Imaging

Question 1

what time of imaging modalities are used in the detection and spread of endometrial cancer?

Answer 1

Transvaginal ultrasound is the best method of establishing abnormally thickened endometrium in a post-menopausal patient with PMB
MR scanning can be used to assess the degree of myometrial invasion but CT scanning is used to look for distant nodal metastases and pulmonary metastases
Many patients with endometrial carcinoma are obese, and they may be too large for the narrow bore of MR scanners

Question 2

in cervical cancer what type of imaging is used to determine local spread and distant metastases?

Answer 2

MR (especially T2-weighted sequences) is far better than CT at depicting local disease, but CT is often used to determine whether or not there are distant metastases – e.g. lung, para-aortic and mediastinal lymphadenopathy

Question 3

what type of imaging is used to detect and stage ovarian cancer?

Answer 3

Initial diagnosis is often made by ultrasound (ovarian masses)
CT scanning is the usual method used for radiological staging

Question 4

what type of imaging is used for assessment of tubal patency in patients with infertility?

Answer 4

Hysterosalpingography

Question 5

what can imaging can be used to diagnoses the characteristic altered blood pattern seen in endometriosis?

Answer 5

MRI

Question 6

what state of fullness should the bladder be for transvaginal and abdominal ultrasounds

Answer 6

full for abdominal

empty for transvag