiation absorption effect in the high energy region appears greatly, and the effectiveness of the two shielding substance in the energy region of the star with thickness of 120 kVp is also evaluated in the medical radiation imaging region. Simulated estimation results it was possible to estimate the effectiveness of shielding for all two substances. Iodine has higher shielding effect than barium sulfate, 0.05 mm thick appears great effect. Therefore, the Monte Carlo simulation confirms that iodine, which is a radiological contrast agent, is also usable as barium sulfate in the production of radiation shielding sheets.

A Study on Characteristic of Photoelectric Absorption with Diagnostic X-ray Contrast Media (X-선 진단용 조영제의 광전흡수 특성에 관한 연구)

  • Kim, Young-Keun;Han, Jae-Jin;Lee, Kyung-Sup
    • Journal of radiological science and technology
    • /
    • v.21 no.1
    • /
    • pp.46-51
    • /
    • 1998
  • The absorption coefficient of contrast media was measured in region of diagnostic radiology. Relative values of absorption coefficient was found the largest peak in the range of $60{\sim}70\;kVp$ for barium sulfate and 60 kVp for iodine. Increasing the thickness of contrast media and patient, the values of absorption coefficient was rising. In the Radiograph, desired $70{\sim}80\;kVp$ in the gastrointestinal digestion tract with barium sulfate and the vascular tract is before and behind 65 kVp of exposure.

  • PDF