Three-dimensional Pelvic Sonography of Uterine Masses
Pp. 269-281 (13)
Chelsea Reed Samson, Rochelle Filker Andreotti, Rifat Ali Wahab, Glynis Ann Sacks and Arthur Carroll Fleischer
Though computed tomography (CT) and magnetic resonance imaging (MRI)
have been reaping the benefits of three-dimensional reconstruction for many years, threedimensional
sonography is a relatively recent advancement and valuable tool for
gynecologic imaging. The most useful clinical three-dimensional applications in the pelvis
have evolved from the ability to reconstruct and obtain the coronal plane of the uterus.
Ambiguity that arises in the evaluation of masses and adhesions associated with the
endometrial cavity and adjacent myometrium may be resolved using this technique. The
coronal plane is most beneficial for examination of fibroids, polyps, and adhesions.
Retrospective volume manipulation with or without sonohysterography creates
reconstructions that aid in precise localization, measurement, and characterization of such
abnormalities. The approach for therapeutic intervention can be reliably guided by threedimensional
sonography, thus promoting greater patient comfort, safety, and preservation
Adenomyosis, color Doppler, coronal plane, dysmenorrhea,
endometrial cancer, endometrial polyp, endometrial thickness, fibroid,
hysterosalpingography, image reconstruction, inverse reconstruction, leiomyoma,
leiomyosarcoma, menorrhagia, myometrium, sonohysterography, surface
rendering, Three-dimensional sonography, three-dimensional sonography,
tomographic rendering, uterine artery embolization
Vanderbilt University Medical Center, 1161 21st Avenue South, MCN RR-1213, Nashville, TN 37232-2675, USA.