Benign Diseases of the Uterus
Endovaginal ultrasonography (EVUS) remains the procedure of choice for initial evaluation of benign diseases of the female genital tract. When EVUS findings are indeterminate, further evaluation is typically performed with magnetic resonance imaging (MRI) due to its excellent soft tissue differentiation, multiplanar capabilities, and absence of ionizing radiation. MRI is thus well suited for imaging women of reproductive age. It is used as a problem-solving tool in benign uterine disease — for example, uterine malformations, and adenomyosis, and to select appropriate candidates for therapies such as myomectomy and uterine artery embolization. It is also increasingly used in the pregnant patient for both fetal and maternal indications. The role of computed tomography (CT) is limited in the evaluation of benign disease of the female pelvis and is usually employed in an emergency situation, such as in an acute abdomen caused by ovarian torsion or pelvic inflammatory disease.
KeywordsUterine Artery Embolization Endometrial Polyp Endometrial Cavity Rudimentary Horn Endometrial Pathology
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