scholarly journals ROLE OF MRI IN GYNECOLOGICAL EMERGENCIES

2021 ◽  
pp. 68-69
Author(s):  
K. Geetha
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Ovarian Cyst ◽  
Final Diagnosis ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Imaging Department ◽  
Acute Pelvic Pain

AIM: The aim of this study was to assess the emerging role of magnetic resonance imaging in the gynaecological emergencies. MATERIALS AND METHODS: Methods: Twenty nine non pregnant female patients with acute pelvic pain or bleeding per vagina who underwent MRI pelvis at our imaging department between November 2019 and August 2020 were reviewed. The final diagnosis was established by surgical findings in 16 cases, & biopsy in 1 respectively. The remaining 11 cases underwent follow-up MRI. Results: MRI was diagnostic in 28 (95.5%) out of 29 patients and non-diagnostic in 1 case. The commonest gynaecological emergency was ovarian cyst with complications. Imaging findings in 16 (55.2%) patients were correlated with surgery . The overall sensitivity and PPV of MRI in acute gynaecological conditions was 95.6% and 98.2%.

Latest Evidence on the Role of Multiparametric Magnetic Resonance Imaging in Active Surveillance for Insignificant Prostate Cancer: A Systematic Review

2018 ◽  
Vol 18 (7) ◽  
pp. 925-930 ◽  
Author(s):  
Francesco Cantiello ◽  
Stefano Manno ◽  
Giorgio I. Russo ◽  
Sebastiano Cimino ◽  
Salvatore Privitera ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Prostate Cancer ◽  
Systematic Review ◽  
Magnetic Resonance ◽  
Active Surveillance ◽  
Resonance Imaging ◽  
Multiparametric Magnetic Resonance Imaging ◽  
Clinically Significant

Objective: Multiparametric Magnetic Resonance Imaging (mpMRI) has become a very useful tool in the management of PCa. Particularly, there is a great interest in using mpMRI for men on Active Surveillance (AS) for low risk PCa. The aim of this systematic review was to critically review the latest literature concerning the role of mpMRI in this clinical setting, underlying current strengths and weakness. Evidence Acquisition: A comprehensive literature research for English-language original and review articles was carried out using the National Center for Biotechnology Information PubMed database with the aim to identify studies pertaining to mpMRI for AS in low risk PCa patients. The following search terms were used: active surveillance, prostate cancer and multiparametric magnetic resonance imaging. Evidence Synthesis: Data from 28 recent original studies and reviews were reviewed. We only considered studies on the use of mpMRI in selecting AS patients and during AS follow-up, in order to solve two important questions: -Can mpMRI have a role in improving the detection of clinically significant disease, better selecting AS patients? -Can mpMRI identify the progression of disease and, consequently, be used during AS follow-up? Conclusions: mpMRI is useful to better select the ideal candidates to AS and to monitor them during follow-up. However, despite many advantages, there are yet important limitations to detect all clinically significant PCa and to better define mpMRI-radiological progression during AS. Further larger prospective studies are needed to definitively solve these important problems.

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