Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Lesson
Pre-Course Activities
1 topic, 2 min.
Lesson
Introduction to Uterine Imaging and Normal Anatomy
5 topics, 14 min.
Lesson
Mullerian Duct Anomalies
11 topics, 40 min.
Introduction to Mullerian Duct Anomalies (MDA)
5 m.Agenesis
4 m.Unicornuate with Rudimentary Horn
5 m.Didelphys Uterus – Pediatric
5 m.Didelphys Uterus – Adult
4 m.Unknown case – Septate (Complete Septate Uterus)
7 m.Complete Septate MRI (Fibrous Septum)
6 m.Partial Septate on US
3 m.Bicornuate Uterus - Case 1
4 m.Bicornuate Uterus - Case 2
2 m.Mullerian Duct Anomalies (MDA) – Teaching Points
2 m.Lesson
Intrauterine Device (IUD)
8 topics, 21 min.
Lesson
Adenomyosis
10 topics, 27 min.
Adenomyosis – Introduction
6 m.Adenomyosis Nodules
3 m.Adenomyosis – Cysts in 26 y/o Patient
3 m.Venetian Blind Appearance of Adenomyosis
3 m.Multiple Imaging Findings of Adenomyosis
4 m.Adenomyosis on MRI – Focal Thickening
3 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
2 m.Lesson
Fibroids
7 topics, 23 min.
Lesson
Endometrium
11 topics, 25 min.
Lesson
Special Considerations – Post Pregnancy
10 topics, 26 min.
Introduction- Post Pregnancy Considerations
1 m.Endometritis (After C-Section)
3 m.C- Section Dehiscence
4 m.C-Section Pseudoaneurysm
4 m.Retained Products of Conception (RPOC)
3 m.Retained Products of Conception and Ancillary Findings
5 m.Arteriovenous Malformation (AVM)
5 m.Arteriovenous Malformation (AVM) – Companion Case
3 m.Isthmocele – Three Appearances
3 m.Teaching Points- Post Pregnancy Considerations
1 m.0:02
Okay, so to wrap up our adenomyosis lesson,
0:05
a few teaching points to consider whenever
0:07
you're looking for this diagnosis in a patient.
0:10
Just remember, it really does have a
0:11
variable appearance on ultrasound and MRI.
0:14
It may have one of the features,
0:15
it may have more of the features.
0:17
Easier to diagnose when it has more than
0:19
one feature, of course, but it's also wise
0:21
to suggest that even if you only see one or
0:23
two, even if you have to hedge a little bit.
0:26
So things that you're looking for,
0:28
you're looking for echogenic or cystic
0:30
foci or striations emanating from
0:33
that endometrium into the myometrium.
0:35
That's the ultrasound appearance.
0:36
The correlate on MRI are going to be
0:38
T2 bright foci or little striations.
0:42
You're going to look for poorly defined
0:44
borders if it's more of an almost sort of
0:45
mass-like structure right there, and that's
0:47
going to separate it from the fibroid.
0:49
That goes for both ultrasound and
0:51
for MRI, poorly defined borders.
0:53
Often on MRI, an adenomyoma specifically
0:56
may be ovoid in shape as well as opposed
0:58
to fibroids which tend to be fairly round.
1:02
And then lastly, you want
1:03
to consider vascularity.
1:05
Those penetrating vessels on color Doppler,
1:07
not always present, but when they are, you can
1:09
be pretty sure you're looking at adenomyosis.
1:11
That's going to be different than a fibroid.
1:13
We're going to have more of a
1:14
circumferential pattern of the vascularity.
Adenomyosis – Teaching Points
HIDEInteractive Transcript
0:02
Okay, so to wrap up our adenomyosis lesson,
0:05
a few teaching points to consider whenever
0:07
you're looking for this diagnosis in a patient.
0:10
Just remember, it really does have a
0:11
variable appearance on ultrasound and MRI.
0:14
It may have one of the features,
0:15
it may have more of the features.
0:17
Easier to diagnose when it has more than
0:19
one feature, of course, but it's also wise
0:21
to suggest that even if you only see one or
0:23
two, even if you have to hedge a little bit.
0:26
So things that you're looking for,
0:28
you're looking for echogenic or cystic
0:30
foci or striations emanating from
0:33
that endometrium into the myometrium.
0:35
That's the ultrasound appearance.
0:36
The correlate on MRI are going to be
0:38
T2 bright foci or little striations.
0:42
You're going to look for poorly defined
0:44
borders if it's more of an almost sort of
0:45
mass-like structure right there, and that's
0:47
going to separate it from the fibroid.
0:49
That goes for both ultrasound and
0:51
for MRI, poorly defined borders.
0:53
Often on MRI, an adenomyoma specifically
0:56
may be ovoid in shape as well as opposed
0:58
to fibroids which tend to be fairly round.
1:02
And then lastly, you want
1:03
to consider vascularity.
1:05
Those penetrating vessels on color Doppler,
1:07
not always present, but when they are, you can
1:09
be pretty sure you're looking at adenomyosis.
1:11
That's going to be different than a fibroid.
1:13
We're going to have more of a
1:14
circumferential pattern of the vascularity.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Vascular
Uterus
Ultrasound
Neoplastic
MRI
Idiopathic
Gynecologic (GYN)
CT
Body
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