Magnetic resonance imaging in women with pelvic pain from gynaecological causes: a pictorial review

Valentini, Anna Lia; Gui, Benedetta; Basilico, Raffaella; Molfetta, Ippolita Valentina Di; Miccò, Maura; Bonomo, Lorenzo

doi:10.1007/s11547-011-0773-7

Cited by 9 publications

(9 citation statements)

References 39 publications

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“…MRI Pelvis. MRI is widely regarded as the problemsolving imaging examination of choice for chronic pelvic pain, particularly when US findings are nondiagnostic or inconclusive [11,15,24]. When MRI is clinically indicated, the use of a gadolinium-based IV contrast agent is preferred.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

“…When a cyst or mass is identified by US in the perineum, vulva, or vagina, MRI provides additional anatomic detail and evaluation of any enhancing softtissue components that might favor infection or neoplasia [11,24,32,33]. MRI has an important role as a problem-solving examination for lesion characterization and surgical planning, but there is, to our knowledge, no direct evidence to support the use of MRI as the initial or primary imaging examination for evaluation of pelvic pain localized to the perineum, vulva, or vagina, particularly when the physical examination is normal.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

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ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain

Maturen

Akin

Dassel

et al. 2018

Journal of the American College of Radiology

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Pelvic pain is common in both reproductive age and postmenopausal women, and the major etiologies change throughout the life cycle. Chronic pain is defined as lasting for at least 6 months. There are many gastrointestinal and urinary disorders associated with chronic pain in this age group, which are not discussed in this guideline. Pain may be localized to the deep pelvis, with potential causes including pelvic congestion syndrome, intraperitoneal adhesions, hydrosalpinx, chronic inflammatory disease, or cervical stenosis. Ultrasound is the initial imaging modality of choice, while CT and MRI may be appropriate for further characterization of sonographic findings. Alternatively, pain may be localized to the vagina, vulva, or perineum, with potential causes including vaginal atrophy, vaginismus, vaginal or vulvar cysts, vulvodynia, or pelvic myofascial pain. Imaging is primarily indicated in context of an abnormal physical exam and ultrasound is the initial modality of choice, while MRI may be appropriate for further characterization in select cases. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain

Maturen

Akin

Dassel

et al. 2018

Journal of the American College of Radiology

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“…1 Computed tomography (CT) exposes patients to ionizing radiation, which can be problematic, especially in young people and females with suspected pregnancy. 2 Undoubtedly, most ovarian lesions, endometrial pathology and uterine lesions are best detected with ultrasound. Computed tomography (CT) imaging offers better diagnostic capabilities for large pelvic masses, tuboovarian abscesses, postoperative and postpartum complications.…”

Section: Introductionmentioning

confidence: 99%

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Chauhan¹,

Patel²,

Vadhiya³

et al. 2019

jebmh

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BACKGROUND Ultrasound is the imaging modality of choice for the female pelvis. It can determine the organ or site of abnormality and provide a diagnosis or short differential diagnosis. Doppler sonography helps to assess normal and pathologic blood flow. Present study was done at our tertiary care center to study the role of USG and computed tomography (CT) scan in evaluation of female pelvic pathology and to assess the merits and demerits of USG and computed tomography (CT) scan over each other in characterizing pelvic pathology. METHODS 100 patients were selected for study. All patients with female pelvic pathology were included in my study. Computed tomography (CT) and USG characteristics of different lesions were noted and recorded. RESULTS Most common age of presentation of endometrial pathology was between 50 to 70 years, cervical pathology between 40 to 49 years and ovarian pathology between 50 to 59 years. Out of 100 patients, 45 patients were having cervical cancer. 30 patients were having ovarian cancer and 18 patients were having endometrial cancer. 2 cases of fibroid, 2 cases of GTN and 3 cases of simple cyst were also noted. CONCLUSIONS Ultrasonography is usually the first imaging modality in evaluation of female patients suspected to have pelvic pathology. Computed tomography is the superior diagnostic imaging modality compared to USG prior to treatment. It improved detection and characterization of tumour which contribute to better diagnostic accuracy.

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“…While radiologist are usually familiar with the more common imaging including radiographs, computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound (US) procedures, many are not aware of the significant contributions nuclear medicine can make in the management of patients in acute care [1][2][3][4][5][6][7]. While other radiologic imaging methods depict anatomy and rely on knowledge of normal patterns to recognize abnormal ones, nuclear medicine evaluates organ and physiologic functions.…”

Section: Introductionmentioning

confidence: 99%

Nuclear medicine and the emergency department patient: an illustrative case-based approach

et al. 2014

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Radiologists are familiar with the use of radiographs, computed tomography, magnetic resonance imaging and ultrasound in the acute clinical setting. However, there are some specific clinical scenarios which may be found in nuclear medicine imaging problem-solving tools. These clinical scenarios and imaging techniques are less frequent, and the referring clinician from the emergency department may not consider these alternatives. It is important for the radiologist to be aware of these techniques to be able to guide the clinician to use those tools, which may result in optimal patient care. In this article, we will discuss those nuclear medicine studies which have application in the setting of an emergency radiology practice.

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Magnetic resonance imaging in women with pelvic pain from gynaecological causes: a pictorial review

Cited by 9 publications

References 39 publications

ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain

ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain

Role of Usg and Ct Scan in Evaluation of Female Pelvic Pathology

Nuclear medicine and the emergency department patient: an illustrative case-based approach

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