HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tukeva, T. A. Articles by Paavonen, J. Search for Related Content PubMed PubMed Citation Articles by Tukeva, T. A. Articles by Paavonen, J.

MR Imaging in Pelvic Inflammatory Disease: Comparison with Laparoscopy and US

¹ Departments of Radiology (T.A.T., H.J.A., P.T.K.)
² Obstetrics and Gynecology (P.M., J.P.)
³ Pathology (T.P.), Helsinki University Central Hospital and Haartman Institute, Haartmaninkatu 4, FIN-00290 Helsinki, Finland.

PURPOSE: To assess the value of magnetic resonance (MR) imaging in the diagnosis of pelvic inflammatory disease (PID) and to compare MR imaging with transvaginal ultrasonography (US) and laparoscopy.

MATERIALS AND METHODS: Thirty consecutive patients hospitalized because they were clinically suspected of having PID underwent transvaginal US and T1-weighted spin-echo, T2-weighted turbo spin-echo, and inversion-recovery MR imaging at 1.5 T. All patients underwent laparoscopy after MR imaging.

RESULTS: PID was laparoscopically proved in 21 (70%) patients. The MR imaging diagnosis agreed with that obtained with laparoscopy in 20 (95%) of the 21 patients with PID. The imaging findings for PID were as follows: fluid-filled tube, pyosalpinx, tubo-ovarian abscess, or polycystic-like ovaries and free pelvic fluid. Findings at transvaginal US agreed with those at laparoscopy in 17 (81%) of the 21 patients with PID. The sensitivity of MR imaging in the diagnosis of PID was 95%, the specificity was 89%, and the overall accuracy was 93%. For transvaginal US, the corresponding values were 81%, 78%, and 80%.

CONCLUSION: MR imaging is more accurate than transvaginal US in the diagnosis of PID and provides information about the differential diagnosis of PID. MR imaging may reduce the need for diagnostic laparoscopy.

Index terms: Fallopian tubes, torsion, 853.2179 • Magnetic resonance (MR), comparative studies, • Pelvic organs, abnormalities, 85.2171, 85.2172, 85.2173, 85.2174, 85.2179 • Pelvic organs, abscess, 85.2174 • Pelvic organs, inflammation, 85.217 • Pelvic organs, MR, 85.121411, 85.121413 • Pelvic organs, US, 85.12989

This article has been cited by other articles:

				N. A. Telischak, B. M. Yeh, B. N. Joe, A. C. Westphalen, L. Poder, and F. V. Coakley MRI of Adnexal Masses in Pregnancy Am. J. Roentgenol., August 1, 2008; 191(2): 364 - 370. [Abstract] [Full Text] [PDF]

				M Balogun Pelvic infections Imaging, December 1, 2007; 19(4): 369 - 373. [Abstract] [Full Text] [PDF]

				Y. Kitamura, S. M. Ascher, C. Cooper, S. J. Allison, R. C. Jha, P. A. Flick, and J. B. Spies Imaging Manifestations of Complications Associated with Uterine Artery Embolization RadioGraphics, October 1, 2005; 25(suppl_1): S119 - S132. [Abstract] [Full Text] [PDF]

				A. Oto, R. D. Ernst, R. Shah, M. Koroglu, G. Chaljub, A. F. Gei, N. Zacharias, and G. Saade Right-Lower-Quadrant Pain and Suspected Appendicitis in Pregnant Women: Evaluation with MR Imaging--Initial Experience Radiology, February 1, 2005; 234(2): 445 - 451. [Abstract] [Full Text] [PDF]

				I. Imaoka, A. Wada, M. Matsuo, M. Yoshida, H. Kitagaki, and K. Sugimura MR Imaging of Disorders Associated with Female Infertility: Use in Diagnosis, Treatment, and Management RadioGraphics, November 1, 2003; 23(6): 1401 - 1421. [Abstract] [Full Text] [PDF]

				M Balogun Pelvic infections Imaging, June 1, 2003; 15(2): 72 - 78. [Abstract] [Full Text] [PDF]

				P. Molander, P. Finne, J. Sjoberg, J. Sellors, and J. Paavonen Observer Agreement With Laparoscopic Diagnosis of Pelvic Inflammatory Disease Using Photographs Obstet. Gynecol., May 1, 2003; 101(5): 875 - 880. [Abstract] [Full Text] [PDF]

				M. Nagayama, Y. Watanabe, A. Okumura, Y. Amoh, S. Nakashita, and Y. Dodo Fast MR Imaging in Obstetrics RadioGraphics, May 1, 2002; 22(3): 563 - 580. [Abstract] [Full Text] [PDF]

				J. D C Ross Outpatient antibiotics for pelvic inflammatory disease BMJ, February 3, 2001; 322(7281): 251 - 252. [Full Text]

				M. Dohke, Y. Watanabe, A. Okumura, Y. Amoh, T. Hayashi, T. Yoshizako, M. Yasui, S. Nakashita, J. Nakanishi, and Y. Dodo Comprehensive MR Imaging of Acute Gynecologic Diseases RadioGraphics, November 1, 2000; 20(6): 1551 - 1566. [Abstract] [Full Text] [PDF]

				A. Kinnunen, P. Molander, A. Laurila, I. Rantala, R. Morrison, M. Lehtinen, R. Karttunen, A. Tiitinen, J. Paavonen, and H.-M. Surcel Chlamydia trachomatis reactive T lymphocytes from upper genital tract tissue specimens Hum. Reprod., July 1, 2000; 15(7): 1484 - 1489. [Abstract] [Full Text] [PDF]

				S. Guerriero, S. Ajossa, M.P. Lai, V. Mais, A.M. Paoletti, and G.B. Melis Transvaginal ultrasonography associated with colour Doppler energy in the diagnosis of hydrosalpinx Hum. Reprod., July 1, 2000; 15(7): 1568 - 1572. [Abstract] [Full Text] [PDF]

				I Simms and J M Stephenson Pelvic inflammatory disease epidemiology: what do we know and what do we need to know? Sex. Transm. Inf., April 1, 2000; 76(2): 80 - 87. [Full Text] [PDF]