MR assessment of Müllerian duct anomalies: Does it help?

Abstract

Purpose: To evaluate the role of magnetic resonance imaging in diagnosis of Müllerian duct anomalies. Patients and methods: A prospective study included 48 female patients suspected to have Müllerian duct anomalies. All patients underwent trans-abdominal and/or trans-vaginal real time ultrasonography. MRI was performed for all patients. Cases were classified according to American Society of Infertility classification. Outcome information reviewed in comparison with final hystroscopic and labaroscopic data. Results: This study included 48 patients suspected to have Müllerian duct anomalies according to ultrasonography. MRI final diagnosis was classified according to American Fertility Society as follows: Class I, 15 patients representing 31%, class II, 7 patients representing 15%, class III, 2 patients representing 4%, class IV, 6 patients representing 13%, class V, 15 patients representing 31% and class VI, 3 patients representing 6%. Conclusion: MRI of the pelvis proved to be highly efficient in the diagnosis of Müllerian duct anomalies and can be considered a corner stone for diagnosis. It proved to be a non invasive, accurate, method for diagnosis and can predict outcome of the condition.

Keywords

• Müllarian duct anomalies
• MRI
• Female pelvis imaging