Imaging Flashcards

1
Q

Explain using a transabdominal USS?

A
  • 1st line
  • uses a abdominal US transducer
  • full bladder acts as an acoustic window
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2
Q

Explain the use of a transvaginal USS?

A
  • Usually 2nd line to transabdominal
  • invasive procedure
  • excellent depiction of pelvic organs
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3
Q

Disadvantages of USS?

A
  • User dependant

- obesity may make a transabdominal scan harder

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4
Q

What is a hysterosalpinography used for?

A
  • assessment of tubal patency

- cervix cannulated and radiopaque contrast instilled

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5
Q

3 measurements of the ovaries?

A
  • height
  • width
  • length
  • volume then calculated
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6
Q

An ovarian volume greater than ___ml may be suggestive of PCOS?

A
  • Greater than 10ml
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7
Q

Disadvantage of CT scanning?

A
  • higher dose radiation
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8
Q

What is CT scanning used for in gynaecology?

A
  • staging of ovarian and endometrial cancer

- more likely distant spread

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9
Q

Different MRI sequences

A
  • T1 weighting and T2
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10
Q

What shows bright white in t1 sequencing mRI?

A
  • Blood, protein, mucin
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11
Q

What goes bright white on T2 sequencing?

A
  • water
  • oedema
  • infection
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12
Q

Staging in Ovarian cancer?

A
  • CT
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13
Q

Staging in cervical cancer

A
  • MRI

- as more likely to be local invasion

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14
Q

Endometrial cancer staging

A
  • MRI

- Transvaginal USS for thickness

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15
Q

What is hydrosalpinx?

A
  • fluid and build up and dilation of uterine tubes
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16
Q

Diagnosing endometriosis?

A
  • diagnostic laparoscopy

- MRI

17
Q

What will a dermoid cyst appear like on MRI?

A
  • Large amounts of fat