Imaging Evaluation of Fallopian Tubes and Related Disease: A Primer                    for Radiologists

Revzin, Margarita V.; Moshiri, Mariam; Katz, Douglas S.; Pellerito, John S.; Gettle, Lori Mankowski; Menias, Christine O.

doi:10.1148/rg.2020200051

Cited by 37 publications

(11 citation statements)

References 80 publications

(103 reference statements)

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“…MRI has served as a problem-solving procedure in ectopic pregnancy [ 24 ]. With the excellent soft tissue resolution, the large field of view and the multi-planar imaging capability, MRI has proved to be a useful tool in diagnosing ectopic pregnancies [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

The role of three-dimensional MRI in the differentiation between angular pregnancy and interstitial pregnancy

Gao

Sun

2022

BMC Pregnancy Childbirth

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Background In clinical practice it is an ongoing challenge to distinguish between angular pregnancy and interstitial pregnancy. With the three-dimensional (3D) magnetic resonance imaging (MRI) being increasingly used, it is worth exploring its role in differentiating angular pregnancy from interstitial pregnancy. This study aims to investigate how 3D MRI can help reveal the differences between these two special pregnancies in the early diagnosis. Methods We reviewed and analyzed the 3D MRI images of 50 patients with interstitial pregnancy and 55 patients with angular pregnancy retrospectively. Imaging features were identified to compare these two special pregnancies, and the ROC (Receiver Operating Characteristic) analysis was conducted to assess the diagnostic performance. Results The significant differences of the 3D MRI imaging features between interstitial pregnancy and angular pregnancy were found in the outline of uterus cavity (p < 0.001), involvement of junctional zone (p < 0.001), the signal of surroundings (p = 0.005), the relationship with round ligament (p = 0.042), and the overlying myometrial thickness (p = 0.041). Furthermore, the multivariate logistic regression analysis identified a series of significant indicators for angular pregnancy, including the junctional zone involvement, being-surrounded by hyper/iso-intensity on 3D images, and the asymmetric outline of uterus cavity. Combining these three imaging features, the AUC (Area under the Curve) of ROC curve was 0.87 in distinguishing interstitial pregnancy from angular pregnancy. Conclusions This study suggests that 3D MRI can help distinguish angular pregnancy from interstitial pregnancy in clinical practice, with the advantages that conventional MRI or ultrasound does not have. Through the significant image features, 3D MRI plays an important role in improving the timing of diagnosis, avoiding unnecessary interventions, and preventing hemorrhage in clinical practice.

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Section: Discussionmentioning

confidence: 99%

The role of three-dimensional MRI in the differentiation between angular pregnancy and interstitial pregnancy

Gao

Sun

2022

BMC Pregnancy Childbirth

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“…The theory of initiation of some histological types of ovarian cancer from fallopian tubes has recently gained significant popularity. In particular, except for the serous histological subtype, there is strong evidence of the fallopian origin of some of endometrioid and clear cell ovarian carcinomas [ 11 , 36 ]. Moreover, the risk of malignant transformation in patients with endometriosis has been reported, mostly related to endometrioid and clear cell histology [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Prodromidou

Kathopoulis

Zacharakis

et al. 2022

JPM

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Tubal endometriosis (EM) refers to the detection of ectopic endometrial implants on tubes. It may cause a significant defect of the tubes, translating into dysmenorrhea, pelvic pain, and infertility. We aimed to evaluate the disease characteristics, prevalence, histopathological findings and genetic profile of patients with tubal EM. A thorough search of three electronic databases was performed for studies that presented outcomes of patients with tubal EM. Thirteen studies (four observational, seven case reports, two genetic) were considered eligible for inclusion. The prevalence of tubal EM ranged from 6.9% to 69%. The predominant symptoms for referral of patients were infertility and abdominal pain. Women of reproductive age underwent salpingectomy for the management of the disease. Only one case of malignant transformation was recorded in a 60-year-old patient. The prevalence of tubal EM ranges depending on the indication for surgery, the presence of concomitant pelvic EM and the type of diagnosis and treatment. Further, more extensive, larger studies are warranted to evaluate the impact of tubal EM in the progression and prognosis of EM, the effect of salpingectomy in the improvement of disease-related symptoms and to designate the group of patients that could benefit from risk-reducing salpingectomy based on the risk of developing ovarian malignancy.

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“…The radiological differential for the appearance of fallopian tube tuberculosis includes salpingitis isthmica nodosa, which shows several diverticula filled with contrast on the hysterosalpingogram, and fallopian tube intraluminal endometriosis. 70 Infection from fallopian tubes spreads to involve the endometrium in 50-70% of patients, although the myometrium is rarely affected. 60,71 Severe endometrial adhesions in uterine tuberculosis may mimic Asherman syndrome.…”

Section: Ovaries Fallopian Tubes and Uterusmentioning

confidence: 99%

TB or not TB: A comprehensive review of imaging manifestations of abdominal tuberculosis and its mimics

et al. 2021

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The ever-growing prevalence of tuberculosis is a cause for concern among both developing and developed countries. Abdominal tuberculosis is the most common site of extrapulmonary tuberculosis and involves almost all of the visceral organs. Clinical presentation of abdominal tuberculosis is often non-specific. Thus, having a high index of clinical suspicion is necessary to aide early diagnosis and guide prompt initiation of appropriate treatment. In this review, we focus on the entire spectrum of abdominal tuberculosis and other diseases mimicking it with an emphasis on their imaging findings.

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Imaging Evaluation of Fallopian Tubes and Related Disease: A Primer for Radiologists

Cited by 37 publications

References 80 publications

The role of three-dimensional MRI in the differentiation between angular pregnancy and interstitial pregnancy

The role of three-dimensional MRI in the differentiation between angular pregnancy and interstitial pregnancy

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

TB or not TB: A comprehensive review of imaging manifestations of abdominal tuberculosis and its mimics

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