Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Abdom Radiol (NY). 2020 Sep;45(9):2916-2930. doi: 10.1007/s00261-020-02615-2. Epub 2020 Jun 30.
The high contrast resolution provided by magnetic resonance imaging (MRI) compared to all other modalities allows the interpreting radiologist to make a specific diagnosis for many common and uncommon findings. In some cases, the diagnosis can be so certain that there is no differential diagnosis. In this article, we review the most classically recognized findings when interpreting MRI of the pelvis including the following: Ovaries: Simple cyst, hemorrhagic cyst, corpus luteum, dermoid, fibroma/fibrothecoma. Uterus: C-section scar, adenomyosis, endometriosis, fibroid, congenital uterine anomalies. Cervix: nabothian cyst, cervical cancer. Vagina/Vulva: Gardener's duct cyst, Bartholin's gland cyst. Urethra: skene gland cyst, urethral diverticulum. Prostate: utricle cyst, Mullerian duct cyst, benign prostatic hyperplasia, prostate cancer.
磁共振成像(MRI)提供的高对比度分辨率与其他所有方式相比,使解读放射科医生能够对许多常见和不常见的发现做出具体诊断。在某些情况下,诊断如此明确,以至于无需鉴别诊断。在本文中,我们回顾了在解读骨盆 MRI 时最常被认可的发现,包括以下内容:
卵巢:单纯囊肿、出血性囊肿、黄体、皮样囊肿、纤维瘤/纤维肉瘤。
子宫:剖宫产瘢痕、子宫腺肌病、子宫内膜异位症、肌瘤、先天性子宫异常。
子宫颈:纳博特囊肿、宫颈癌。
阴道/外阴:加德纳管囊肿、巴氏腺囊肿。
尿道:斯基恩腺囊肿、尿道憩室。
前列腺:鞘膜囊囊肿、苗勒管囊肿、良性前列腺增生、前列腺癌。