Jegannathan Devimeenal, Indiran Venkatraman
Department of Radiology, Government Kilpauk Medical College, India.
Department of Radiodiagnosis, Sree Balaji Medical College and Hospital, India.
SA J Radiol. 2018 Apr 23;22(1):1259. doi: 10.4102/sajr.v22i1.1259. eCollection 2018.
Magnetic resonance imaging (MRI), due to its optimal delineation of anatomy, has become the mainstay in imaging for diagnosing Müllerian duct anomalies (MDA). Pelvic MRI is requested for various conditions such as primary amenorrhoea, infertility or poor obstetric history with regard to MDA, as identifying the exact aetiology for these conditions is vital. Knowledge regarding the classification of MDA is important, as the treatment varies with respect to the different classes. As all the lesions do not fit within the classification of the American Society for Reproductive Medicine, a new anatomy-based classification was established by the European Society of Human Reproduction and Embryology and the European Society for Gynecological Endoscopy, to fulfil the needs of experts. We aim to discuss various classes of classified and unclassified MDA with regard to both the above-mentioned classifications and illustrate some of them using various cases based on pelvic MRI studies.
磁共振成像（MRI）因其对解剖结构的最佳描绘，已成为诊断苗勒管异常（MDA）的主要影像学手段。对于各种情况，如原发性闭经、不孕症或与MDA相关的不良产科史，都会要求进行盆腔MRI检查，因为确定这些情况的确切病因至关重要。关于MDA分类的知识很重要，因为不同类别的治疗方法有所不同。由于并非所有病变都符合美国生殖医学学会的分类，欧洲人类生殖与胚胎学会和欧洲妇科内镜学会建立了一种新的基于解剖学的分类方法，以满足专家的需求。我们旨在根据上述两种分类方法讨论各类已分类和未分类的MDA，并通过基于盆腔MRI研究的各种病例对其中一些进行说明。
