Imaging Diagnostics in

Gynaecology

Imaging Diagnostics in

Gynaecology

Dr. Adeniyi Adeleke.

Pubo-rectal muscle

Indications



Staging of developmental anomalies



Leiomyomas



Endometrial/Cervical carcinoma



Vaginal neoplasm



Ovarian cysts



Endometriosis



Teratomas Polycystic ovaries.

What are the possible
modalities ?



Ultrasonography



Laparoscopy



Magnetic Resonance Imaging



Computer Tomography



Hysterosalpingography

What are the pros and cons



US is cheap and readily available, not
invasive. The problem arises with
obese patients and in structures that
are deep . The imaging resolution here
is poor desite the great advancement
US has made in recent years.



MRI is expensive but has a great tissue
resolution.



CT has a poorer resolution than MR and

Patient preparation



Depending on the modality various
forms of preparation are used.



A filled urinary bladder is requiiresd to
outline the structures and to displace
the bowels.



For MRI we use glucagon or hyoscine to
reduce bowel motion which produce
artefacts



Barium enema in CT

Anatomical structures in the
pelvis

Urinary bladder

Anatomical structures in the
Pelvis

endometrium

Uterus

Rectum

Urinary bladder

Vagina

AN
AT
OM
Y

Ovary

FET
AL
MRI

Hydronephros