Role of Abdominal Ultrasonography as a Preliminary Imaging Technique in the Assessment of Female Pelvic Pathologies
Journal Title: ​International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 4
Abstract
Introduction: The essentiality of ultrasound as a screening technique in detecting pelvic pathologies has been decreasing, since the advent of advanced imaging modalities like Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). Often, the physicians resort to prescribing MRI or CT study as the initial imaging investigation, which in fact should be the final decisive imaging modality. This original research article proves the point that ultrasound still has its own significance in the modern imaging era. Material and methods: This was a retrospective study and was based on the usage of radiation-free modalities like ultrasound and MRI. Fifty women were scanned by using both trans-abdominal USG and MRI abdomen with pelvis. They presented with complaints of abdominal pain of varying degrees. Age range was 15-64 years of age [mean age= 33.4 years]. Results: Pelvic ultrasound and MRI of 50 patients were analyzed. The MRI study picked up pathologies in 5 patients who were reported to be normal with ultrasonography. Of 45 patients picked up by ultrasound, MRI study of the lesions in the 23 patients helped in the detailed characterization of the lesions. In the remaining 22 patients, the MRI results were in concordance with those of USG. Conclusion: Magnetic Resonance Imaging plays a pivotal role in characterizing female pelvic pathologies and therefore can be used as a problem-solving tool in patients when the ultrasound is inconclusive or suboptimal. However, the superior imaging potential of MRI should not preclude the use of ultrasound as a screening tool.
Authors and Affiliations
Rajoo Ramachandran, Venkatesh Bala Raghu Raji, Prithiviraj Periasamy Varadaraju, Balaji Jeevanandham, Prabhu Radhan Radhakrishnan, Venkata Sai P M
Role of Abdominal Ultrasonography as a Preliminary Imaging Technique in the Assessment of Female Pelvic Pathologies
Introduction: The essentiality of ultrasound as a screening technique in detecting pelvic pathologies has been decreasing, since the advent of advanced imaging modalities like Magnetic Resonance Imaging (MRI) and Compute...
MRCP – A Problem Solving Diagnostic Tool in Pancreaticobiliary Pathologies
Introduction: Magnetic Resonance Cholangiopancreaticography (MRCP) is based on heavily T2W pulse sequences wherein only biliary tree is visualized without need for contrast medium administration in a noninvasive way. Stu...
Comparative Study of Ultrasound and MRI In Assessing Rotator Cuff Tear
Introduction: Shoulder pain is one of the most common problems presenting in orthopedic outpatient clinics. Rotator cuff pathology is the most common cause of shoulder pain. Both ultrasound and MRI are widely used to ass...
Evaluation of Ultrasonic Anatomy of Epiglottis and PreEpiglottic Space in pre Pubertal Children: A Tertiary Hospital based Propective Study
Introduction: The epiglottis and pre-epiglottic space assessment is becoming an important constituent of airway evaluation especially in children as precise appraisal may help the otorhinolaryngologists to manage life-th...
Characterization of Bowel Lesions with Multi-detector CT Scan
Introduction: This study aims to characterize various bowel pathologies, as well as usefulness of Multidetector CT scan in differentiating benign versus malignant lesions and to evaluate CT findings with histological dat...