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Uterine Imaging

Content Reviewed: April 6, 2022

Mastery Series
Preview Course

3 CME

43 Clinical Cases

63 Videos

3 hr. 2 min.

Course Description

Women’s imaging is an ever evolving field of medicine, and feeling comfortable with best practices in subspecialties, like uterine imaging, can be overwhelming.

Currently, ultrasound is the mainstay of imaging of the female pelvis due to its availability, lack of radiation, good view of spatial anatomy, and its portability. However, MRI is also helpful for evaluating uterine pathology, particularly in cases of leiomyomas (fibroids) and endometrial cancer. CT of the pelvis can also help support evaluation of gynecologic and post-pregnancy complications.

Becoming adept at reading uterine images is crucial for properly diagnosing fibroids, polyps, adenomyosis, carcinoma, and other conditions. 

In this Mastery Series course, Dr. Kathryn McGillen from Penn State University shares her gynecologic body imaging experience to walk through a series of uterus pathologies, including mullerian duct anomalies, adenomyosis, leiomyomas/fibroids, endometriosis, as well as special considerations for post-pregnancy and post-menopausal imaging. Her case reviews and teaching points will help you better understand basic ultrasound uterine imaging techniques, anatomy, pathology, and more! 

After completing this educational activity, you will feel more confident reading uterine imaging and help the medical community improve patient outcomes. 

Foundational Topics in this Radiology Course include:

  • Ultrasound anatomy review and terminology 
  • Protocols & techniques
  • Interpretation examples and key teaching points
  • Considerations for special patient scenarios

In-depth Case Review – 40+ cases with ultrasound images and full DICOMs showing examples of:

  • Mullerian Duct Anomalies types
  • Intrauterine Devices (IUD) normal positioning and abnormal positioning 
  • Diagnosis of adenomyosis
  • Classic features of fibroids/leiomyoma on ultrasound and MRI
  • Endometrium normal and abnormal variants
  • Endometritis after c-section

And when you’re done…

Check out these companion courses on Women’s Health Imaging:

Faculty

Kathryn McGillen, MD

Assistant Professor of Radiology, Medical Director of Ultrasound

Penn State University Milton S Hershey Medical Center

Watch this case review for free!

2 m

Introduction to Uterine Imaging

1 m

Normal Anatomy Review on Illustrations

2 m

Ultrasound Anatomy

5 m

Probe Position/Version/Flexion

6 m

Anterior/Posterior Compartments

2 m

Introduction to Mullerian Duct Anomalies (MDA)

4 m

Agenesis

3 m

Unicornuate with Rudimentary Horn

4 m

Didelphys Uterus – Pediatric

4 m

Didelphys Uterus – Adult

3 m

Unknown case – Septate (Complete Septate Uterus)

6 m

Complete Septate MRI (Fibrous Septum)

6 m

Partial Septate on US

2 m

Bicornuate Uterus - Case 1

3 m

Bicornuate Uterus - Case 2

2 m

Mullerian Duct Anomalies (MDA) – Teaching Points

2 m

Introduction and Positioning- IUD

3 m

Normal Position of IUD

2 m

Abnormal Position – Question of Embedded IUD

3 m

Malpositioned IUD – Embedded in Myometrium

3 m

Abnormal Retroverted IUD – Embedded

3 m

IUD – Serosal Perforation

3 m

IUD Failure Resulting in Pregnant

2 m

IUD – Teaching Points

2 m

Adenomyosis – Introduction

6 m

Adenomyosis Nodules

2 m

Adenomyosis – Cysts in 26 y/o Patient

2 m

Venetian Blind Appearance of Adenomyosis

2 m

Multiple Imaging Findings of Adenomyosis

3 m

Adenomyosis on MRI – Focal Thickening

2 m

Classic Adenomyosis on MRI – T2 Cysts

2 m

Adenomyosis – Problem Solving with MRI

4 m

Adenomyosis – Problem solving MRI with Endometrioma

4 m

Adenomyosis – Teaching Points

1 m

Fibroids – Introduction

5 m

Fibroids

2 m

MRI Red Fibroid

6 m

Lipoleiomyoma

2 m

MRI Lipoleiomyoma

4 m

Necrotic Fibroid

4 m

Teaching Point – Normal Thickness by Age/Cycle

1 m

Teaching Point - Postmenopausal Endometrium

4 m

Polyps

3 m

Atypical Polyp

3 m

Hyperplasia

2 m

Tamoxifen Polyp

2 m

Carcinoma

3 m

Carcinoma Companion Case

2 m

Unknown – Intracavitary Fibroid

2 m

Unknown – Mobile blood

2 m

Unknown – Proliferative Endometrium

2 m

Teaching Point- Endometrium

1 m

Introduction- Post Pregnancy Considerations

1 m

Endometritis (After C-Section)

3 m

C- Section Dehiscence

3 m

C-Section Pseudoaneurysm

3 m

Retained Products of Conception (RPOC)

3 m

Retained Products of Conception and Ancillary Findings

4 m

Arteriovenous Malformation (AVM)

4 m

Arteriovenous Malformation (AVM) – Companion Case

2 m

Isthmocele – Three Appearances

3 m

Teaching Points- Post Pregnancy Considerations

1 m

Course Evaluation

Suggested Reading

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