Three-dimensional imaging of the uterus: The value of the coronal plane

Wong, Lufee; White, Nikki; Ramkrishna, Jayshree; Júnior, Edward Araujo; Meagher, Simon; Costa, Fabrício da Silva

doi:10.4329/wjr.v7.i12.484

Cited by 25 publications

(12 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Small regions of widening or disruption in the lateral and fundal junctional zone can be visualized in the coronal plane but are often impossible to appreciate on traditional 2D images (Fig 9c, 9d) (18). In addition, 3D postprocessing techniques, such as volume-contrast imaging, increase the contrast of the images and can better depict the junctional zone (Fig 9d) (19).…”

Section: Us Techniques To Improve Diagnostic Confidencementioning

confidence: 99%

Adenomyosis: A Sonographic Diagnosis

et al. 2018

View full text Add to dashboard Cite

Adenomyosis is a common benign uterine condition and a frequent cause of pelvic pain in premenopausal women. Transvaginal US is now considered the primary imaging modality for the diagnosis of adenomyosis, and thus radiologists should be familiar with its sonographic appearance. US findings can be divided into three categories, which parallel the histology of adenomyosis: (a) ectopic endometrial glands and stroma, (b) muscular hyperplasia/hypertrophy, and (c) increased vascularity. Ectopic endometrial glands manifest as echogenic nodules and striations, radiating from the endometrium into the myometrium. When the glands contain fluid, myometrial cysts and fluid-filled striations may be visible at US. Muscular hyperplasia and hypertrophy cause focal or diffuse myometrial thickening and globular uterine enlargement, often with thin "venetian blind" shadows. The combination of these findings results in a heterogeneous myometrium, with blurring of the endometrial border. Adenomyosis increases uterine vascularity, depicted as a pattern of penetrating vessels at color Doppler US. Other US techniques that are helpful in the diagnosis of adenomyosis include obtaining cine clips and coronal reformatted images, both of which can survey the entire endometrial-myometrial border, and performing saline-infusion sonohysterography, during which ectopic glands frequently fill with either air or fluid. While most cases of adenomyosis develop spontaneously, there are specific inciting causes that include tamoxifen use, postendometrial ablation syndrome, and deep-infiltrating endometriosis. Mimics of adenomyosis include leiomyomas, uterine contractions, neoplasms, and vascular malformations. This article reviews the pathophysiology of adenomyosis and correlates it with the US findings, highlights specific causes of adenomyosis, and describes how to distinguish this common diagnosis from a variety of mimics. Online supplemental material is available for this article. RSNA, 2018.

show abstract

Section: Us Techniques To Improve Diagnostic Confidencementioning

confidence: 99%

Adenomyosis: A Sonographic Diagnosis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…One of its advantages is the ability to reconstruct the coronal plane of the uterus by three-dimensional imaging technology. 14,15…”

Section: Pelvic Examination and Vaginal Ultrasoundmentioning

confidence: 99%

“…Its widespread availability allows easy and inexpensive confirmation in almost all instances. One of its advantages is the ability to reconstruct the coronal plane of the uterus by three‐dimensional imaging technology …”

Section: Introductionmentioning

confidence: 99%

Uterine fibroid management: Today and tomorrow

Dolmans

Donnez

Fellah

2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Current treatments for fibroids are mainly surgical and expensive, so alternatives need to be found. It is, therefore, vital to develop and evaluate alternatives to surgical procedures, especially when fertility preservation is the goal. Selective progesterone receptor modulators (SPRMs) are synthetic compounds that have either an agonistic or antagonistic impact on target tissues determined by their binding to progesterone receptors. Their mixed activity depends on recruitment of cofactors that regulate transcription along so‐called genomic pathways, as well as nongenomic interactions with other signaling pathways. There is no doubt that surgery remains indicated in some instances, but we must now establish whether use of SPRMs (notably ulipristal acetate) allows less invasive surgery or even complete avoidance of surgery. Long‐term intermittent administration of ulipristal acetate will undoubtedly change our approach to the management of uterine fibroids according to the International Federation of Gynecology and Obstetrics classification, which provides a comprehensive basis for different treatment options. When considering less invasive techniques (uterus‐sparing options like myomectomy), the choice is guided by the size, number and location of fibroids, as well as the personal experience of the gynecologist and available equipment. There is now a growing body of evidence pointing to the crucial role of progesterone pathways in the pathophysiology of uterine fibroids. SPRMs should, therefore, be considered an alternative to surgical therapy, or at least an adjunct to surgery, as illustrated in the algorithms. © 2019 Japan Society of Obstetrics and Gynecology

show abstract

“…Exact identification of uterine anomalies can help the gynecologist provide optimal counseling and possible treatment of clinical problems associated with them. Such imaging can easily facilitate an infertility workup . Figure shows an example of a uterine malformation (septate uterus).…”

Section: Uterine Anomaliesmentioning

confidence: 99%

“…Such imaging can easily facilitate an infertility workup. 6,7 Figure 4 shows an example of a uterine malformation (septate uterus).…”

Section: Uterine Anomaliesmentioning

confidence: 99%