Embed Size (px)
Citation preview
Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center
General secretary of Iranian society of radiology - President of Iranian radiologic cooperativeHasan Joorabchi-MD OB & GY, Tabriz medical university, IranMohammad Hossein Herischi – MD Orthopedist, Baku, Republic AzerbayjanShahyar Pashaie – PhD Anatomist, Tehran, Iran Dariush Etemadi –MD Radiologist, Koorosh medical imaging center, Tehran, Iran
[email protected] www.medimage.ir
Women's imagingWomen's imaging
Pelvic pain Pelvic pain MRI in chronic pelvic pain (C.P.P.)MRI in chronic pelvic pain (C.P.P.)
1/3 of women pelvic pain in lifetime Most common complain Most difficult to diagnosis and manage 60% (three of five) never find out the cause of their
pelvic pain
[email protected] www.medimage.ir
Women seek help from: Gynecologists Urologists Family practitioners
[email protected] www.medimage.ir
Pelvic masses
PET/CT technique & imaging issues
Low midline pelvic mass
Prolapsing Leiomyoma Mucinous Rectal Cancer
Anorectal Mass
Prolapsing rectal cancer Rectum duplication cyst
Chronic pelvic pain:Any pelvic pain lasting more than six months1 woman of five women (20% incidence)It is a non specific pain (acute pain may indicate a specific
injury)Cause: change in nervous system, tissues or muscles
[email protected] www.medimage.ir
Sacral teratoma
Sacral Masses
Anterior Meningocele Sacrococcygeal chordoma
Signs and symptoms:1. Severe and steady pain (dull to sharp,
mild to severe)2. Pain that comes and goes (intermittent)3. Sharp pains or cramping4. Dull aching5. Limited physical activity6. Pressure or heaviness deep within pelvis7. Painful intercourse8. Pain when urination and bowel movement9. Severe cramping during periods10. Depression and hopelessness and
addiction
Accurate diagnosis: Pelvic exam Cultures of excretions Pelvic ultrasound and sonohisterography (TA, TV ,TR) Laparascopy X-ray, X-ray CT, CT PET MRI (most accurate)
[email protected] www.medimage.ir
Hemangioma, Pelvis
Hemangiopericytoma Liposarcoma
Pelvic congestion syndrome
Pelvic congestion syndromePelvic congestion syndrome
Lymphadenopathy
CYSTIC ADENOMYOSIS
ADENOMYOSIS
Cervical cancer
Cervical cancer
URETHRAL ANATOMY & IMAGING ISSUE
Vaginal fistula
Pelvic MRI: Non-invasive 3 Dimensional (x-y-z) Accurate Gives vital information Uncover, covered conditions Elegant imaging technology Diagnosis and staging Can diagnose pelvic floor lesions T1 - T2 - T1,F.S - T1,GD - 3D,GRE - T1 dynamic - MR
lymphangiography MR PET
[email protected] www.medimage.ir
MUCINOUS CYSTADENOMA
PELVIC FLOOD DESCENT
MR TECHNIQUE & ANATOMY
Interventional treatments: Acupuncture Biofeed back and relaxation therapies Nerve stimulation devices Local anesthesia injection in tender areas Help women who have become dependent on
narcotics Fibroid embolization
[email protected] www.medimage.ir
