Diagnostic Imaging: Gynecology

SECTION 1: TECHNIQUES

PELVIS

Ultrasound Technique and Anatomy
Hysterosalpingography
Saline-Infused Sonohysterogram
CT Technique and Anatomy
MR Technique and Anatomy
PET/CT Technique and Imaging Issues

SECTION 2: UTERUS

INTRODUCTION AND OVERVIEW

Anatomy of the Uterus

AGE-RELATED CHANGES

Endometrial Atrophy

CONGENITAL

Introduction to Müllerian Duct Anomalies
Arcuate Uterus
Septate Uterus
Bicornuate Uterus
Uterus Didelphys
Unicornuate Uterus
Müllerian Agenesis
DES Exposure
Accessory Cavitated Uterine Mass

INFLAMMATION/INFECTION

Asherman Syndrome, Endometrial Synechiae
Endometritis
Superinfected Uterine Masses

BENIGN NEOPLASMS

Endometrium

Endometrial Polyps
Endometrial Hyperplasia
Benign Biphasic Tumors

Myometrium

Uterine Leiomyoma
Leiomyomas: Degeneration, Variants, and Complications
Benign Metastasizing Leiomyoma
Diffuse Leiomyomatosis
Intravenous Leiomyomatosis
Disseminated Peritoneal Leiomyomatosis
Lipomatous Uterine Tumors
Cotyledonoid Dissecting Leiomyoma

MALIGNANT NEOPLASMS

Endometrium

Endometrial Carcinoma: Overview and Staging
Uterine Carcinosarcoma
Uterine Adenosarcoma
Endometrial Stromal Sarcoma
Gestational Trophoblastic Neoplasia: Overview and Staging

Myometrium

Uterine Sarcoma: Overview and Staging
Leiomyosarcoma
Uterine Perivascular Epithelioid Cell Tumor (PEComa)

VASCULAR

Uterine Arteriovenous Fistula and Malformation
Uterine Artery Embolization Imaging

TREATMENT-RELATED CONDITIONS

Tamoxifen-Induced Changes
Contraceptive Device Evaluation
Post-Cesarean Section Appearance
Postablation Tubal Sterilization Syndrome (PATSS)

ADENOMYOSIS

Adenomyosis
Focal Adenomyosis

SECTION 3: CERVIX

INTRODUCTION AND OVERVIEW

Anatomy of the Cervix

BENIGN NEOPLASMS

Endocervical Polyp
Cervical Leiomyoma

MALIGNANT NEOPLASMS

Cervical Carcinoma: Overview and Staging
Adenoma Malignum
Cervical Sarcoma

TREATMENT-RELATED CONDITIONS

Posttrachelectomy Appearances

MISCELLANEOUS

Cervical Glandular Hyperplasia
Nabothian Cysts
Cervical Stenosis

SECTION 4: VAGINA AND VULVA

INTRODUCTION AND OVERVIEW

Anatomy of the Vagina and Vulva

CONGENITAL

Vaginal Atresia
Imperforate Hymen
Vaginal Septa
Vulvar Slow-Flow Vascular Malformation

BENIGN NEOPLASMS

Vaginal Leiomyoma
Aggressive Angiomyxoma

MALIGNANT NEOPLASMS

Vaginal Carcinoma: Overview and Staging
Vaginal Leiomyosarcoma
Rhabdomyosarcoma of Female Genital Tract
Vaginal Yolk Sac Tumor
Bartholin Gland Carcinoma
Vulvar Carcinoma: Overview and Staging
Vulvar Leiomyosarcoma

LOWER GENITAL CYSTS

Gartner Duct Cysts
Bartholin Cysts
Urethral Diverticulum
Skene Gland Cyst
Epidermal Inclusion (Epidermoid) Cyst

MISCELLANEOUS

Vaginal Foreign Bodies
Vaginal Fistulas
Complications of Transmasculine Transgender Surgery

SECTION 5: ADNEXA

INTRODUCTION AND OVERVIEW

Anatomy of the Adnexa

PHYSIOLOGIC AND AGE-RELATED OVARIAN CHANGES

Follicular Cyst
Corpus Luteum
Hemorrhagic Ovarian Cyst

HORMONE-INDUCED OVARIAN CHANGES

Polycystic Ovary Syndrome
Hyperthecosis
Theca Lutein Cysts
Ovarian Hyperstimulation Syndrome

INFLAMMATION/INFECTION

Pelvic Inflammatory Disease
Salpingitis Isthmica Nodosa
Hydrosalpinx
Hematosalpinx

NEOPLASMS

Ovary, Fallopian Tube, and Primary Peritoneal Carcinoma: Overview and Staging

Epithelial

Serous Cystadenoma
Serous Carcinoma
Serous Surface Papillary Borderline Tumor Pattern
Endometrioid Carcinoma
Clear Cell Carcinoma
Seromucinous Tumors
Ovarian Carcinosarcoma
Mucinous Cystadenoma
Mucinous Carcinoma
Adenofibroma and Cystadenofibroma
Brenner Tumors
Management of Incidental Adnexal Cysts

Germ Cell

Mature Cystic Teratoma
Somatic Tumors Arising From Mature Teratoma
Struma Ovarii
Ovarian Carcinoid
Dysgerminoma
Immature Teratoma
Ovarian Yolk Sac Tumor
Ovarian Choriocarcinoma
Mixed Germ Cell Tumor
Growing Teratoma Syndrome

Sex Cord-Stromal

Granulosa Cell Tumor
Fibroma, Thecoma, and Fibrothecoma
Sertoli Cell, Leydig Cell, and Sertoli-Leydig Cell Tumors
Sclerosing Stromal Tumor

Miscellaneous

Paratubal Cyst
Tubal Leiomyoma

NONNEOPLASTIC ADNEXAL LESIONS

Endometrioma
Endometriosis
Endosalpingiosis
Peritoneal Inclusion Cysts

VASCULAR

Ovarian Vein Thrombosis
Pelvic Venous Disorders

ADNEXAL TORSION

Acute Adnexal Torsion
Isolated Fallopian Tube Torsion
Massive Ovarian Edema and Fibromatosis

SECTION 6: MULTIORGAN DISORDERS

INFLAMMATION/INFECTION

Genital Tuberculosis
Actinomycosis

MALIGNANT NEOPLASMS

Genital Lymphoma
Uterine, Cervical, and Vaginal Metastases
Ovarian Metastases
Genital Melanoma
Paraganglioma
Merkel Cell Tumor

ABNORMAL SEXUAL DEVELOPMENT

Disorders of Sexual Development
Complete Androgen Insensitivity Syndrome
Gonadal Dysgenesis

SECTION 7: PELVIC FLOOR

ANATOMY

Anatomy of the Pelvic Floor
Anatomy of the Bladder and Urethra
Anatomy of the Anal Sphincter Complex

TECHNIQUE

MR of the Pelvic Floor
Ultrasound of the Pelvic Floor

PATHOLOGY

Stress Urinary Incontinence
Paravaginal Defects and Resulting Pelvic Architectural Distortion
Pelvic Organ Prolapse and Perineal Descent
Fecal Incontinence
Obstructed Defecation