Sodium Carboxy Methyl Cellulse(이하 SCMC)와 $BaSO_4$의 특성분석을 통하여, 소장조영 검사에 효과적인 조영제의 W/V% 농도와 점도를 알아보고자 하였으며 이를 통한 소장질환의 미세한 병변 진단에 대한 효율성을 높이고자 실험하였다. 그 결과 100 KVp 고압촬영 방식에서 살펴 볼 때, 높은 투과율로 검사의 효율성이 증대되었다. 압박 촬영과 이중조영 촬영을 시행함에 있어, High Density바륨 사용으로 인한 광학 농도의 차이를 극복함으로서 High Contrast 영상을 얻을 수 있다. CMC-Na의 평균농도 0.625 W/V%으로 선예한 이미지를 얻을 수 있었으며, 적정한 점막 코팅과 검사시간도 단축시킬 수 있다. 결론적으로, F그룹 방식의 CMC-Na을 혼합한 황산바륨 조영제를 조제하여 사용해본 결과, 경구소장조영 검사에 대한 모든 조건에 만족할 만한 것으로 나타났다.
The aim of this study is to evaluate a efficient w/v% barium suspension and w/v% sodium carboxy methyl cellulose (SCMC) for small bowel examination. Between november 2001 and june 2002, 370 patients were examined small bowel examination with oral administration of barium suspension mixed with SCMC. we classified into six groups including A(fine type 40% $BaSO_4$ mixed 0.5% SCMC and 600 ml 0.5% SCMC administration), B(fine type 30% $BaSO_4$ mixed 0.5% SCMC), C(fine type 20% $BaSO_4$ mixed 0.5% SCMC), D(fine type 25% $BaSO_4$ mixed 0.5% SCMC), E(D mixed coarse type 25% $BaSO_4$ mixed 0.5% SCMC), F(D mixed coarse type 25% $BaSO_4$ mixed 0.75% SCMC). We measured transparency rate of contrast media transit time, administration dose, viscosity and particle size. The transparency rate was higher then 80 kV and 90 kV in 100 kV in the same 20 mAs condition. Transit time was the fastest in A group(mean trans time 56 minutes) and the slowest in E group(mean 100 minutes), Administration dose was the smallest in A group(mean dose 541 ml and the most in E group(mean 1,100 ml), viscosity was the lowest in E(125.1 mpa/s) and the highest in A(375.5 mpa/s), and particle size was $1.0;{mu}m$ in A, B, C, and D group, $0.6;{mu}m,;1.0;{mu}m,;10.0;{mu}m$ in E, F group. In conclusion, we propose that the efficient condition for small examination is high voltage technique, high density $BaSO_4$, and 0.625% w/v SCMC.
