Magnetic resonance imaging structured reporting in infertility

Capsule:
The magnetic resonance structured report in infertility defines and proposes a standardized magnetic resonance imaging structured report in patients with infertility to have clinical completeness regarding possible diagnosis and severity.

Authors:
Guillermina Montoliu Fornas, M.D., Ph.D., Luis Martí-Bonmatí, M.D., Ph.D.

Volume 105, Issue 6, Pages 1421-1431

Abstract:

Our objective was to define and propose a standardized magnetic resonance (MR) imaging structured report in patients with infertility to have clinical completeness on possible diagnosis and severity. Patients should be studied preferable on 3T equipment with a surface coil. Standard MR protocol should include high-resolution fast spin-echo T2-weighted, diffusion-weighted images and gradient-echo T1-weighted fat suppression images. The report should include ovaries (polycystic, endometrioma, tumor), oviduct (hydrosalpinx, hematosalpinx, pyosalpinx, peritubal anomalies), uterus (agenesia, hypoplasia, unicornuate, uterus didelphys, bicornuate, septate uterus), myometrium (leiomyomas, adenomyosis), endometrium (polyps, synechia, atrophy, neoplasia), cervix and vagina (isthmoceles, mucosal-parietal irregularity, stenosis, neoplasia), peritoneum (deep endometriosis), and urinary system–associated abnormalities. To be clinically useful, radiology reports must be structured, use standardized terminology, and convey actionable information. The structured report must comprise complete, comprehensive, and accurate information, allowing radiologists to continuously interact with patients and referring physicians to confirm that the information is used properly to affect the decision making process.

  • Jason Kovac

    Wonder how many urologists are using MRI as an imaging adjunct to examining the seminal vesicles as well as for ejaculatory duct cysts.

    • Luis Marti-Bonmarti

      In our hospital MRI is used to evaluate diseases of seminal vesicles and ejaculatory ducts ocassionally, as it provides an excellent quality of image.

      • i agree. i have used it a few times for men who are reluctant to have a TRUS. Great images but have to discuss first with the radiologist to let them know exactly what you are looking for to make sure they capture the proper images.

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