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DOI:10.2214/AJR.07.3711
AJR 2008; 191:1182-1185
© American Roentgen Ray Society

Technical Innovation

A Technique for MRI-Guided Transrectal Deep Pelvic Abscess Drainage

Sherif Gamal Nour1,2,3, Jamal J. Derakhshan1,2, Nila J. Akhtar1, Martin A. Ayres1, Mark E. Clampitt1, Thomas A. Stellato4 and Jeffrey L. Duerk1,2,5

1 Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, 11100 Euclid Ave., Cleveland, OH 44106.
2 Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH.
3 Department of Diagnostic Radiology, Cairo University Hospitals, Cairo, Egypt.
4 Department of Surgery, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, OH.
5 Department of Oncology, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, OH.

OBJECTIVE. The purpose of this article is to introduce a technique for transrectal drainage of deep pelvic abscesses performed under interactive MRI guidance.

CONCLUSION. A new method for triorthogonal image plane MRI guidance was developed and used to interactively monitor the puncture needle on continuously updated sets of adjustable three-plane images. The merits and limitations of the technique are highlighted and the patient population that is likely to benefit from this approach is suggested.

Keywords: interventional MRI • MRI-guided pelvic abscess drainage


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