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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603

Abstract

Aims

The aim of this study is to evaluate the potential of black tea as a negative oral contrast agent in Magnetic Resonance Cholangiopancreatography (MRCP) to improve image quality by reducing gastrointestinal fluid signals.

Background

Retained gastrointestinal fluids can interfere with ductal imaging during MRCP, and suitable oral negative contrast agents are not widely available.

Method

Two types of black tea (Lapsang Souchong and Yinghong NO9) were tested in vitro at different concentrations (3g, 6g, and 9g) to assess their T2 signal suppression. The tea with the best signal suppression was selected for a prospective clinical study involving 51 patients undergoing MRCP. Signal intensity, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were measured before and after black tea administration.

Result

experiments showed that the 9g concentration of Lapsang Souchong tea provided the most effective T2 signal suppression, with manganese and iron ion concentrations of 4.705 mg/L and 0.040 mg/L, respectively. In the clinical study, paired T-tests revealed a significant decrease in gastrointestinal fluid signals after black tea administration, with a mean signal intensity reduction in the stomach and duodenum. The SNR in the duodenal bulb increased significantly, while no significant differences were observed in SNR and CNR in other gastrointestinal segments.

Conclusion

Black tea, rich in iron and manganese, effectively reduces gastrointestinal fluid signals, potentially enhancing MRCP image quality. Further research is warranted to explore its clinical application.

© 2025 The Author(s). Published by Bentham Science Publishers. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-04-17
2025-10-19
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References

