Topic: Oral and Gastrointestinal, Generic Health Relevance and Cross Cutting Themes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All children between the ages of 0 and 6 years referred for an upper gut XRF contrast study for suspected upper intestinal obstruction, i.e., malrotation 2. Age range: 1 day to 6 years, male and female
Exclusion criteria
Exclusion criteria: 1. Usual MR exclusion criteria will apply, but are highly unlikely in this young age group. They include pregnancy, claustrophobia, cardiac pacemakers, metallic implants, cardiac defibrillator implants, aneurysm clips or metallic heart valves, and cochlear or inner ear implants. These exclusion criteria would apply to all people within the vicinity of the MRI scanner, e.g., the parents/guardians in this study. 2. Previous reaction to the relevant X-ray or MRI contrast media (including gadolinium) 3. Congenital abnormalities that make X-ray fluoroscopy or MR fluoroscopy impractical
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Can a technique using magnetic resonance MR fluoroscopy be developed to replace the conventional X-ray fluoroscopy methodology? All outcomes will be assessed at the time of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| To demonstrate the feasibility of magnetic resonance imaging for this type of paediatric imaging, including an assessment of its technical and diagnostic performance, by direct comparison with the established X-ray fluoroscopy based techniques. After each participant has their MRI scan, the results will be compared with those obtained with the standard X-ray fluoroscopy technique, and scored for sensitivity and accuracy in diagnosing gut malrotation. All outcomes will be assessed at the time of the intervention. | — |
Countries
United Kingdom