Ebrahimi Sheida, Siddiqui Nawal, Besser Alexandra, Rodriguez-Soto Ana E, Yu Hon, Boone Christine, Hsiao Albert, Roberts Anne C, Parikh Rupal, Rakow-Penner Rebecca
Department of Radiology, University of California San Diego, La Jolla, CA 92093, USA.
School of Medicine, University of California San Diego, La Jolla, CA 92093, USA.
Diagnostics (Basel). 2024 Aug 10;14(16):1737. doi: 10.3390/diagnostics14161737.
The diagnosis of a common cause of chronic pelvic pain can be made by visualizing reflux in the ovarian veins. Fluoroscopic venography is the gold standard for diagnosing ovarian vein reflux, but it is an invasive technique that exposes patients to ionizing radiation. MRI, with its lack of ionizing radiation and capability of high-temporal and spatial-resolution vascular imaging, has the potential to provide similar diagnostic information. This retrospective report describes and assesses the utility of a dynamic contrast-enhanced MRI technique based on Differential Subsampling with Cartesian Ordering (DISCO)-MRI in 30 patients with chronic pelvic pain. Among the 14 patients who underwent both DISCO-MRI and fluoroscopic venograms, 11 (78.6%) exhibited concordant results, while 3 patients (21.4%) had discordant findings. These results suggest the potential of multiphasic contrast-enhanced DISCO-MRI as a non-invasive diagnostic tool for evaluating chronic pelvic pain.
通过观察卵巢静脉反流可诊断慢性盆腔疼痛的常见病因。荧光透视静脉造影是诊断卵巢静脉反流的金标准，但它是一种侵入性技术，会使患者暴露于电离辐射中。MRI 缺乏电离辐射且具备高时间和空间分辨率的血管成像能力，有可能提供类似的诊断信息。本回顾性报告描述并评估了基于笛卡尔排序的差分采样（DISCO）-MRI 的动态对比增强 MRI 技术在 30 例慢性盆腔疼痛患者中的应用。在 14 例同时接受 DISCO-MRI 和荧光透视静脉造影的患者中，11 例（78.6%）结果一致，3 例（21.4%）结果不一致。这些结果表明多期对比增强 DISCO-MRI 作为评估慢性盆腔疼痛的非侵入性诊断工具具有潜力。
