Magnetic resonance imaging of intrauterine synechiae

Magnetic resonance imaging (MRI) is a sensitive method to diagnose a variety of gynecologic conditions. Uterine anatomy may be accurately imaged with MRI providing a noninvasive method to assess both myometrial and endometrial architecture. MRI was used in 2 patients with amenorrhea and intrauterine synechiae to determine the possible role of this technique in assessing the endometrial cavity. MRI signal features in both patients provided an assessment of the endometrium complementary to the anatomy demonstrated on hysterosalpingography and suggested markedly different etiologies for similar clinical presentations. MRI may have a role supplementary to conventional studies in the evaluation of intrauterine synechiae.