Document Detail

Imaging in gynecology.
MedLine Citation:
PMID:  16904942     Owner:  NLM     Status:  MEDLINE    
This chapter summarizes the diagnostic performance (sensitivity, specificity, positive and negative likelihood ratios) of ultrasound, computer tomography, and magnetic resonance imaging in the diagnosis of various gynecological diseases and tumors. Positron emission tomography is not discussed. Imaging in infertility, in the diagnosis of Mullerian duct anomalies and in gynecological oncology (staging of gynecological cancers, diagnosis of recurrence of gynecological cancer, diagnosis of trophoblastic tumors) is not dealt with. Ultrasound is the first-line imaging method for discrimination between viable intrauterine pregnancy, miscarriage and tubal pregnancy in women with bleeding and/or pain in early pregnancy, for discrimination between benign and malignant adnexal masses and for making a specific diagnosis in adnexal tumors (e.g. dermoid cyst, endometrioma, hemorrhagic corpus luteum, etc.), for diagnosing intracavitary uterine pathology in women with bleeding problems, and for confirming or refuting pelvic pathology in women with pelvic pain. Magnetic resonance imaging can have a role as a secondary test in the diagnosis of adenomyosis, 'deep endometriosis' (e.g. endometriosis in the rectovaginal septum or in the uterosacral ligaments), and in the diagnosis of extremely rare types of ectopic pregnancy (e.g. in the spleen, liver or retroperitoneum).
Lil Valentin
Publication Detail:
Type:  Journal Article; Review     Date:  2006-08-10
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  20     ISSN:  1521-6934     ISO Abbreviation:  Best Pract Res Clin Obstet Gynaecol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-05     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  881-906     Citation Subset:  IM    
Department of Clinical Sciences Malmö, Lund University, Sweden.
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MeSH Terms
Abortion, Spontaneous / ultrasonography
Adnexal Diseases / ultrasonography
Diagnostic Imaging / methods*
Genital Diseases, Female / diagnosis*
Magnetic Resonance Imaging / methods
Pelvic Pain / ultrasonography
Pregnancy Trimester, First
Pregnancy, Ectopic / ultrasonography
Sensitivity and Specificity
Tomography, X-Ray Computed / methods
Uterine Hemorrhage / ultrasonography
Uterine Neoplasms / diagnosis

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