title: In vivo proton MR spectroscopy in uterine abscesses.
abstract: It is important to make a rapid diagnosis to provide appropriate treatment, however, specific diagnosis of causative organisms of pelvic abscesses on conventional MR imaging is difficult. MR spectroscopy provides metabolic information noninvasively, and has the potential to characterize etiology of the abscesses. The presence of acetate (Ac) peak with or without succinate (Suc) peak may suggest anaerobic bacterial infection, whereas the absence of Ac and Suc peaks in the spectra may suggest aerobic infection. This report describes two cases of uterine pyogenic abscesses, which showed Ac and Suc peaks on in vivo MR spectroscopy.
authors.affiliation: Department of Radiology, University of Tokushima, Kuramoto-cho, Tokushima, Japan.
authors.forename: Mayumi
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Matsuzaki
authors.forename: Masafumi
authors.initials: M
authors.lastname: Harada
mesh_terms: D000038:Abscess / Q000473:pathology*; D000085:Acetates / Q000737:chemistry; D000368:Aged; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D009682:Magnetic Resonance Spectroscopy; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000382:microbiology* / Q000473:pathology*; D010462:Peptostreptococcus / Q000302:isolation & purification; D017861:Porphyromonas / Q000302:isolation & purification; D013211:Staphylococcus aureus / Q000302:isolation & purification; D019802:Succinic Acid / Q000737:chemistry; D014599:Uterus / Q000382:microbiology* / Q000473:pathology*
chemical_list: D000085:Acetates; D019802:Succinic Acid
keywords: MR spectroscopy; abscess; anaerobic infection; pelvic inflammatory disease (PID)