Department of Radiology, New York University Medical Center, Women's Imaging Division, Tisch Hospital, New York, NY 10016, USA.
Radiographics. 2009 Nov;29(7):1987-2003. doi: 10.1148/rg.297095710.
Although computed tomography (CT) is generally not the first-line imaging test of choice for the evaluation of female pelvic disorders, it is often the initial diagnostic examination performed in the emergency setting in patients who present with abdominal pain and nonspecific clinical symptoms. Multidetector CT coupled with reconstruction software permits isotropic voxel acquisition that can be used to generate two-dimensional multiplanar reformatted (MPR) images for evaluation of the female pelvis with no additional radiation exposure. Multidetector CT with MPR allows improved visualization of the normal anatomy and anatomic variants as well as greater diagnostic accuracy in the evaluation of the female pelvis. Although ultrasonography and magnetic resonance imaging remain the primary imaging modalities for the assessment of most female pelvic disorders, more accurate diagnosis of these disorders at multidetector CT may obviate additional imaging tests and allow more appropriate management.
虽然计算机断层扫描（CT）通常不是女性盆腔疾病评估的首选一线成像检查方法，但在出现腹痛和非特异性临床症状的患者中，它通常是在急诊环境中进行的初始诊断检查。多排 CT 结合重建软件可实现各向同性体素采集，可用于生成二维多平面重建（MPR）图像，用于评估女性盆腔，而不会增加额外的辐射暴露。多排 CT 结合 MPR 可改善正常解剖结构和解剖变异的可视化效果，并提高女性盆腔评估的诊断准确性。虽然超声和磁共振成像仍然是评估大多数女性盆腔疾病的主要成像方式，但多排 CT 更准确地诊断这些疾病可能会避免额外的成像检查，并允许进行更适当的管理。
