Use of T2MR in invasive candidiasis with and without candidemia

Future Microbiol. 2018 Aug:13:1165-1173. doi: 10.2217/fmb-2018-0079. Epub 2018 May 24.

Abstract

The mortality associated with invasive candidiasis remains unacceptably high. The T2 magnetic resonance (T2MR) assay is a novel US FDA-approved molecular diagnostic assay for the diagnosis of candidemia that can rapidly detect the five most commonly isolated Candida spp. In clinical trials, T2MR has exhibited good clinical sensitivity and specificity. Potential benefits from the adoption of T2MR technology in the diagnostic and therapeutic algorithms for invasive candidiasis can arise from timely diagnosis of disease, increased case detection, tailored therapy and decrease in empiric antifungal treatment. As everyday clinical experience with the assay is evolving, we discuss the utility of T2MR in invasive candidiasis with and without candidemia based on the currently available evidence regarding its performance.

Keywords: T2Candida; T2MR; abdominal candidiasis; candidemia; chronic disseminated candidiasis; invasive candidiasis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antifungal Agents / therapeutic use
  • Candida / classification
  • Candida / physiology
  • Candidemia / diagnostic imaging
  • Candidemia / drug therapy
  • Candidiasis, Invasive / diagnostic imaging*
  • Candidiasis, Invasive / drug therapy
  • Early Diagnosis
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Magnetic Resonance Spectroscopy / economics
  • Sensitivity and Specificity

Substances

  • Antifungal Agents