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Flashcards in Imaging in gynae* Deck (14):
1

what are the two types of USS that are done

trans abdominal
transvaginal

2

which type of USS needs to have a full bladder and why
which needs an empty bladder and why

transabdominal - full - bladder acts as an acoustic window - displaces the gas filled bowel loops out of the pelvis

transvaginal - require empty bladder as a full bladder can
make the examination
uncomfortable

3

which of the two types of USS is more invasive

transvaginal

4

which of the two USS is not suitable for individuals who have not been sexually active

transvaginal

5

when is CT used

as a second line ix after USS for people presenting with acute abdominal pain

to asses post surgical cx

staging of gynae malignancy

assessing response to treatments in patients after chemo/radio

6

who is MRI great for

children and women of reproductive age as there is no ionising radiation

7

when is MRI used in gynae patients

cancer staging - esp cervical cancer

further evaluation and characterisation of adnexal and uterine masses where USS/CT hasnt given a dx

MRI of pit gland in suspected prolactinoma

8

what can be used to diagnose endometriosis

laparoscopy

sometimes MRI

9

what is used to dx dermoid cysts

MR or CT

10

what is a HSG used for
how long does it take
how is it done

assessment of tubal potency in patients with infertility
can also assess outline of uterine activity

in 3-5 minutes

cervix is cannulated and radiopaque contrast instilled to fill the uterine cavity

11

ovarian cancer ix

US
then CT for staging

12

how does ovarian cancer disseminate

peritoneal spread

13

ix of cervical cancer

MR is better at CT for local disease
but CT is used to determine whether there are distant metastases

14

endometrial cancer ix

transvaginal US best for establishing abnormally thickened endometrium in post menopausal women with PMB

MR for degree of myometrial invasion

CT to look for distal nodal metastases and pulmonary mets