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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Pre-Course Activities
1 topic, 3 min.
Lesson
Sample Lesson
3 topics, 3 min.
Lesson
Introduction & Anatomy
4 topics, 7 min.
Lesson
Protocols & Sequences Case Reviews
3 topics, 8 min.
Lesson
Normal Pregnancy Case Reviews
12 topics, 23 min.
Introduction: Normal Pregnancy
2 m.First Trimester US
4 m.Second/Third Trimester US
3 m.First Trimester MR (7 weeks)
3 m.First Trimester MR (10 weeks)
2 m.Second/Third Trimester MR
2 m.Third Trimester MR
2 m.Second/Third Trimester CT
2 m.Multiple Gestations (MRI) Dichorionic Triplets
2 m.Multiple Gestations (MRI) Twins
3 m.Multiple Gestations (CT)
2 m.Summary: Multimodal Imaging of Normal Pregnancy
2 m.Lesson
Abdominopelvic Pathology Case Reviews
9 topics, 29 min.
Introduction: Abdominopelvic Pathology During Pregnancy
3 m.Appendicitis
4 m.Hepatitis
3 m.Acute Deep Venous Thrombosis
2 m.Adnexal Mass
2 m.Second Trimester Pregnancy with Bilateral Adnexal Masses (Teratomas)
5 m.Ovarian Torsion MR
3 m.Ovarian Torsion US
4 m.Summary: Acute Abdominopelvic Pathology During Pregnancy
9 m.Lesson
Placenta Accreta Spectrum Case Reviews
9 topics, 36 min.
Lesson
Ectopic Pregnancy Case Reviews
10 topics, 23 min.
Introduction: Ectopic Pregnancy
2 m.Tubal Ectopic Pregnancy
3 m.Ruptured Tubal Ectopic CT
3 m.Ruptured Tubal Ectopic US
4 m.Cervical Ectopic Pregnancy
3 m.Intra-Abdominal Ectopic Pregnancy
4 m.Interstitial Ectopic MR
2 m.Interstitial Ectopic US
3 m.Cesarean Section Scar Ectopic
3 m.Summary: Ectopic Pregnancy
1 m.Lesson
Miscellaneous Case Reviews
4 topics, 13 min.
0:00
There are multiple changes that occur in
0:03
the uterus and adnexa during pregnancy.
0:06
The first and most obvious is that the
0:08
uterus is going to increase in size, and this
0:11
happens in a pattern of predictable growth.
0:14
When patients come into the clinic,
0:15
we can measure their fundal height,
0:17
and we can estimate their gestational
0:19
age based on the size of the uterus.
0:22
Remember that hormonal support of the
0:25
pregnancy is ovarian, and up until about
0:28
10 to 12 weeks of pregnancy, progesterone
0:31
that's secreted by the corpus luteum is
0:33
going to maintain the pregnancy until the
0:36
point at which the placenta takes over.
0:39
As the uterus increases in size and
0:42
ascends into the abdomen, the abdominal
0:45
viscera, the bowel, the ovaries, are
0:48
all displaced laterally and superiorly.
0:51
We can see for this patient, who has a
0:55
third trimester pregnancy, that the uterus
0:58
has significantly increased in size
1:01
from what we saw in the cases that we
1:03
just reviewed for non-pregnant patients.
1:06
We see the fetus, which is
1:07
in cephalic presentation.
1:09
This is T2 bright amniotic fluid.
1:13
And again, we see the T2 heterogeneous
1:16
ovaries with T2 bright follicles.
1:18
So this is the right ovary
1:20
and this is the left ovary.
1:21
So we see that the ovaries have
1:22
been displaced superiorly and
1:24
laterally in the context of pregnancy.
1:27
Another change that occurs is the overall blood
1:30
volume within the maternal body increases, and
1:33
the vasculature in the pelvis proliferates
1:36
significantly to accommodate nutrient
1:39
supply and oxygen exchange with the fetus.
Changes to the Uterus and Ovaries During Pregnancy
HIDEInteractive Transcript
0:00
There are multiple changes that occur in
0:03
the uterus and adnexa during pregnancy.
0:06
The first and most obvious is that the
0:08
uterus is going to increase in size, and this
0:11
happens in a pattern of predictable growth.
0:14
When patients come into the clinic,
0:15
we can measure their fundal height,
0:17
and we can estimate their gestational
0:19
age based on the size of the uterus.
0:22
Remember that hormonal support of the
0:25
pregnancy is ovarian, and up until about
0:28
10 to 12 weeks of pregnancy, progesterone
0:31
that's secreted by the corpus luteum is
0:33
going to maintain the pregnancy until the
0:36
point at which the placenta takes over.
0:39
As the uterus increases in size and
0:42
ascends into the abdomen, the abdominal
0:45
viscera, the bowel, the ovaries, are
0:48
all displaced laterally and superiorly.
0:51
We can see for this patient, who has a
0:55
third trimester pregnancy, that the uterus
0:58
has significantly increased in size
1:01
from what we saw in the cases that we
1:03
just reviewed for non-pregnant patients.
1:06
We see the fetus, which is
1:07
in cephalic presentation.
1:09
This is T2 bright amniotic fluid.
1:13
And again, we see the T2 heterogeneous
1:16
ovaries with T2 bright follicles.
1:18
So this is the right ovary
1:20
and this is the left ovary.
1:21
So we see that the ovaries have
1:22
been displaced superiorly and
1:24
laterally in the context of pregnancy.
1:27
Another change that occurs is the overall blood
1:30
volume within the maternal body increases, and
1:33
the vasculature in the pelvis proliferates
1:36
significantly to accommodate nutrient
1:39
supply and oxygen exchange with the fetus.
Report
Faculty
Erin Gomez, MD
Assistant Professor of Radiology
Johns Hopkins Hospital
Tags
Women's Health
Uterus
Ovaries
MRI
Gynecologic (Gyn)
Gynecologic (GYN)
Genitourinary (GU)
Cervix
Body
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