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 a diagnostic imaging study in the diagnosis of sepsis. MRI Chest Without and With IV Contrast Although MRI can readily detect pulmonary and pleural infection, there are no data to support the use of MRI chest without and with IV contrast as the next diagnostic imaging study after normal, equivocal, or nonspecific chest radiography in the diagnosis of sepsis. MRI Chest Without IV Contrast Although MRI can readily detect pulmonary and pleural infection, there are no data to support the use of MRI chest without IV contrast as the next diagnostic imaging study after normal, equivocal, or nonspecific chest radiography in the diagnosis of sepsis. Nuclear Medicine Scan Gallbladder There are no data to support the use of nuclear medicine scan gallbladder as a diagnostic imaging study in the diagnosis of sepsis.
Sepsis. 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 a diagnostic imaging study in the diagnosis of sepsis. MRI Chest Without and With IV Contrast Although MRI can readily detect pulmonary and pleural infection, there are no data to support the use of MRI chest without and with IV contrast as the next diagnostic imaging study after normal, equivocal, or nonspecific chest radiography in the diagnosis of sepsis. MRI Chest Without IV Contrast Although MRI can readily detect pulmonary and pleural infection, there are no data to support the use of MRI chest without IV contrast as the next diagnostic imaging study after normal, equivocal, or nonspecific chest radiography in the diagnosis of sepsis. Nuclear Medicine Scan Gallbladder There are no data to support the use of nuclear medicine scan gallbladder as a diagnostic imaging study in the diagnosis of sepsis.