What is the most common imaging used in gynaecology?
What presenting complaints in women would indicate pelvic imaging?
Dodgy bleeding (intermenstrual, post-menopause)
Which gland is commonly involved in male/female infertility?
How is it imaged?
What are two ultrasound views used for pelvic imaging?
Transabdominal ultrasound is (invasive / non-invasive).
Transvaginal ultrasound is (invasive / non-invasive).
Gas appears as which colour on ultrasound?
Gas appears black on ultrasound. This presents a problem in transabdominal ultrasound scanning.
How is this solved?
Shifts gas-filled bowel out of the way and acts as a reference point
In transvaginal ultrasound, where a probe is inserted into the vagina, the patient's bladder needs to be (empty/full).
Can transvaginal ultrasound be used in patients who haven't been sexually active?
What colour does the endometrium appear on ultrasound?
What colour is free fluid on ultrasound?
What imaging is used second-line in more complicated cases or to stage malignancies?
What are the advantages of CT scanning over X-ray?
Multiple views, can scroll to select different slices
Higher resolution image
Can pick out more structures
CT scanning delivers a high dose of ___.
especially to testes/ovaries
Does MRI give the patient a dose of radiation?
But there are different risks (metal)
What are the two different MRI scans which patients can have?
relearn the difference
Which scan is used to stage cervical cancer?
CT not detailed enough
What colour does the endometrium appear on MRI?
What scan offers the most detailed image of the pelvis?
What scan is used to diagnose endometriosis?
As with normal endometrium, abnormal (& bleeding) tissue appears white
Which serial X-ray technique can be used to assess a woman's tubal patency?
Like an angiogram for the uterine tubes
Which is injected into the cervix before HSG is carried out?
What is seen lateral to the uterus and uterine tubes once contrast has been injected in HSG?
If uterine tubes are patent, contrast will pass through them and pass into peritoneal cavity at the distal end
Where does ovarian cancer tend to spread?
Space between ovaries and start of uterine tubes - continuous with " "
Where in the body does ovarian cancer tend to spread?
Liver SURFACE (not intrahepatic)
What can be used to differentiate bowel from solid deposits on a CT or MRI scan?
Which specific type of scan is used to identify cervical cancer?