Abstract
Clinical examination and ultrasound are mostly sufficient for diagnosis of gynecological diseases. In case of indeterminate findings, further cross sectional imaging is reasonable. Magnetic Resonance Imaging (MRI) is a perfect tool for the evaluation of the morphology of the entire female pelvis due to its high-resolution images combined with an excellent soft tissue contrast and without the application of radiation, and should be given preference for imaging of the female pelvic organs. Even without intravenous contrast media, many diagnoses could be made or even differential diagnoses could be excluded. However, patients with pacemakers, or non-MRI-safe implants, cannot be examined with MRI due to its magnetic field strength. Computed Tomography (CT) has a lower soft tissue contrast than MRI and gives notable radiation exposure to the patient. For benign gynecological diseases, CT may be indicated for the evaluation of acute abdominal pain. If a body CT is performed for another indication, the pelvic organs may be evaluated in venous phase.
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Alt-Radke, C.D. (2018). Radio-Imaging for Benign Uterine Disease. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_6
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DOI: https://doi.org/10.1007/978-3-319-22497-8_6
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