I-41: Pelvic MRI at Infertility
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Abstract:
Compared with ultrasound, MRI has limited indications in evaluation of Female Infertility. Laparoscopy is the gold standard for the diagnosis of pelvic endometriosis. MRI is helpful in determining the extent of deep infiltrating endometriosis, especially when laparoscopic inspection is limited by adhesions. MRI allows for much more anatomic detail as well as better measurements of uterine fibroids. In addition, MRI can determine which and how many Fibroids are degenerating, also pelvic MRI is an excellent modality at differentiating fibroids from adenomyosis. MRI is excellent at evaluating the various uterine anomalies as well as any associated anomalies such as malformations in the ovaries and kidneys. Due to its excellent tissue resolution and ability to differentiate between blood, fat, and other types of soft tissues, MRI is excellent at further characterizing masses within the ovary. Possibilities would include a hemorrhagic cyst and endometrioma, various types of benign and malignant ovarian tumors, and some conditions which may mimic an ovarian mass such as a peritoneal inclusion cyst which can occur in a patient who has had a prior hysterectomy but still has one or both ovaries remaining. Again, MRI is frequently utilized to differentiate hydrosalpinx from a more concerning ovarian mass.
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Journal title
volume 8 issue 2.5
pages 16- 16
publication date 2014-07-01
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