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MRI of orbital cellulitis and orbital abscess: the role of diffusion-weighted imaging. AJR Am J Roentgenol 2009 Sep;193(3):W244-50

Date

08/22/2009

Pubmed ID

19696266

DOI

10.2214/AJR.08.1838

Scopus ID

2-s2.0-69949091307 (requires institutional sign-in at Scopus site)   104 Citations

Abstract

OBJECTIVE: Our aims were to describe the role of diffusion-weighted imaging (DWI) in detecting abscess as a complication of orbital cellulitis and to assess whether abscess can be diagnosed with a combination of conventional unenhanced sequences and whole-brain DWI with parallel acquisition. Nine cases of orbital cellulitis imaged with MRI were retrospectively reviewed, including six cases with pyogenic abscess.

CONCLUSION: In this preliminary study, DWI improved diagnostic confidence in nearly all cases of orbital abscess when used in conjunction with contrast-enhanced imaging. DWI also confirmed abscess in a majority of cases without contrast-enhanced imaging, which may be of particular use when contrast material is contraindicated.

Author List

Sepahdari AR, Aakalu VK, Kapur R, Michals EA, Saran N, French A, Mafee MF

Author

Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abscess
Adult
Aged
Child
Contrast Media
Diffusion Magnetic Resonance Imaging
Female
Gadolinium DTPA
Humans
Image Interpretation, Computer-Assisted
Male
Middle Aged
Orbital Cellulitis
Retrospective Studies