Magnetic resonance imaging in diagnosis of the mayer-rokitansky-kuster-hauser syndrome

MRI evaluation of pelvis in Mayer–Rokitansky–Kuster–Hauser syndrome: interobserver agreement for surgically relevant structures

“…Visualization of extrapelvic ovaries can be challenging. 2,[4][5][6][7] Occasionally, the retrovesical quadrangular vestigial lamina being misinterpreted as hypoplastic uterus. 13 MRI is reported to be almost 100% sensitive and specific for diagnosis of Mullerian duct anomalies.…”

“…These Mullerian remnants may contain the utero-ovarian and round ligaments. [4][5][6][7] Clinical presentation is with primary amenorrhoea. The normal secondary sexual characteristics and a normal external phenotype is the major cause for delayed diagnosis.…”

“…Laparoscopy with intraoperative ultrasound has been used to provide this information. 2,[4][5][6][7][8] MRI is the only non-invasive modality capable of dispensing these details.…”

“…In the past decade, there has been an increasing interest in the role of MRI in pre-operative assessment of MRKH syndrome. [5][6][7][8][9][10][11] Reproducibility of MRI features in intricate evaluation of anatomy including Mullerian remnants has still not been extensively researched. The purpose of this study was to assess the interobserver reproducibility of pelvic MRI anatomy in MRKH syndrome and substantiate its role as a non-invasive alternative to diagnostic laparoscopy.…”

Role of Mri in Evaluation of MRKH Syndrome

“…Presence, location of uterus /uterine buds, ovaries, their size, volume, follicular presence, relation of ovaries to uterus are better seen by axial imaging. Vagina is best assessed by sagittal and axial MR imaging and is seen as intermediate signal intensity tubular structure in between bladder base, urethra anteriorly and anal canal posteriorly (13) Associated renal, vertebral and other systemic abnormalities can be better detected by MRI with high specificity.…”