MRI is it complementary or mandatory to ultrasound in classification of different congenital anomalies of female reproductive tract?

Abstract

Aim of work: To assess the added value of MRI compared to US in diagnosis of Mullerian duct anomalies and its subtypes thus guiding proper management plans. Patients and methods: From October 2014 to March 2015 we prospectively evaluated 50 female patients, ranging in age from 15 to 40 years. They were referred for US and MRI assessment of clinically suspected Mullerian duct anomalies. Results: Final diagnosis of patients includes: 8/50 (16%) cases were classified as class I, 10/50 (20%) cases were classified as class II, 22/50 (44%) cases were classified as class III, 5/50 (10%) cases were classified as class IV and 5/50 (10%) cases were not MDA. MRI was superior to US, with reported diagnostic accuracy of 100%. Conclusion: The use of diverse imaging modalities, in conjunction with clinical information, provided important clues to the diagnosis of MDAs. The imaging work-up for MDAs usually begins with ultrasound. Although it might have been suffice to detect the presence of a uterine abnormality, MRI was generally needed to classify the abnormality into a specific MDA category.

Keywords

• US
• MRI
• Mullerian duct
• Anomalies