Dysfunctional uterine bleeding MRI: Difference between revisions

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__NOTOC__
__NOTOC__
{{Dysfunctional uterine bleeding}}
{{Dysfunctional uterine bleeding}}
{{CMG}} {{AE}} {{VVS}}
{{CMG}}; {{AE}}[[User:AroojNaz|Arooj Naz, M.B.B.S]]
==Overview==
==Overview==
[[MRI]] is not commonly performed but it is considered the modality of choice for [[adenomyosis]]. Findings for other conditions may also be seen but may not be as reliable as other imaging studies. MRI can assist in furthering diagnosis [[metastasis]].
==MRI==
{| class="wikitable"
|+
MRI  Findings
!Underlying Cause
!MRI
!Findings
|-
|'''[[Endometrial polyp|Endometrial Polyps]]'''<ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/endometrial-polyp}}</ref>
|[[File:Prolapsed-endometrial-polyp-1.jpg|center|thumb|300x300px|Case courtesy of Dr Ammar Haouimi, Radiopaedia.org, rID: 70016]]
|
*[[Hypointense]] [[intracavitary]] masses
*Surrounded by [[fluid]] and [[endometrium]]
|-
|'''[[Adenomyosis]]'''<ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref>
|[[File:Adenomyosis-with-endometrioma-1.jpg|center|thumb|333x333px|Case courtesy of Dr Varun Babu, Radiopaedia.org, rID: 43504]]<br />
|<br />
*Diagnosis of choice; [[Sensitivity (tests)|sensitivity]] of 78-88% and [[Specificity (tests)|specificity]] of 67-93%
*Thickening of the [[junctional zone]] ≥12 mm (normal is up to 5 mm)
*Appears as an ill-defined region of thickening
|-
|'''[[Leiomyoma]]'''<ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref>
|
<br />[[File:Prolapsing-uterine-leiomyoma.jpg|center|thumb|300x300px|Case courtesy of Dr Chris O'Donnell, Radiopaedia.org, rID: 22883]]<br />
|
*Only used for complex cases
*May accurately determine size and location
*Appear [[hypervascular]]
*Helpful when surgery is considered or when trying to differentiate from fibroids
|-
|'''[[Uterine cancer|Malignancy]]'''<ref name="“Radiopaedia”4">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref>
|
[[File:Endometrioid-adenocarcinoma-of-the-endometrium-2.jpg|center|thumb|300x300px|Case courtesy of Dr Bahman Rasuli, Radiopaedia.org, rID: 83200]]
|
*MRI may be helpful in improving accuracy for determining [[metastasis]]
*Normal tissue enhances more than [[malignant tissue]]
|-
|'''[[PCOS]]'''<ref name="“Radiopaedia”5">{{cite web|url=https://radiopaedia.org/articles/polycystic-ovarian-syndrome-1}}</ref>
|[[File:Polycystic-ovarian-syndrome-1.jpg|center|thumb|300x300px|Case courtesy of Dr Mostafa El-Feky, Radiopaedia.org, rID: 53010]]
|
*Not a routine examination for [[PCOS]]
*F[[follicles]] will be seen on MRI
|-
|'''Endometrial Causes''' <ref name="“Radiopaedia”6">{{cite web|url=https://radiopaedia.org/articles/endometrioma1}}</ref>
|[[File:Endometriosis-3.jpg|center|thumb|300x300px|Case courtesy of The Radswiki, Radiopaedia.org, rID: 11397]]
|
*[[Endometrioma]] appears hyperintense; the presence of hemorrhage results in a hypointense image
|}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Primary care]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Gynecology]]
[[Category:Gynecology]]

Latest revision as of 01:22, 7 August 2022

Dysfunctional uterine bleeding Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dysfunctional uterine bleeding from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Dysfunctional uterine bleeding MRI On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dysfunctional uterine bleeding MRI

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dysfunctional uterine bleeding MRI

CDC on Dysfunctional uterine bleeding MRI

Dysfunctional uterine bleeding MRI in the news

Blogs on Dysfunctional uterine bleeding MRI

Directions to Hospitals Treating Dysfunctional uterine bleeding

Risk calculators and risk factors for Dysfunctional uterine bleeding MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S

Overview

MRI is not commonly performed but it is considered the modality of choice for adenomyosis. Findings for other conditions may also be seen but may not be as reliable as other imaging studies. MRI can assist in furthering diagnosis metastasis.

MRI

MRI Findings
Underlying Cause MRI Findings
Endometrial Polyps[1]
Case courtesy of Dr Ammar Haouimi, Radiopaedia.org, rID: 70016
Adenomyosis[2]
Case courtesy of Dr Varun Babu, Radiopaedia.org, rID: 43504


Leiomyoma[3]
Case courtesy of Dr Chris O'Donnell, Radiopaedia.org, rID: 22883

  • Only used for complex cases
  • May accurately determine size and location
  • Appear hypervascular
  • Helpful when surgery is considered or when trying to differentiate from fibroids
Malignancy[4]


Case courtesy of Dr Bahman Rasuli, Radiopaedia.org, rID: 83200
PCOS[5]
Case courtesy of Dr Mostafa El-Feky, Radiopaedia.org, rID: 53010
  • Not a routine examination for PCOS
  • Ffollicles will be seen on MRI
Endometrial Causes [6]
Case courtesy of The Radswiki, Radiopaedia.org, rID: 11397
  • Endometrioma appears hyperintense; the presence of hemorrhage results in a hypointense image

References

  1. https://radiopaedia.org/articles/endometrial-polyp. Missing or empty |title= (help)
  2. https://radiopaedia.org/articles/adenomyosis. Missing or empty |title= (help)
  3. https://radiopaedia.org/articles/uterine-leiomyoma. Missing or empty |title= (help)
  4. https://radiopaedia.org/articles/endometrial-carcinoma. Missing or empty |title= (help)
  5. https://radiopaedia.org/articles/polycystic-ovarian-syndrome-1. Missing or empty |title= (help)
  6. https://radiopaedia.org/articles/endometrioma1. Missing or empty |title= (help)

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