Role of Abdominal Ultrasonography as a Preliminary Imaging Technique in the Assessment of Female Pelvic Pathologies

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

Keywords

Related Articles

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...

Management of Acute Pancreatitis by Using Modified Computed Tomography Severity Index

Introduction: Acute Pancreatitis is an acute inflammatory process of the pancreas and significant cause of morbidity and mortality. Treatment of patients with acute pancreatitis is based on the initial assessment of dise...

Prevalence of Pulp Stones- A Radiographic Study

Introduction: Pulp stones are calcified masses present in any portion of coronal and radicular pulp. They usually do not cause any symptom. The incidence of pulp stones varies in different group of populations ranging fr...

Characterization of In-Vivo Proton Magnetic Resonance Spectroscopic Patterns of Intracranial Space-Occupying Lesions: A 1-Year Observational Study

Introduction: Magnetic resonance (MR) spectroscopy is a new and emerging imaging modality, which offers a detailed biochemical analysis of the tissues thereby giving us a glimpse of in-vivo human brain metabolism. This s...

Polycystic Ovarian Syndrome: A Hormonal and Radiological Correlation

Introduction: Polycystic ovarian syndrome (POD) is a complex endocrine disorder of unknown etiology also called Stein- Leventhal syndrome. It is characterized by multiple small ovarian cysts. These cysts are thought to r...

Download PDF file
  • EP ID EP472490
  • DOI 10.21276/ijcmsr.2018.3.4.13
  • Views 115
  • Downloads 0

How To Cite

Rajoo Ramachandran, Venkatesh Bala Raghu Raji, Prithiviraj Periasamy Varadaraju, Balaji Jeevanandham, Prabhu Radhan Radhakrishnan, Venkata Sai P M (2018). Role of Abdominal Ultrasonography as a Preliminary Imaging Technique in the Assessment of Female Pelvic Pathologies. ​International Journal of Contemporary Medicine surgery and Radiology, 3(4), -. https://europub.co.uk/articles/-A-472490