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The spectrum of imaging appearances of müllerian duct anomalies: focus on MR imaging.

Authors
  • Fukunaga, Takeru1
  • Fujii, Shinya2
  • Inoue, Chie2
  • Mukuda, Naoko2
  • Murakami, Atsushi3
  • Tanabe, Yoshio2
  • Harada, Tasuku4
  • Ogawa, Toshihide2
  • 1 Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan. [email protected] , (Japan)
  • 2 Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan. , (Japan)
  • 3 Department of Radiology, Yoka Hospital, 1878-1 Yoka-cho Yoka, Yabu, Hyogo, 667-8555, Japan. , (Japan)
  • 4 Division of Reproductive-Perinatal Medicine and Gynecological Oncology, Department of Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan. , (Japan)
Type
Published Article
Journal
Japanese journal of radiology
Publication Date
Dec 01, 2017
Volume
35
Issue
12
Pages
697–706
Identifiers
DOI: 10.1007/s11604-017-0681-4
PMID: 28921452
Source
Medline
Keywords
License
Unknown

Abstract

Müllerian duct anomalies (MDAs) are the result of incomplete development, vertical or lateral fusion, or absorption of the müllerian ducts. The range of anomalies includes uterovaginal agenesis or hypoplasia, unicornuate uterus, uterus didelphys, bicornuate uterus, septate uterus, and arcuate uterus. Correct diagnosis and classification of these anomalies are essential because pregnancy outcomes and treatment options vary between the types of anomaly. Furthermore, early identification of MDAs helps to avoid prolonged symptomatic periods and the complications that may subsequently arise, such as infertility, endometriosis, and neoplasm. Although many of these abnormalities are initially diagnosed by ultrasound or hysterosalpingography, MR imaging is the most accurate noninvasive modality available for classification of the various anomalies because of its better anatomic assessment compared with other diagnostic modalities. Familiarity with the wide variety of MDA presentations can help in the planning of appropriate treatment.

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