Insights into imaging

OBJECTIVE: Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare female reproductive tract malformation. Accurate preoperative diagnosis and classification are vital for surgical planning. This study aims to evaluate the diagnostic value of hi…

Cystic female pelvic lesions, whether of ovarian or non-ovarian origin, are prevalent in routine clinical practice, with the majority originating from gynaecological (ovarian) structures, ranging from functional cysts to malignant ovarian t…

Pelvic magnetic resonance imaging (MRI) plays a pivotal role in evaluating gynecologic diseases, offering superior soft-tissue characterization, multiplanar imaging, and functional assessment compared to ultrasound and computed tomography. …

Endometriosis is a complex, multicompartmental disease in which accurately conveying the extent of involvement to the surgical team is essential for preoperative planning and patient counseling. In this context, medical illustrations have g…

OBJECTIVES: To evaluate the impact of different reporting approaches on the completeness of endometriosis documentation in pelvic MRI reports. MATERIALS AND METHODS: Retrospective single-center analysis of 186 pelvic MRI reports categorize…

Preoperative misdiagnosis and the adoption of incorrect surgical approaches occur frequently in patients with endometrial stromal tumors (ESTs) because of their rarity, nonspecific clinical manifestations, and imaging features that highly o…

Gynaecological venous malformations are rare, congenital slow-flow vascular anomalies arising from early developmental errors. They may occur as isolated lesions or within syndromic contexts (associated with somatic gene variants such as PI…

The space of Retzius is a clinically important but often overlooked extraperitoneal compartment that serves as a common site of disease involvement and a key pathway for the spread of pelvic and retroperitoneal pathology. Its complex anatom…

OBJECTIVE: Medical imaging databases suitable for training machine learning/computer vision algorithms are scarce, limiting the potential for development and generalisation of clinical tools. Clinical trial databases are a source of data, k…

OBJECTIVE: To develop an automatic segmentation model to delineate the adnexal masses and construct a machine learning model to differentiate between low malignant risk and intermediate-high malignant risk of adnexal masses based on ovarian…

Peritoneal malignancies (PM) are defined as the spread of malignant epithelial cells in the peritoneal cavity. Until the recent past, the prognosis was considered extremely poor, and the treatment options had only palliative intent. Current…

Computed tomography colonography (CTC), also known as virtual colonoscopy, is a well-tolerated, minimally invasive and effective procedure. Used for over two decades and supported by extensive studies and meta-analyses, CTC has demonstrated…

Abdominal disorders represent 10 to 15% of all Emergency Department visits in elderly patients. This educational review focuses on acute abdomen pathologies specific to the elderly and on their imaging patterns and proposes a strategy for p…

Incidental findings on female pelvic MRI present diagnostic challenges and may have significant clinical implications. Defined as abnormalities unrelated to the primary imaging indication, these findings have become increasingly prevalent w…

Mullerian duct anomalies (MDA) are a group of uncommon but treatable causes of infertility and pregnancy complications. This review describes the embryology, American Society of Reproductive Medicine (ASRM) classification 2021, and correspo…

PURPOSE: This review aims to summarize the current applications of quantitative MRI biomarkers in the staging, treatment response evaluation, and prognostication of endometrial (EC) and cervical cancer (CC). By focusing on functional imagin…

Endometriosis is a prevalent gynecological disorder in women of reproductive age. It is the leading cause of chronic pelvic pain. While the mechanisms underlying this pain remain elusive, rare cases of pelvic nerve involvement can result in…

OBJECTIVE: This study explored the incidence of adverse events (AEs) following microwave ablation (MWA) under local anesthesia and analyzed factors related to benign uterine diseases, including uterine fibroids (UFs) and adenomyosis (AM). …

OBJECTIVE: To assess the utility of clinical and MRI features in distinguishing ovarian clear cell carcinoma (CCC) from adnexal masses with ovarian-adnexal reporting and data system (O-RADS) MRI scores of 4-5. METHODS: This retrospective s…

BACKGROUND: Vasculature and blood flow play a crucial role in the genesis, diagnosis, and treatment of uterine fibroids. Assessment of the different aspects of blood flow by medical imaging has therefore gained a prominent place in the clin…

OBJECTIVES: To develop an innovative magnetic resonance imaging (MRI)-based PUMCH (Peking Union Medical College Hospital) classification system aimed at standardising the diagnosis of congenital cervical malformations (CCMs) by identifying …