Gynaecological Imaging Flashcards
Name structures A, B and C on this trans-abdominal ultrasound?
A = bladder
B = endometrium
C = vagina
Name the organ which can be seen on this transabdominal ultrasound and what specifically can be seen at A
Left ovary
Ovarian follicles
What is this structure shown on TVUS?
Ovary
Being able to count the number of ovarian follicles on imaging may be useful in the diagnosis of what condition?
PCOS
What is shown in this MRI?
Uterine fibroid
What is shown in this MRI?
Cervical carcinoma
How will fluid appear on an ultrasound?
It will come up dark
To have a transabdominal ultrasound, what must the patient have and why?
A full bladder to displace the bowel loops and act as an acoustic window
It is difficult to obtain a good image on transabdominal ultrasound on who?
Obese people and those with gaseous bowel distention
Transvaginal ultrasound requires the patient to have what?
An empty bladder
What should you always do before a transvaginal ultrasound and why?
A transabdominal ultrasound, as sometimes a transvaginal one will only show ‘the tip of the iceberg’ and not fully depict a large pelvic mass
In patients presenting with acute abdominal pain, what is:
a) first line investigation?
b) second line investigation?
a) US
b) CT
Which investigation is the best to use for staging of cancers and assessing response to treatment?
CT
What is hysterosalpingography and what is it used for?
X-ray screening procedure for the assessment of tubal patency
What investigations may be required to diagnose endometriosis?
MRI or laparoscopy