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The role of contemporary radiology in gynaecology and obstetrics
Maja Hrabak Paar
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Diseases of the female reproductive system and pregnancy-related conditions with their diverse aetiology and pathogenesis pose a great challenge not only to gynaecologists, but also to radiologists who are more and more involved in the diagnosis and management of these disorders. The most common radiological procedures used in these conditions are ultrasonography (US), computed tomography (CT ) and magnetic resonance imaging (MRI). Their proper use requires individual approach to the patients and cooperation between radiologists and gynaecologists. US is the first, and usually the only, imaging modality used in the majority of gynaecological and obstetrical indications due to its low risk, availability and low costs in comparison with the potential benefit. MRI already plays an important role, in diagnostic work-up of gynaecological diseases and pregnancy, since it does not involve ionizing radiation and it has a significantly better soft tissue contrast than CT , which is of particular importance in the imaging of the uterus and ovaries, pelvic floor structures and the foetal imaging. Lately, spatially coupled imaging by positron emission tomography and CT (PET -CT ) is being successfully used in gynaecological oncology.
gynecology; magnetic resonance imaging; pelvis; pregnancy; tomography, x-ray computed
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