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辅助生殖技术治疗后并发症的影像学:在每个步骤都要保持警惕。

Imaging of complications following treatment with assisted reproductive technology: keep on your radar at each step.

机构信息

Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Wanglang road Bangkoknoi, Bangkok, 10700, Thailand.

Department of Internal Medicine, Pratumtani Hospital, 7 Ladlumkaew Muang District, Pratumtani, 12000, Thailand.

出版信息

Abdom Radiol (NY). 2022 Jan;47(1):328-340. doi: 10.1007/s00261-021-03245-y. Epub 2021 Sep 18.

Abstract

Since the advent of assisted reproductive technology (ART), the utilization of ART procedures has become increasingly popular among women seeking to establish pregnancy. Radiologists are therefore likely to encounter the various complications of ART therapy. The most common is ovarian hyperstimulation syndrome; others are multiple, ectopic, and heterotopic pregnancies. Ultrasonography is considered the initial modality to investigate ART complications, However, nonspecific symptoms might need the use of an additional imaging modality, such as computed tomography or magnetic resonance imaging, as a problem-solving tool. This article briefly discusses the steps involved in assisted reproduction. Its aim is to help radiologists become familiarized with the multimodality imaging features of the spectrum of ART-related complications. Their key imaging features and differential considerations are emphasized. This will facilitate the provision of precise and timely diagnoses, and aid the avoidance of fatal consequences.

摘要

自从辅助生殖技术(ART)问世以来,寻求怀孕的女性越来越多地使用 ART 程序。因此,放射科医生可能会遇到 ART 治疗的各种并发症。最常见的是卵巢过度刺激综合征;其他还有多胎、异位和异部位妊娠。超声检查被认为是检查 ART 并发症的初始方式,但是,非特异性症状可能需要使用额外的成像方式,如计算机断层扫描或磁共振成像,作为解决问题的工具。本文简要讨论了辅助生殖的步骤。其目的是帮助放射科医生熟悉一系列与 ART 相关并发症的多模态成像特征。强调了它们的关键成像特征和鉴别注意事项。这将有助于提供准确和及时的诊断,并避免致命的后果。

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