Demonstration of contrast technique of small animals
Introduction:
Special radiographic procedures are frequently utilized to supplement or confirm the information
obtained from survey radiographs. Special procedures should never replace or precede the survey
radiographs.
Preparation of the patient for the special radiographic procedure is extremely important. It can
often determine whether or not the study is of diagnostic quality. Evacuation of the
gastrointestinal tract is required for abdominal studies. Abnormally vigorous enemas alter the
intestinal gas pattern and the peristaltic activity of the digestive tract. This may lead to an
incorrect diagnosis if not recognized.
The evacuation of the intestinal tract whether by cathartics, enemas e.t.c. should be performed
sufficiently prior to the radiographic examination. It is sufficient to withhold oral food for 12-24
hrs prior to the study and administer a milk warm water enema 4-18 hrs before beginning the
radiographic procedure.
Contrast agents are used in most special procedures to opacify or delineate an organ or
structures. Allergic reaction to contrast media are not as prevalent in veterinary medicine as in
human medicine.
Indication of digestive radiograph
a. Evaluation of function
b. Foreign body
c. Tumor or granuloma
d. Rupture
e. Secondary involvement by extrinsic mass
Contrast agents:
Positive contrast agents
i. Barium sulfate preparations
8 cc/kg b.wt orally in small dogs and cats and 3-5cc/kg b.wt in larger dogs.
ii. Iodine preparations
3-5 cc/kg b.wt orally
Note:
Barium sulfate preparation should not be used in case of GI tract rupture suspicion. Instead
iodinated compounds can be used.
Negative contrast agents:
i. Air is the most frequently used negative contrast media.
ii. Carbonated beverages (e.g. Coca-Cola) can be administered orally. The contained gas
will distend the stomach.
Recommended projection:
Barium sulfate studies:
i. Immediately following administration of a small amount of contrast – DV, right
lateral, left lateral radiograph.
ii. 15 min after – DV, right lateral , left lateral of centre of stomach radiograph
iii. 60 min- DV, right lateral
iv. 2-3 hrs- DV, right lateral, left lateral
v. Repeat until contrast reaches the colon.
It is expected that barium sulfate solution will reach the colon 3-5 hrs after oral
administration in most instances.
Iodinated solution
i. Immediately following administration of contrast – DV, VD, right lateral, left
lateral radiograph.
ii. 15 min after – DV, right lateral , left lateral of centre of stomach radiograph
iii. 60 min- DV, right lateral, left lateral
In most instances the contrast will be in the large bowel in 30-60 minutes.
Conclusion: