Diagnosis of uterine abnormalities with radionuclide imaging

Bhatnagar A, A Bhatnagar, Shankar R, R Shankar, Mondal A, A Mondal, Chopra MK, M K Chopra, M L Satija, Satija ML, R V Narayanan, Narayanan RV
Clinical nuclear medicine · 1995 · vol. 20(11) , pp. 1003–7 · doi:10.1097/00003072-199511000-00015 · PMID:8565353
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Radionuclide imaging reveals that prominent uterine vascularity during the proliferative phase can indicate pathology, as demonstrated in three cases where this finding supported clinical diagnoses of uterine abnormalities.

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This study addresses the diagnostic challenge posed by pelvic hypervascular blushes observed during radionuclide abdominal imaging in females. The authors explain that such increased vascularity is a normal physiological finding during the secretory and menstrual phases of the menstrual cycle, whereas its presence in earlier phases may indicate pathology. They present three specific cases where heightened uterine vascularity detected on radionuclide scans during the proliferative phase either established a diagnosis or corroborated existing clinical findings. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

A pelvic hypervascular blush often creates a diagnostic dilemma during radionuclide abdominal imaging studies in females. This blush is shown to be due to uterine vascularity that is more prominent in the secretory and menstrual phases of the menstrual cycle. Significant uterine vascularity in the earlier phases is inappropriate and may be pathologic. Three such cases are presented in which increased uterine vascularity on radionuclide imaging during the proliferative phase either lead to a diagnosis or supported a clinical finding.
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Original Articles: PDF Only Diagnosis of Uterine Abnormalities With Radionuclide Imaging - ASEEM BHATNAGAR - RAVI SHANKAR - ANUPAM MONDAL - MAHINDER K. CHOPRA - MAJ L. SATIJA - RAJAN V. NARAYANAN Clinical Nuclear Medicine 20(11):p 1003-1007, November 1995. A pelvic hypervascular blush often creates a diagnostic dilemma during radionuclide abdominal imaging studies in females. This blush is shown to be due to uterine vascularity that is more prominent in the secretory and menstrual phases of the menstrual cycle. Significant uterine vascularity in the earlier phases is inappropriate and may be pathologic. Three such cases are presented in which increased uterine vascularity on radionuclide imaging during the proliferative phase either lead to a diagnosis or supported a clinical finding. Copyright © Lippincott-Raven Publishers.

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MeSH descriptors

Endometriosis Leiomyoma Uterine Diseases Uterine Neoplasms Adult Endometriosis Female Humans Leiomyoma Leiomyoma Organotechnetium Compounds Radionuclide Imaging Sodium Pertechnetate Tc 99m Sugar Acids Uterine Diseases Uterine Neoplasms Uterine Neoplasms Uterus Uterus

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