Department of Radiology, Women's Imaging Division, New York University Medical Center, Tisch Hospital, 560 First Ave, TCH 2 HW-202, New York, NY 10016, USA.
Radiographics. 2011 May-Jun;31(3):647-61. doi: 10.1148/rg.313105057.
Computed tomography (CT) is not generally advocated as the first-line imaging examination for disorders of the female pelvis. However, multidetector CT is often the modality of choice for evaluating nongynecologic pelvic abnormalities, particularly in emergent settings, in which all the pelvic organs are invariably assessed. Incidental findings of uterine and cervical contrast enhancement in such settings may easily be mistaken for abnormalities, given the broad spectrum of anatomic variants and enhancement patterns that may be seen in the normal uterus and cervix. The authors' review of CT and magnetic resonance (MR) imaging enhancement patterns, augmented by case examples from their clinical radiology practice, provides a solid foundation for understanding the spectrum of normal uterine and cervical appearances and avoiding potential pitfalls in the diagnosis of benign cervical lesions, adenomyosis, infection, malignancy, and postpartum effects. This information should help radiologists more confidently differentiate between normal and abnormal CT findings and, when CT findings are not definitive, offer appropriate recommendations for follow-up ultrasonography or MR imaging.
计算机断层扫描（CT）通常不被推荐作为女性盆腔疾病的一线影像学检查方法。然而，多排 CT 通常是评估非妇科盆腔异常的首选方式，特别是在紧急情况下，此时会对所有盆腔器官进行评估。在这种情况下，偶然发现子宫和宫颈的对比增强可能很容易被误认为是异常，因为在正常子宫和宫颈中可能会出现广泛的解剖变异和增强模式。作者通过对 CT 和磁共振（MR）成像增强模式的回顾，并结合他们的临床放射学实践中的病例示例，为理解正常子宫和宫颈的表现范围以及避免在诊断良性宫颈病变、子宫腺肌病、感染、恶性肿瘤和产后影响时出现潜在陷阱提供了坚实的基础。这些信息应帮助放射科医生更有信心地对正常和异常 CT 发现进行区分，并且在 CT 发现不明确时，为后续超声或 MR 成像提供适当的建议。
