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

what are the two types of USS that are done

A

trans abdominal

transvaginal

2
Q

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

which needs an empty bladder and why

A

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
Q

which of the two types of USS is more invasive

A

transvaginal

4
Q

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

A

transvaginal

5
Q

when is CT used

A

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
Q

who is MRI great for

A

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

7
Q

when is MRI used in gynae patients

A

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
Q

what can be used to diagnose endometriosis

A

laparoscopy

sometimes MRI

9
Q

what is used to dx dermoid cysts

A

MR or CT

10
Q

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

A

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
Q

ovarian cancer ix

A

US

then CT for staging

12
Q

how does ovarian cancer disseminate

A

peritoneal spread

13
Q

ix of cervical cancer

A

MR is better at CT for local disease

but CT is used to determine whether there are distant metastases

14
Q

endometrial cancer ix

A

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