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A Technique for MRI-Guided Transrectal Deep Pelvic Abscess Drainage

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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