{"paper_id":"8665a89a-5d04-4b3f-944f-a4501359882f","body_text":"Abstract\nEndovaginal sonography (EVS) remains the procedure of choice for the initial evaluation of benign diseases of the female genital tract. When EVS findings are indeterminate, further evaluation is typically performed with magnetic resonance imaging (MRI), due to its excellent softtissue differentiation, multiplanar capabilities, and absence of ionizing radiation. MRI is thus well suited for imaging women of reproductive age, particularly during pregnancy. Accordingly, the technique has come to play an increasing role in pelvimetry and, more recently, as an adjunct to sonography for fetal imaging. MRI is used in the pre-operative characterization of adnexal masses and as a problem-solving tool in benign uterine disease (for example, uterine malformations), adenomyosis, and to select appropriate candidates for therapies such as myo — mectomy and uterine embolization. The role of computed tomography (CT) is limited in the evaluation of benign disease of the female pelvis and is usually employed in an emergency situation, such as in an acute abdomen caused by ovarian torsion or pelvic inflammatory disease.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nCohen HL, Tice HM, Mandel FS (1990) Ovarian volumes measured by US: bigger than we think. Radiology 177:189–192\nGoswamy RK, Campbell S, Royston JP et al (1988) Ovarian size in postmenopausal women. Br J Obstet Gynaecol 95:795–801\nLevine D, Gosink BB, Wolf SI et al (1992) Simple adnexal cysts: the natural history in postmenopausal women. Radiology 184:653–659\nOutwater EK, Talerman A, Duncon C (1996) Normal adnex a uteri specimens: anatomic basis of MR imaging features. Radiology 201:751–755\nOutwater EK, Mitchell DG (1996) Normal ovaries and functional cysts: MR appearance. Radiology 198:397–402\nButtram VC, Gibbons, WE (1979) Mullerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 32:40–46\nThe American Fertility Society (1988) The American Fertility Society classifications of adnexal adhesions, distal tubal obstruction, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 49:944–955\nTrojano RN (2003) Magnetic resonance imaging of mullerian duct anomalies of the uterus. Top Magn Reson Imaging 14: 269–279\nCarrington BM, Hricak H, Nuruddin RN et al (1990) Mullerian duct anomalies: MR imaging evaluation. Radiology 176:715–720\nPellerito JS, McCarthy SM, Doyle MB et al (1992) Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal ultrasound, and hysterosalpingography. Radiology 183:795–800\nJunqueira BLP, Allen LM, Spitzer RF et al (2009) Mullerian duct anomalies and mimics in children and adolescents: Correlative intraoperative assessment with clinical imaging. Radiographics 29:1085–1103\nHomer HA, Li TC, Cooke ID (2000) The septate uterus: a review of management and reproductive outcome. Fertil Steril 73:1–14\nSheth S, Hamper UM, Kurman RJ (1993) Thickened endometrium in the postmenopausal woman: sonographic-pathologic correlation. Radiology 187:135–139\nPertl B, Lahousen M, Pieber D et al (1996) Stellenwert der Sonograhie bei der Früherkennung des Endometriumkarzinoms. Gynäkologisch-geburtshilfliche Rundschau 36:14–20\nGrasel RP, Outwater EK, Siegelman ES et al (2000) Endometrial polyps: MR imaging features and distinction from endometrial carcinoma. Radiology 214:47–52\nHricak H, Tscholakoff D, Heinrichs L et al (1986) Uterine leiomyomas: correlation of MR histopathologic findings, and symptoms. Radiology 158:385–391\nReinhold C, McCarthy S, Bret PM et al (1996) Diffuse adenomyosis: Comparison of endovaginal US and MR imaging with histopathologic correlation. Radiology 199:151–158\nTogashi K, Ozasa H, Konishi I et al (1989) Enlarged uterus: Differentiation between adenomyosis and leiomyoma with MR imaging. Radiology 171:531–534\nMark AS, Hricak H, Heinrichs LW et al (1987) Adenomyosis and leiomyoma: Differential diagnosis with MR imaging. Radiology 163:527–529\nKurman RJ (1987) Blaustein’s pathology of the female genital tract. 3rd edn. Springer-Verlag, New York\nLevy AD, Arnaiz J, Shaw JC, Sobin LH (2008) From the archives of the AFIP: Primary peritoneal tumors: Imaging features with pathologic correlation. Radiographics 28:583–607\nTogashi K, Nishimura K, Kimura I et al (1991) Endometrial cysts: diagnosis with MR imaging. Radiology 180:73–78\nHottat N, Larrousse C, Anaf V et al (2009) Endometriosis: Contribution of 3.0-T pelvic MR imaging in preoperative assessment — initial results. Radiology 253:126–134\nThomassin-Naggara I, Bazot M, Darai E et al (2008) Epithelial ovarian tumors: Value of dynamic contrast-enhanced MR imaging and correlation with tumor angiogenesis. Radiology 248:148–159\nTogashi K (2003) MR imaging of the ovaries: normal appearance and benign disease. Radiol Clin N Am 41:799–811\nMalde HM, Kedar RP, Chadha D et al (1992) Dermoid mesh: a sonographic sign of ovarian teratoma. Letter Am J Roentgenol 159:1349–1350\nOutwater EK, Siegelman ES, Hunt JL (2001) Ovarian teratomas: tumor types and imaging characteristics. Radiographics 21:475–490\nTroiano RN, Lazzarini KM, Scoutt LM et al (1997) Fibroma and fibrothecoma of the ovary: MR imaging findings. Radiology 204:795–798\nMichel SC, Rake A, Treiber K et al (2002) MR obstetric pelvimetry: effect of birthing position on pelvic bony dimensions. AJR Am J Roentgenol 79:1063–1067 (Abstract and editorial comment in Obstetrical & Gynecological Survey 2003; 54:238–239)\nKeller TM, Rake A, Michel SCA et al (2003) Obstetric MR pelvimetry: Reference values and evaluation of inter-and intraobserver error and intraindividual variability. Radiology 227:37–43\nKeller TM, Rake A, Michel SCA et al (2004) MR assessment of fetal lung development using lung volumes and signal intensities. Eur Radiol 14:984–989\nHuisman TA, Wisser J, Martin E et al (2002) Fetal magnetic resonance imaging of the central nervous system. Eur Radiol 12:1952–1961\nAuthor information\nAuthors and Affiliations\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2010 Springer Verlag Italia\nAbout this chapter\nCite this chapter\nReinhold, C., Kubik-Huch, R.A. (2010). Benign Diseases of the Female Genital Tract. In: Hodler, J., Zollikofer, C.L., Von Schulthess, G.K. (eds) Diseases of the Abdomen and Pelvis 2010–2013. Springer, Milano. https://doi.org/10.1007/978-88-470-1637-8_16\nDownload citation\nDOI: https://doi.org/10.1007/978-88-470-1637-8_16\nPublisher Name: Springer, Milano\nPrint ISBN: 978-88-470-1636-1\nOnline ISBN: 978-88-470-1637-8\neBook Packages: MedicineMedicine (R0)\nKeywords\n- Pelvic Inflammatory Disease\n- Adnexal Mass\n- Endometrial Polyp\n- Mature Cystic Teratoma\n- Intermediate Signal Intensity\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}