MR Imaging of Asherman's Syndrome in Patients With and Without Uterine Anomalies: Comparison withHysterosalpingography.
10.3348/jkrs.1999.40.3.527
- Author:
Jung Sik KIM
1
;
Hong KIM
;
Taek Hoon KIM
Author Information
1. Department of Diagnostic Radiology, Keimyung University, DongSan Medical Center, Korea.
- Publication Type:Original Article
- Keywords:
Uterus, abnormalities;
Uterus, MR;
Uterus, radiography
- MeSH:
Axis, Cervical Vertebra;
Dilatation and Curettage;
Female;
Gynatresia*;
Humans;
Intrauterine Devices;
Magnetic Resonance Imaging*;
Uterus
- From:Journal of the Korean Radiological Society
1999;40(3):527-534
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the role of MR imaging in the detection of Asherman's syndrome, especially whenthis is associated with a congenital uterine anomaly. MATERIALS AND METHODS: MR images were obtained in thesemicoronal plane parallel to the long axis of the uterus in 11 patients. Dilatation and curettage involving thein-sertion of an intrauterine device was performed in all patients, and transabdominal metroplasty was performedin four with uterine anomaly. MR imaging findings we r e compared with those of hyste rosalpingograhy in all patients and compared with sur-gical findings in four. RESULTS: The MR findings of uterine synechiademonstrated in nine of 11 patients were focal thickening of the uterine junctional zone (n=2), hypointense fociin the en-dometrium (n=1), or both these findings (n=6). Seven of the 11 patients had associat-ed uterineanomalies, which were demonstrated in all seven by MR imaging. In four of the seven, HSG failed to demonstratethese anomalies. CONCLUSION: MR imaging satisfactorily demonstrated intrauterine lesions in nine of 11 patientswith Asherman's syndrome, and was especially helpful in demonstrating associated uterine anomalies.
