FDG-PET/CT Skull Base to Mid-Thigh There are no data to support the use of FDG-PET/CT as an initial diagnostic imaging study in the diagnosis of sepsis. Fluoroscopy Contrast Enema There are no data to support the use of fluoroscopy contrast enema as an initial diagnostic imaging study in the diagnosis of sepsis. Sepsis Fluoroscopy Upper GI Series with Small Bowel Follow-Through There are no data to support the use of fluoroscopy upper GI series with small bowel follow-through as an initial diagnostic imaging study in the diagnosis of sepsis. MRI Abdomen and Pelvis Without and With IV Contrast There are no data to support the use of MRI abdomen and pelvis without and with IV contrast as an initial diagnostic imaging study in the diagnosis of sepsis. The majority of patients with sepsis are too unstable to undergo a relatively long imaging procedure, especially with the availability of alternate imaging modalities that are shorter and easier to obtain. However, in certain situations, such as targeting a specific source of clinically suspected infection, MRI has been shown to be useful. Given that perianal sepsis occurs in up to 10% of neutropenic patients, Ashkar et al [14] performed a retrospective review of neutropenic patients from hematologic malignancy who were given the diagnosis of perianal sepsis. Of the 19 included patients, 9 patients underwent pelvic MRI without and with IV contrast. Of these, 88% (8/9) of the patients were found to have a focal collection compatible with a perianal abscess. This resulted in intraoperative drainage of the fluid collection in 6 patients, of whom 80% (5/6) of patients were confirmed to have a purulent draining cavity intraoperatively; 20% (1/6) of the patients was deemed to be a false-positive result. MRI Abdomen and Pelvis Without IV Contrast There are no data to support the use of MRI abdomen and pelvis without IV contrast as an initial diagnostic imaging study in the diagnosis of sepsis.
Sepsis. FDG-PET/CT Skull Base to Mid-Thigh There are no data to support the use of FDG-PET/CT as an initial diagnostic imaging study in the diagnosis of sepsis. Fluoroscopy Contrast Enema There are no data to support the use of fluoroscopy contrast enema as an initial diagnostic imaging study in the diagnosis of sepsis. Sepsis Fluoroscopy Upper GI Series with Small Bowel Follow-Through There are no data to support the use of fluoroscopy upper GI series with small bowel follow-through as an initial diagnostic imaging study in the diagnosis of sepsis. MRI Abdomen and Pelvis Without and With IV Contrast There are no data to support the use of MRI abdomen and pelvis without and with IV contrast as an initial diagnostic imaging study in the diagnosis of sepsis. The majority of patients with sepsis are too unstable to undergo a relatively long imaging procedure, especially with the availability of alternate imaging modalities that are shorter and easier to obtain. However, in certain situations, such as targeting a specific source of clinically suspected infection, MRI has been shown to be useful. Given that perianal sepsis occurs in up to 10% of neutropenic patients, Ashkar et al [14] performed a retrospective review of neutropenic patients from hematologic malignancy who were given the diagnosis of perianal sepsis. Of the 19 included patients, 9 patients underwent pelvic MRI without and with IV contrast. Of these, 88% (8/9) of the patients were found to have a focal collection compatible with a perianal abscess. This resulted in intraoperative drainage of the fluid collection in 6 patients, of whom 80% (5/6) of patients were confirmed to have a purulent draining cavity intraoperatively; 20% (1/6) of the patients was deemed to be a false-positive result. MRI Abdomen and Pelvis Without IV Contrast There are no data to support the use of MRI abdomen and pelvis without IV contrast as an initial diagnostic imaging study in the diagnosis of sepsis.