Imaging in Gynaecology Flashcards

1
Q

before performing a scan what is recommended

A

brief examination of the abdomen

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2
Q

what are some disadvantages of transabdominal ultrasound

A

difficult in obese patients and in patients with gaseous distension of the bowl
operator dependent
difficult to produce same images each time so cant be use to assess cancer treatment response

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3
Q

describe the difference in wavelength and frequency of transvaginal ultrasound

A

higher frequency ultrasound but shorter wavelength

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4
Q

what does the higher frequency in transvaginal ultrasound mean clinically

A

the transducer has to be closer to target organ as the increase in frequencies more likely to be scattered in the body

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5
Q

in terms of bladder what should it be for transabdominal ultrasound

A

full

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6
Q

should bladder be full or empty for transvaginal ultrasound

A

empty

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7
Q

if doing ultrasound which would you do first trasabdo or transvaginal

A

transabdominal

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8
Q

if not sexually active would you do transvaginal

A

no

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9
Q

what is second line investigation after ultrasound for acute abdo pain

A

CT scan

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10
Q

when is CT particularly useful

A

in staging of gynae malignancy especaially ovarian and endometrial cancers

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11
Q

how many CXR is CT scan equivalent to

A

160

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12
Q

what energy is MR

A

radiofrequenct

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13
Q

what organ is MR really not good for

A

lung

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14
Q

when is MR contraindicated

A

pacemaker, artificial metallic heart valve, nerve stimulators, cochlear implants

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15
Q

what scan is best for cervical cancer

A

MR

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16
Q

what type of MRI is good for cervical cancer

A

T2 weighted

17
Q

what type of uterine pathology is MR good at looking at

A

fibroids

18
Q

what investigation helps diagnose endometriosis

A

MRI (but may be subclinical so can use diagnostic laparotomy)

19
Q

what does altered blood look like on T1

A

white

20
Q

what does altered blood look like on T2

A

grey

21
Q

what is first line investigation for endometrial cancer

A

Trasvaginal ultrasound

22
Q

what can be used to establish degree of myometrial invasion in suspected endometrial carcinoma

A

MRI

23
Q

what is the difficulty of endometrial cancer patients getting an MRI scan

A

many with endometrial cancer are obese