Types of oral contrast agents with positive signal enhancement:
Ideal oral contrast agents are immiscible with water, biologically inert, have a low viscosity and surface tension. Oral positive contrast agents may improve the separation of bowel loops, the detection of polyps in colon MRI or the assessment of inflammatory bowel in the small intestine. Several positive oral contrast agents are available and they are safe to use, for example gadolinium solution, ferric ammonium citrate, different oil emulsions and pediatric formula.
Unfavorably motion artifacts caused by respiration and peristalsis may be increased in MR imaging. In addition, the signal of the positive contrast medium may decrease caused by dilution in gastrointestinal (GI) secretions. With the use of contrast agents that are immiscible with water, no dilution and accompanying signal loss occur even when the contrast agent is in contact with the intraluminal contents of the GI tract. Another disadvantage may be residual substances in the bowel, resembling masses when enclosed by bright signal. In addition, positive contrast agents may have a similar signal as bright masses, which make their (e.g. lipoma) detection difficult.

See also Gastrointestinal Paramagnetic Contrast Agents, Combination Oral Contrast Agents, Gastrointestinal Diamagnetic Contrast Agents.

Ferric ammonium citrate is a complex salt of indefinite composition that contains varying amounts of iron, that is obtained as red crystals or a brownish yellow powder or as green crystals or powder, and that was used formerly in medicine for treating iron-deficiency anaemia.
Solutions (e.g. corn oil emulsion) of ferric ammonium citrate (e.g., FerriSeltz, Geritol) can be used as positive oral contrast agents in MRI. Ferric ammonium citrate is safe and effective in humans, but has minor side effects.

See also Classifications, Characteristics, etc.

Gd-DTPA (Magnevist® Enteral) for gastrointestinal use with 1 mmolar required concentration.

See also Positive Oral Contrast Agents.

Magnevist® enteral (Gadopentetate) is a Gd-DTPA solution for use as a gastrointestinal contrast agent to visualize the bowel in MRI scans.

See also Positive Oral Contrast Agents and Gadopentetate Gastrointestinal.

A limitation of abdominal MRI can be the assessment of malignancies by difficulties to distinguish bowel from other organs or malignant masses. The use of oral contrast agents can reduce this problem. Properties of an ideal oral contrast agent are little or no absorption by the stomach or intestines, complete excretion, no motion or susceptibility artifacts, and uniform marking of the GI tract.
Gastrointestinal MRI contrast agents are divided in materials with bright appearance or dark appearance. The choice of a negative or a positive oral contrast agent depends on the specific problem or the pulse sequence.

See also Positive Oral Contrast Agents, Negative Oral Contrast Agents, Gastrointestinal Diamagnetic Contrast Agents, Gastrointestinal Paramagnetic Contrast Agents and Gastrointestinal Superparamagnetic Contrast Agents.

See also the related poll result: 'The development of contrast agents in MRI is'