Background/Aim: Conventional natural manganese contrast agent for magnetic resonance cholangiopancreatography (MRCP) have produced suboptimal visualisation of the gastric, duodenum and biliary system. While various studies have explored manganese-based media, limited research has focused on manganese nanoparticles (Mn-NPs). This study investigated oolong tea-derived Mn-NPs as a potential alternative oral contrast agent for MRCP imaging, aiming to enhance image clarity while minimising neurotoxic effects in healthy volunteers.Methods: A true experimental approach with a pre-test and post-test control group setup was employed, involving thirty healthy volunteers divided into three groups: (K1) Mn-NPs derived from oolong tea, (K2) manganese extracted from oolong tea and (K3) standard manganese chloride. Signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and blood levels of IL-1β and TNF-α were assessed preand post-contrast administration for efficacy and neurotoxicity.Results: The extracted Mn-NPs of oolong tea decreased signal strength in the stomach (3.40 %) and the duodenum (1.60 %), while increasing signal blockage in the gallbladder (0.80 %), cystic duct (4.40 %), common hepatic duct (13.80 %), intrahepatic duct (4.10 %), common bile duct (4.10 %) and pancreatic duct (3.10 %). These results outperformed those of standard contrast agent and manganese sourced from oolong tea. Interleukin 1 beta (IL -1β) (3.24 pg/mL) and tumour necrosis factor Alpha (TNF-α) (6.9 pg/mL) levels showed no neurotoxic effects. Mn-NPs from oolong tea showed superior imaging performance. This is due to their long residence time and stronger magnetic properties. The anti-inflammatory compounds in oolong tea likely contributed to the stable cytokine levels observed, indicating a good safety profile. In addition, integration with the FIESTA MRI suite further enhances image contrast.Conclusion: Mn-NPs prepared from oolong tea can be used instead of traditional contrast agent in MRCP examinations. They provide better image quality and do not harm the brain.
Fatimah et al. (Thu,) studied this question.
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