放射学最先进的审查:子宫内膜异位症成像解释和报告
Wendaline VanBuren1, Myra Feldman1, Anuradha S Shenoy-Bhangle1
1From the Mayo Clinic Rochester, 200 1st Street SW, Rochester, MN 55905 (W.V.B., T.L.B., Z.K., C.C., P.I.C.A.); Cleveland Clinic, Cleveland, Ohio (M.F., C.K., M.P.); Massachusetts General Hospital, Harvard Medical School, Boston, Mass (A.S.S.B., A.K.); University of Michigan, Ann Arbor, Mich (M.D.S.); Mayo Clinic Arizona, Phoenix, Ariz (S.Y., M.Y.); Chamie Imagem da Mulher, São Paulo, Brazil (L.P.C.); University of California San Francisco, San Francisco, Calif (L.G., J.T.R., L.P.); NYU Grossman School of Medicine, New York, NY (N.M.H., A.T., M.T.T.); David Geffen School of Medicine, Los Angeles, Calif (H.D.D.); University of Arizona College of Medicine Phoenix/Banner University Medical Center-Phoenix (R.M.K.); Stanford University School of Medicine, Stanford, Calif (L.S.); Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (K.S.B.); Clinic Izabela Pires Franco, Belém, Brazil (I.V.P.F.); Temerty Faculty of Medicine (P.G.), University of Toronto, Toronto, Ontario, Canada (A.Z.K.); Thomas Jefferson University Hospital, Philadelphia, Pa (L.M.K.); University of Texas Health Science Center at San Antonio, San Antonio, Tex (A.B.); University of Arizona College of Medicine, Banner University Medicine, Tucson, Ariz (H.A.T.); Columbia University Irving Medical Center, New York, NY (S.L.N.); SUNY Upstate Medical University, Syracuse, NY (R.N.); and Department of Radiology, Stanford University School of Medicine, Stanford, Calif (P.J.).
子宫内膜异位症成像需要先进的技术,如MRI和经阴道超声波进行准确的诊断. 放射科医生解释发现,从轻度到高级阶段,包括恶性瘤评估,为全面的患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 妇科 妇科 妇科 妇科
背景情况:
- 子宫内膜异位症在全球影响1.9亿人,通常与不孕症有关.
- 具有异位子宫内膜状组织的特征,导致炎症和纤维化.
- 图像对诊断至关重要,特别是在深层子宫内膜异位症 (DE) 中.
研究的目的:
- 概述子宫内膜异位症的成像策略,重点关注深层子宫内膜异位症.
- 详细介绍MRI和经阴道US在诊断中的作用.
- 为放射科医生强调一种模式识别方法.
主要方法:
- 根据临床怀疑,使用MRI或先进的经阴道US进行专用成像.
- 对盆腔深层子宫内膜异位症的基于分区的模式识别方法.
- 利用T1加权的MRI检测出血组件和通过阴道的US进行动态评估.
主要成果:
- 磁力共振成像提供全球骨盆评估和恶性瘤评估.
- 通过阴道的美国提供了粘附和肠道入侵深度的动态评估.
- 在MRI上T1超强度有助于特异性,但对于DE诊断来说并不重要.
结论:
- 放射科医生必须了解子宫内膜异位症的频谱,从轻度到高级.
- 图像解释包括评估恶性瘤.
- 使用MRI和经阴道US的综合方法是准确诊断和管理的关键.
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