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1.5T Inflammatory bowel disease in children

ExamCard
Chia, Jonathan, MS Philips Healthcare • USA

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ExamCard purpose

This Release 2.6 Achieva 1.5T ExamCard is optimized for bowel imaging in pediatric IBD (inflammatory bowel disease) patients and should take no longer than thirty minutes.

MR small bowel imaging offers a non-invasive method to image IBD. Depending on the size of the child, the SENSE Cardiac coil or SENSE Torso coil is used. The examination involves extensive pediatric patient preparation.

This ExamCard has been developed in cooperation with the Children´s Medical Center Dallas, Oakland Children´s Hospital, Children´s Hospital of Los Angeles and Kantonsspital Winterthur.

 
ExamCard overview

ExamCard with optional scans

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Bowel after contrast
Bowel after contrast

Patient preparation

The patient is NPO 4 hours prior to the examination.

90 minutes before the start of the examination Sorbitol 70% mixed with water is given to the patient. The dose given is dependent on the child's age:

            • <12 years: 35 ml Sorbitol in 200 ml water has to be drunk within 15 minutes followed by 200ml water.
            • 12 - 15 years: 45 ml Sorbitol in 200 ml water has to be drunk within 15 minutes followed by 200ml water.
            • >15 years: 50 ml Sorbital in 200 ml water has to be drunk within 15 minutes followed by 200 ml water.

Place the SENSE Cardiac coil or SENSE Torso coil so that it completely covers the pelvis and as much of the abdomen as possible. The patient's arms should be placed above the coil.

The respiratory bellows are used for the respiratory scans.

Contrast agent/injection

Glucagon is given intravenously to reduce peristalsis of the bowels while performing breath-hold sequences.


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ExamCard
Achieva 1.5T
Release 2.6
IBD, Pediatric, SENSE Cardiac coil, SENSE Torso/Cardiac coil
 

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