Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
619 results found
Article
Monochorionic monoamniotic twin pregnancy
A monochorionic monoamniotic (MCMA) twin pregnancy is a subtype of monozygotic twin pregnancy. These fetuses share a single chorionic sac, a single amniotic sac, and, in general, a single yolk sac.
Epidemiology
It accounts for the minority (~5%) of monozygotic twin pregnancies and ~1-2% of al...
Article
Placental site trophoblastic tumor
Placental site trophoblastic tumors (PSTT) are rare and one of the least common (~0.2% 7) forms of gestational trophoblastic disease.
Epidemiology
Placental site trophoblastic tumors typically occur in women of reproductive age with an average age of ~30 years. They may occur after a normal pr...
Article
Imperforate hymen
Imperforate hymen is a congenital condition in which the hymen lacks a normal opening.
Epidemiology
It happens in 0.1% of the female population, usually an isolated finding.
Clinical presentation
Primary amenorrhea with cyclic lower abdominal pain during menarche age. An imperforate hymen c...
Article
Androgen insensitivity syndrome
Androgen insensitivity syndrome (AIS), also known as testicular feminization syndrome, results from end-organ resistance to androgens, particularly testosterone. AIS may be complete or incomplete with variable imaging findings.
Epidemiology
The incidence may vary depending on whether it is co...
Article
Sliding sign
The sliding sign is a dynamic sonographic sign performed during transvaginal ultrasound (TVS) of women with suspected pelvic endometriosis. The loss of the normal sliding sign indicates pouch of Douglas (POD) obliteration due to adhesions and is suggestive of deep infiltrating endometriosis (DIE...
Article
Teratoma
Teratomas are germ cell tumors that arise from ectopic pluripotent stem cells that fail to migrate from the yolk sac endoderm to the urogenital ridge during embryogenesis. By definition, they contain elements from all three embryological layers: endoderm, mesoderm and ectoderm although frequentl...
Article
Intrapelvic cup migration
Intrapelvic cup migration is a serious complication after total hip arthroplasty, in which the prosthetic acetabular cup migrates or drifts into the pelvic inlet.
Epidemiology
Fortunately, this complication is very rare. There seems to be a female predisposition 1-3.
Risk factors
Factors inc...
Article
Pelvic varices
Pelvic varices are dialated viens in broad ligaments and ovarian plexus and when is associated with chronic pelvic pain it is called pelvic congestion syndrome (some prefer pelvic venous insufficiency 9) is a condition that results from retrograde flow through incompetent valves in ovarian veins...
Article
Endometrial hyperplasia
Endometrial hyperplasia is an abnormal proliferation of the endometrial glands and stroma, defined as diffuse smooth thickening >10 mm 13. One of the major concerns is the potential malignant transformation to endometrial carcinoma.
Epidemiology
Endometrial hyperplasia affects women of all age...
Article
Gynecologic Imaging-Reporting and Data System (GI-RADS)
The Gynecologic Imaging-Reporting and Data System (GI-RADS) is a reporting system that was created for reporting the findings in adnexal masses based on transvaginal ultrasonography.
Classification
Findings are classified into five categories 1:
GI-RADS 1
normal ovaries identified and no adn...
Article
Endometriosis
Endometriosis is a common, chronic gynecological condition defined as the presence of functional endometrial glands and stroma-like lesions outside the uterus. It manifests in three ways: superficial (peritoneal) disease, ovarian disease (endometriomas), and deep endometriosis.
Endometriosis is...
Article
Hydrosalpinx
Hydrosalpinx is a descriptive term and refers to a fluid-filled dilatation of the fallopian tube. If the fluid is infected, i.e. pus, then it is a pyosalpinx; if bloody, then hematosalpinx.
Clinical presentation
Patients may be asymptomatic or may present with pelvic pain or infertility.
Path...
Article
Primary vaginal carcinoma
Primary vaginal carcinoma, although being a rare overall, is still the 5th commonest gynecological malignancy. A primary vaginal carcinoma is defined as a neoplasm that arises solely from the vagina with no involvement of the external os superiorly or the vulva inferiorly, the importance of this...
Article
Squamocolumnar junction of cervix
The squamocolumnar junction (SCJ) of the cervix refers to a transitional area between squamous epithelium of the vagina and the columnar epithelium of the endocervix. This shifts in location through age from being more external to internal. Carcinoma of the cervix develops almost exclusively wit...
Article
Hysterosalpingogram
A hysterosalpingogram (HSG) is a fluoroscopic examination of the uterus and the fallopian tubes, most commonly used in the investigation of infertility or recurrent spontaneous abortions.
Indications
infertility: to assess uterine morphology and tubal patency
Contraindications
pregnancy
act...
Article
Pelvic organ prolapse
Pelvic organ prolapse refers to a pathological downward herniation of various pelvic organ structures into or through the perineum. It usually results from pelvic floor weakness by impairment of various ligaments, fasciae, and muscles that support the pelvic organs.
In its most severe form, it ...
Article
Cloverleaf sign (deep infiltrating endometriosis)
The cloverleaf sign is an MRI sign of deep infiltrating endometriosis described in one case series 1. It is detectable on T2W sequences in sagittal, coronal, and axial planes when at least three organs (uterus, ovaries, rectum, bowel loops, etc.) are brought closer by constrictive adhesions and ...
Article
Clitoral ultrasound
Clitoral ultrasound is a modality for imaging clitoral pathology, which can be the etiology of female sexual dysfunction. It can also be performed before and after gynecologic surgery to assess clitoral anatomy and blood flow. The exam involves a transperineal component.
Normal ultrasound anato...
Article
PET-CT indications
PET-CT is a combination of cross-sectional anatomic information provided by CT and the metabolic information provided by positron emission tomography (PET).
PET is most commonly performed with 2-[F-18]fluoro-2-deoxy-D-glucose (FDG). Fluorine-18 (F-18) is an unstable radioisotope and has a half-...
Article
Suspensory ligament of the ovary
The suspensory ligament of the ovary is a thin fold of the parietal peritoneum which attaches to the lateral margin of the ovary and extends to the lateral pelvic sidewall. It is also referred to as the infundibulopelvic ligament 1,2. It should not to be confused with the ovarian ligament which ...
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