Author
Jacques A, Sudigali V, Griffin Y
Department of Radiology, Leicester Royal Infirmary, Leicester, UK.
Resource
Semin Ultrasound CT MR 2010 Oct; 31(5): 414-32.
Abstract
Menstrual complaints are common and include pain, abnormal bleeding, and menstrual irregularity. The etiology is wide-ranging and includes endometriosis, fibroids, adenomyosis, pelvic congestion syndrome, pelvic inflammatory disease, endometrial hyperplasia, and polyps. Polycystic ovarian syndrome and some congenital uterine anomalies may present with menstrual disturbance and have been included in this review. Transvaginal ultrasound is widely used as first-line investigation. Magnetic resonance imaging is used increasingly with high diagnostic accuracy and confidence. Its multiplanar capacity and superior tissue contrast resolution enable accurate presurgical mapping of fibroids, deep pelvic endometriosis, and adenomyosis. Similarly, accurate differentiation of congenital uterine anomalies depends on multiplanar imaging with either 3-dimensional ultrasound or magnetic resonance imaging. Recent advances in imaging and radiological intervention, combined with an understanding of the underlying causes of menstrual dysfunction, therefore aid in accurate diagnosis and optimal treatment planning.
| Major Subject Heading(s) | Minor Subject Heading(s) |
>Genital Diseases, Female [diagnosis]
>Magnetic Resonance Imaging [methods]
>Menstruation Disturbances [diagnosis]
>Ultrasonography, Interventional [methods]
>Uterine Diseases [diagnosis]
|
>Diagnosis, Differential
>Dysmenorrhea
>Endometrial Hyperplasia
>Endometriosis
>Female
>Genital Diseases, Female [complications]
>Genitalia, Female
>Humans
>Imaging, Three-Dimensional [methods]
>Leiomyoma
>Magnetic Resonance Imaging
>Menstruation Disturbances [complications]
>Pelvic Inflammatory Disease
>Pelvis [blood supply]
>Polycystic Ovary Syndrome
>Polyps
>Sensitivity and Specificity
>Ultrasonography, Interventional
>Uterine Diseases
>Uterine Hemorrhage
>Vascular Malformations
|
PMID: 20974360
Publication Type: Journal Article, Review
Citation Subset: IM
Last Modified: : 2/20/2011
This article used the data from the U.S. National Library of Medicine (NLM), please read "Medline Legal Disclaimer" at http://www.woman-health.org/virtual/Medline_Legal_Disclaimer.
Tags:
abnormal bleeding,
accurate diagnosis,
benign disorders,
congenital uterine anomalies,
contrast resolution,
diagnostic accuracy,
dimensional ultrasound,
endometriosis,
hyperplasia,
line investigation,
Menstrual disorders,
menstrual dysfunction,
menstrual irregularity,
optimal treatment,
pelvic congestion syndrome,
pelvic inflammatory disease,
polyps
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