Häusler G, Schurz B
Abteilung für Gynäkologie und Geburtshilfe, Universität-Frauenklinik, Wien.
Wien Med Wochenschr. 1996;146(1-2):8-10.
Each of the 3 major imaging modalities, ultrasound, computed tomography, and magnetic resonance imaging, plays a specific role in the evaluation of the ovaries. Depending on the different diagnostic potential each imaging technique has its special operating areas. Ultrasound, and in particular transvaginal ultrasound, remains the examination of choice for screening and can detect a wide spectrum of ovarian pathology from simple ovarian cysts to complicated ovarian masses. Computed tomography is currently the recommended modality to stage ovarian carcinoma, but is also used in the follow-up and to judge the response to cytostatic therapy. Magnetic resonance imaging is a valuable tool to evaluate disorders of sexual differentiation and to localize ectopic gonads. Magnetic resonance imaging is also capable of depicting spread of ovarian carcinoma throughout the pelvis and the abdomen.
超声、计算机断层扫描和磁共振成像这三种主要的成像方式在卵巢评估中都发挥着特定作用。根据每种成像技术不同的诊断潜力,其具有特定的应用领域。超声,尤其是经阴道超声,仍然是筛查的首选检查方法,能够检测从单纯性卵巢囊肿到复杂性卵巢肿物等广泛的卵巢病变。计算机断层扫描目前是卵巢癌分期的推荐方式,但也用于随访以及判断对细胞毒性疗法的反应。磁共振成像是评估性分化异常和定位异位性腺的重要工具。磁共振成像还能够描绘卵巢癌在整个盆腔和腹部的扩散情况。