  1. LeeN.K. KimS. LeeJ.W. LeeS.H. KangD.H. KimD.U. KimG.H. SeoH.I. MR appearance of normal and abnormal bile: Correlation with imaging and endoscopic finding.Eur. J. Radiol.201076221122110.1016/j.ejrad.2009.05.05019545960
    [Google Scholar]
  2. MohammedA. JanakiramN.B. LightfootS. GaliH. VibhuduttaA. RaoC.V. Early detection and prevention of pancreatic cancer: Use of genetically engineered mouse models and advanced imaging technologies.Curr. Med. Chem.201219223701371310.2174/09298671280166109522680929
    [Google Scholar]
  3. GiljacaV. GurusamyK.S. TakwoingiY. HiggieD. PoropatG. ŠtimacD. DavidsonB.R. Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones.Cochrane Libr.201520152CD01154910.1002/14651858.CD01154925719224
    [Google Scholar]
  4. ShiraishiK. NakauraT. UetaniH. NagayamaY. KidohM. KobayashiN. MoritaK. YamahitaY. TanakaY. BabaH. HiraiT. Deep learning–based reconstruction and 3D hybrid profile order technique for MRCP at 3T: Evaluation of image quality and acquisition time.Eur. Radiol.202333117585759410.1007/s00330‑023‑09703‑z37178197
    [Google Scholar]
  5. WangK. LiX. LiuJ. GuoX. LiW. CaoX. YangJ. XueK. DaiY. WangX. QiuJ. QinN. Predicting the image quality of respiratory-gated and breath-hold 3D MRCP from the breathing curve: A prospective study.Eur. Radiol.20223364333434310.1007/s00330‑022‑09293‑236543903
    [Google Scholar]
  6. HeM. XuJ. SunZ. WangS. ZhuL. WangX. WangJ. FengF. XueH. JinZ. Comparison and evaluation of the efficacy of compressed SENSE (CS) and gradient‐ and spin‐echo (GRASE) in breath‐hold (BH) magnetic resonance cholangiopancreatography (MRCP).J. Magn. Reson. Imaging202051382483210.1002/jmri.2686331313426
    [Google Scholar]
  7. SiddikiH. FidlerJ. MR imaging of the small bowel in Crohn’s disease.Eur. J. Radiol.200969340941710.1016/j.ejrad.2008.11.01319118967
    [Google Scholar]
  8. KondoS. IsayamaH. AkahaneM. TodaN. SasahiraN. NakaiY. YamamotoN. HiranoK. KomatsuY. TadaM. YoshidaH. KawabeT. OhtomoK. OmataM. Detection of common bile duct stones: Comparison between endoscopic ultrasonography, magnetic resonance cholangiography, and helical-computed-tomographic cholangiography.Eur. J. Radiol.200554227127510.1016/j.ejrad.2004.07.00715837409
    [Google Scholar]
  9. XiaoY.D. PaudelR. LiuJ. MaC. ZhangZ.S. ZhouS.K. MRI contrast agents: Classification and application (review).Int. J. Mol. Med.20163851319132610.3892/ijmm.2016.274427666161
    [Google Scholar]
  10. BabosM. SchwarczA. RandhawaM.S. MartonB. KardosL. PalkóA. In vitro evaluation of alternative oral contrast agents for MRI of the gastrointestinal tract.Eur. J. Radiol.200865113313910.1016/j.ejrad.2007.03.02517485189
    [Google Scholar]
  11. BittmanM.E. CallahanM.J. The effective use of acai juice, blueberry juice and pineapple juice as negative contrast agents for magnetic resonance cholangiopancreatography in children.Pediatr. Radiol.201444788388710.1007/s00247‑014‑2884‑524573534
    [Google Scholar]
  12. RenzulliM. CarettiD. PettinariI. BiselliM. BrocchiS. SergentiA. BrandiN. GolfieriR. Optimization of pineapple juice amount used as a negative oral contrast agent in magnetic resonance cholangiopancreatography.Sci. Rep.202212153110.1038/s41598‑021‑04609‑635017599
    [Google Scholar]
  13. RenzulliM. BiselliM. FabbriE. CarettiD. SergentiA. ModestinoF. GiannoneF.A. StorchiM. PierottiL. GolfieriR. What is the best fruit juice to use as a negative oral contrast agent in magnetic resonance cholangiopancreatography?Clin. Radiol.201974322022710.1016/j.crad.2018.11.00530554806
    [Google Scholar]
  14. PriceA. RamachandranS. SmithG.P. StevensonM.L. PomeranzM.K. CohenD.E. Oral allergy syndrome (pollen-food allergy syndrome).Dermatitis2015262788810.1097/DER.000000000000008725757079
    [Google Scholar]
  15. GhanaatiH. Rokni-YazdiH. JalaliA.H. AbahashemiF. ShakibaM. FirouzniaK. Improvement of MR cholangiopancreatography (MRCP) images after black tea consumption.Eur. Radiol.201121122551255710.1007/s00330‑011‑2217‑021818525
    [Google Scholar]
  16. AnY. QiaoD. JingT. LiS. Extensive ICP-MS and HPLC-QQQ detections reveal the content characteristics of main metallic elements and polyphenols in the representative commercial tea on the market.Front. Nutr.202411145034810.3389/fnut.2024.145034839188975
    [Google Scholar]
  17. PodwikaW. KleszczK. KrośniakM. ZagrodzkiP. Copper, Manganese, Zinc, and Cadmium in tea leaves of different types and origin.Biol. Trace Elem. Res.2018183238939510.1007/s12011‑017‑1140‑x28866820
    [Google Scholar]
  18. GurusamyK.S. GiljacaV. TakwoingiY. HiggieD. PoropatG. ŠtimacD. DavidsonB.R. Endoscopic retrograde cholangiopancreatography versus intraoperative cholangiography for diagnosis of common bile duct stones.Cochrane Libr.201520152CD01033910.1002/14651858.CD010339.pub225719222
    [Google Scholar]
  19. FrossardJ.L. MorelP.M. Detection and management of bile duct stones.Gastrointest. Endosc.201072480881610.1016/j.gie.2010.06.03320883860
    [Google Scholar]
  20. PaduanoD. FacciorussoA. De MarcoA. OfosuA. AuriemmaF. CalabreseF. TarantinoI. FranchellucciG. LisottiA. FusaroliP. RepiciA. MangiavillanoB. Endoscopic ultrasound guided biliary drainage in malignant distal biliary obstruction.Cancers202315249010.3390/cancers1502049036672438
    [Google Scholar]
  21. GuptaP. BansalV. Kumar-MP. SinhaS.K. SamantaJ. MandavdhareH. SharmaV. DuttaU. KochharR. Diagnostic accuracy of Doppler ultrasound, CT and MRI in Budd Chiari syndrome: Systematic review and meta-analysis.Br. J. Radiol.20209311092019084710.1259/bjr.2019084732150462
    [Google Scholar]
  22. ChamokovaB. BastatiN. Poetter-LangS. BicanY. HodgeJ.C. SchindlM. MatosC. Ba-SsalamahA. The clinical value of secretin-enhanced MRCP in the functional and morphological assessment of pancreatic diseases.Br. J. Radiol.20189110842017067710.1259/bjr.2017067729206061
    [Google Scholar]
  23. FrischA. WalterT.C. HammB. DeneckeT. Efficacy of oral contrast agents for upper gastrointestinal signal suppression in MRCP: A systematic review of the literature.Acta Radiol. Open20176910.1177/205846011772731528894591
    [Google Scholar]
  24. LicciardiG. RizzoD. RaveraE. FragaiM. ParigiG. LuchinatC. Not only manganese, but fruit component effects dictate the efficiency of fruit juice as an oral magnetic resonance imaging contrast agent.NMR Biomed.2022352e462310.1002/nbm.462334595785
    [Google Scholar]
  25. TangH.H. SongB. HuangZ.R. YaoH. Application of black tea as a negative oral contrast in magnetic resonance cholangiopancreatography (MRCP).Sichuan Da Xue Xue Bao Yi Xue Ban201344347648023898539
    [Google Scholar]
  26. KochW. Kukula-KochW. CzopM. BajT. KockiJ. BawiecP. CasasnovasR.O. Głowniak-LipaA. GłowniakK. Analytical assessment of bioelements in various types of black teas from different geographical origins in view of chemometric approach.Molecules20212619601710.3390/molecules2619601734641561
    [Google Scholar]
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