Suspensory Ligaments of the Female Genital Organs: MRI Evaluation with Intraoperative Correlation

Malwina Kaniewska, Piotr Gołofit, Martin Heubner, Caroline Maake, R. Huch
Radiographics : a review publication of the Radiological Society of North America, Inc · 2018 · vol. 38(7) , pp. 2195–2211 · doi:10.1148/rg.2018180089 · PMID:30422765 · W2901228456
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This MRI study evaluates the normal and pathological appearances of the female genital organ suspensory ligaments, correlating findings with intraoperative data and offering a structured reporting checklist.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper studied the appearance and anatomic evaluation of the female genital organs’ suspensory ligament system, using high–spatial-resolution MRI to depict uterine and ovarian ligaments (including the uterosacral, cardinal, and round ligaments, and the suspensory ligament of the ovary) and to correlate MRI findings with intraoperative observations. The investigators focused on how these structures can be visualized under physiologic conditions, leveraging MRI’s ability to assess relatively fine anatomic components. A key limitation explicitly acknowledged by the paper’s framing is that the described MRI depiction is under physiologic conditions, which may constrain interpretation in other clinical states. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

The uterus, which plays an important role in the reproductive process, provides a home for the developing fetus and so must be in a stable, though flexible, location. Various structures with suspensory ligaments help provide this berth. MRI with high spatial resolution allows us to detect and evaluate these relatively fine structures. Under physiologic conditions, MRI can be used to depict uterine and ovarian ligaments (ie, the uterosacral, cardinal, and round ligaments, as well as the suspensory ligament of the ovary). In the presence of pathologic conditions (inflammation, endometriosis, tumors), the suspensory ligaments may appear thickened or invaded, which makes their delineation easier. Understanding the normal anatomy of the suspensory ligaments of the female genital organs and using a standardized nomenclature are essential for identifying and reporting related pathologic conditions. The female pelvic anatomy and the suspensory ligaments of the female genital organs are described as depicted with MRI. Also, the compartmental anatomy of the female pelvis is explained, including the extraperitoneal pelvic spaces. Finally, a checklist is provided for structured reporting of the MRI findings in the female pelvis. Online supplemental material is available for this article. ©RSNA, 2018
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Abstract

Abstract

Abstract

The uterus, which plays an important role in the reproductive process, provides a home for the developing fetus and so must be in a stable, though flexible, location. Various structures with suspensory ligaments help provide this berth. MRI with high spatial resolution allows us to detect and evaluate these relatively fine structures. Under physiologic conditions, MRI can be used to depict uterine and ovarian ligaments (ie, the uterosacral, cardinal, and round ligaments, as well as the suspensory ligament of the ovary). In the presenc Metrics Downloads Views Additional indexing Creators (Authors) Volume Volume Volume Number Number Number Page range/Item number Page range/Item number Page range/Item number Page end Page end Page end Item Type Item Type Item Type In collections Dewey Decimal Classifikation Dewey Decimal Classifikation Dewey Decimal Classifikation

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Language Language Language Publication date Publication date Publication date Date available Date available Date available ISSN or e-ISSN ISSN or e-ISSN ISSN or e-ISSN OA Status OA Status OA Status Free Access at Free Access at Free Access at Publisher DOI Metrics Downloads Views Citations Kaniewska, M., Gołofit, P., Heubner, M., Maake, C., & Kubik-Huch, R. A. (2018). Suspensory Ligaments of the Female Genital Organs: MRI Evaluation with Intraoperative Correlation. Radiographics, 38, 2195–2211. https://doi.org/10.1148/rg.2018180089

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Condition tags

endometriosis

MeSH descriptors

Genital Diseases, Female Genital Diseases, Female Genitalia, Female Genitalia, Female Ligaments Ligaments Magnetic Resonance Imaging Female Genital Diseases, Female Genitalia, Female Humans Ligaments

Citation neighborhood

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