Clinical value of MRI in patients with MRKH syndrome
10.3969/j.issn.1002-1671.2017.01.021
- VernacularTitle:MRI在MRKH综合征诊断中的应用价值
- Author:
Beibei LI
;
Cuiping REN
;
Jingliang CHENG
;
Ying LI
;
Xiaoying SHI
;
Cuiping XIAO
- Keywords:
Mayer-Rokitansky-Küster-Hauser syndrome;
Müllerian agenesis;
magnetic resonance imaging
- From:
Journal of Practical Radiology
2017;33(1):76-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the accuracy of preoperative MRI in the diagnosis of malformations associated with MRKH syndrome and identification of uterine endometrium to optimize the clinical management.Methods 1 8 females with primary amenor-rhea were studied with MRI performed with a 1.5T or 3.0T imager.All patients were examined in the supine position using a phased-array coil and underwent pelvic MRI.Two experienced radiologists evaluated all the examinations in consensus to assess the pres-ence,position and morphology of vagina,uterus,ovaries and any pelvic abnormalities.Results One or two rudimentary uteri were identified in 17 patients (94.4%).A total of 16 patients (88.9%)had bilateral rudimentary uteri,1 (5.6%)had unilateral rudimentary uteri(it was left sided).1 (5.6%)had no uterine remnants.4 (12.1%)of 33 uterine buds in 4 patients showed differentiation of the center of the uterus into three layer.Bilateral ovaries were present in 1 7 patients,and their shapes,sizes and signals are normal.The vagina and cervix were absent in all cases.Conclusion MRI is a useful diagnostic tool in the preoperative evaluation of MRKH syndrome and the endometrium to further optimize the treatment plan.
