The diagnostic use of magnetic resonance imaging for acute abdominal and pelvic pain in pregnancy

AbstractObstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare complex Müllerian and Wolffian duct anomaly. It is also known as Herlyn–Werner–Wunderlich syndrome (HWWS). It includes unilateral renal anomalies and uterine didelphys. It generally occurs at puberty and exhibits non-specific and variable symptoms with acute or pelvic pain shortly following menarche, causing a delay in the diagnosis. We report here a 16-year-old female presenting with progressive cyclical pelvic pain, where magnetic resonance imaging (MRI) suggested the diagnosis of the OHVIRA syndrome. She was managed by surgical resection of the septum and draining of the obstructed vagina.

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Acute pelvic pain in female with ruptured ectopic pregnancy: Magnetic Resonance Imaging as problem solving tool

Turkish Journal of Emergency Medicine ◽

10.1016/j.tjem.2015.01.003 ◽

2016 ◽

Vol 16 (2) ◽

pp. 89-90

Author(s):

Venkatraman Indiran

Keyword(s):

Magnetic Resonance Imaging ◽

Problem Solving ◽

Magnetic Resonance ◽

Ectopic Pregnancy ◽

Pelvic Pain ◽

Resonance Imaging ◽

Acute Pelvic Pain

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Evaluation of the indications for performing magnetic resonance imaging of the female pelvis at a referral center for cancer, according to the American College of Radiology criteria

Radiologia Brasileira ◽

10.1590/0100-3984.2015.0123 ◽

2017 ◽

Vol 50 (1) ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Camila Silva Boaventura ◽

Daniel Padilha Rodrigues ◽

Olimpio Antonio Cornehl Silva ◽

Fabrício Henrique Beltrani ◽

Rayssa Araruna Bezerra de Melo ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Pelvic Pain ◽

Cancer Center ◽

Resonance Imaging ◽

Female Pelvis ◽

Referral Center ◽

Acr Criteria ◽

Pelvic Malignancies ◽

Gynecologic Neoplasms

Abstract Objective: To evaluate the indications for performing magnetic resonance imaging of the female pelvis at a referral center for cancer. Materials and Methods: This was a retrospective, single-center study, conducted by reviewing medical records and imaging reports. We included 1060 female patients who underwent magnetic resonance imaging of the pelvis at a cancer center between January 2013 and June 2014. The indications for performing the examination were classified according to the American College of Radiology (ACR) criteria. Results: The mean age of the patients was 52.6 ± 14.8 years, and 49.8% were perimenopausal or postmenopausal. The majority (63.9%) had a history of cancer, which was gynecologic in 29.5% and nongynecologic in 34.4%. Of the patients evaluated, 44.0% had clinical complaints, the most common being pelvic pain (in 11.5%) and bleeding (in 9.8%), and 34.7% of patients had previously had abnormal findings on ultrasound. Most (76.7%) of the patients met the criteria for undergoing magnetic resonance imaging, according to the ACR guidelines. The main indications were evaluation of tumor recurrence after surgical resection (in 25.9%); detection and staging of gynecologic neoplasms (in 23.3%); and evaluation of pelvic pain or of a mass (in 17.1%). Conclusion: In the majority of the cases evaluated, magnetic resonance imaging was clearly indicated according to the ACR criteria. The main indication was local recurrence after surgical treatment of pelvic malignancies, which is consistent with the routine protocols at cancer centers.

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Magnetic resonance imaging in pregnancy

British Journal of Midwifery ◽

10.12968/bjom.1994.2.4.160 ◽

1994 ◽

Vol 2 (4) ◽

pp. 160-168

Author(s):

Karl S Oláh ◽

Anne S Garden

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Resonance Imaging ◽

In Pregnancy

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Diagnostic Use of Magnetic Resonance Imaging and Magnetic Resonance Arthrography for Intra-Articular Pathologies of the Hip Joint

Zeitschrift für Orthopädie und Unfallchirurgie ◽

10.1055/a-1004-3396 ◽

2019 ◽

Vol 158 (06) ◽

pp. 586-596

Author(s):

Solveig Lerch ◽

Janne Lorenz ◽

Andreas Kasperczyk ◽

Oliver Rühmann

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Hip Joint ◽

German Population ◽

Resonance Imaging ◽

Diagnostic Use ◽

Medical Referrals ◽

Precise Diagnosis ◽

Magnetic Resonance Imaging Mri ◽

One Year

Abstract Introduction In no other country magnetic resonance imaging (MRI) is as frequently used as in Germany. The studyʼs aim is to analyse a daily referral procedure for hip MRI in German healthcare and to estimate ineffective costs for the healthcare system. Material and Methods Over one year 203 consecutive MRIs of the hip joint were analysed retrospectively. Referrals were reviewed for their indications, e.g. prevalence of MRIs to detect intra-articular pathologies in the German population was estimated with data of three health insurances. Results No indication was noted on 21% of the referrals to MRI. On 66% of the referrals a reasonable indications could be identified. There were more uncertainties of the indications for arthrographies. Collecting data concerning the prevalence of MRI for intra-articular hip pathologies is difficult due to the lack of precise diagnosis and procedure coding. The expendable costs caused by MRI of the hip joint amount from 800,000 to 2.4 million € during a one year period. Discussion Medical referrals should be used thoroughly for communication between referrers and radiologists. Contribution of the letter of referral to health economics is underestimated. To improve estimation of prevalences in the diagnostics of intra-articular hip pathologies, precise diagnosis and procedure codings are needed.

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