3DMRA Sonography: Insights on Small Intestine Concerns - Oncology

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3D MRA sonar detection issues?


I have been experiencing long-term abdominal discomfort, so I visited a traditional Chinese medicine practitioner who suggested a type of examination that is more advanced than a 3DRA sonar detector.
I made an appointment and underwent the test, but I won't receive the report until Monday.
I noticed that there are many black spots in my small intestine, while most of the other areas appear orange or brown.
It was difficult to see clearly because it moved too quickly.
Could you please tell me if this indicates a potential tumor issue in the small intestine?
Last April, I had a colonoscopy that was normal.
In May of this year, I had an upper endoscopy which showed mild bile reflux and slight inflammation.
I also had an abdominal ultrasound, which was normal.
Previously, during a hospitalization for acute gastritis, I had an abdominal X-ray that indicated some gas obstruction in the small intestine, but the physician determined that this was normal as a small amount of gas is acceptable.
Given my age and the rarity of small intestine ulcers or tumors in the medical field, the doctor did not immediately conclude that it was tumor-related.
This is a summary of the tests I have undergone for your reference.

Luo Kai-Ren, 20~29 year old female. Ask Date: 2018/06/09

Dr. Hu Ziren reply Oncology


It is advisable to consult with the physician performing the examination or a radiologist for more appropriate guidance!

Reply Date: 2018/06/09

More Info


Understanding the results of 3D MRA (Magnetic Resonance Angiography) and its implications for small intestine concerns can be quite complex, especially when you have a history of gastrointestinal issues. Based on the information you've provided, it seems that you have undergone various diagnostic tests, including colonoscopy and gastroscopy, which have yielded normal results. However, you are now facing concerns regarding the appearance of your small intestine as seen in the recent 3D MRA.

Firstly, it’s important to clarify what the "black dots" you observed in the 3D MRA images might represent. In imaging studies, different colors and patterns can indicate various types of tissue or abnormalities. Black spots could potentially represent areas of low signal intensity, which might be due to a variety of factors, including but not limited to fluid collections, gas, or even certain types of lesions. However, without the expertise of a radiologist interpreting the images, it is difficult to ascertain their significance.

Given your history of gastrointestinal issues, including acute gastritis and mild reflux, it is understandable to be concerned about the possibility of tumors or other serious conditions. However, it is crucial to remember that the presence of black dots does not automatically indicate malignancy. Many benign conditions can also present similarly on imaging studies. For instance, inflammatory changes, benign polyps, or even normal anatomical variations can sometimes appear as dark spots.

You mentioned that you had a colonoscopy last year that was normal, and a gastroscopy earlier this year that showed mild inflammation but no significant findings. These results are reassuring, as they suggest that there are no overt malignancies in the areas that were directly visualized. Additionally, the fact that you have been assessed for acute conditions and found to have only mild issues further supports the idea that serious pathology may be less likely.

Regarding your concern about the possibility of small intestine tumors, it is worth noting that tumors in the small intestine are relatively rare compared to those in the colon or stomach. The likelihood of such tumors increases with certain risk factors, including age, family history of gastrointestinal cancers, and certain genetic conditions. Since you mentioned that you are relatively young and have no significant risk factors, the probability of a small intestinal tumor is likely low.

As for the gas obstruction noted in your previous X-ray, it is not uncommon for individuals to have some degree of gas in the intestines, which can sometimes be misinterpreted as obstruction. The gastrointestinal tract is dynamic, and the presence of gas can vary based on diet, activity level, and individual anatomy.

In conclusion, while it is understandable to be concerned about the findings from your 3D MRA, it is essential to wait for the official report and interpretation from your healthcare provider. They will be able to correlate the imaging findings with your clinical history and other diagnostic results. If the report raises any concerns, further investigations, such as a small bowel enteroscopy or capsule endoscopy, may be warranted to provide a clearer picture of the small intestine.

In the meantime, maintaining open communication with your healthcare provider about your symptoms and any changes you experience is crucial. If you continue to have abdominal discomfort or other gastrointestinal symptoms, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and thorough investigation is key to addressing any potential issues.

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