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Imaging in gynecology 15.02.2021
1. IMAGING IN
GYNECOLOGY
Dr. Shazia Iqbal
Assistant Professor (Obstetrics & Gynaecology)
Director of Medical Education Unit
Associate fellow AMEE (AFAMEE)
Alfarabi College of Medicine, Riyadh
siqbal@alfarabi.edu.sa
https://www.researchgate.net/profile/Shazia_Iqbal7
https://orcid.org/0000-0003-4890-5864
2. GYNECOLOGY
In gynecological practice, imaging methods are often indicated
to confirm or exclude a diagnosis suspected on the basis of
medical history‐taking and clinical examination.
Ultrasound is the first‐choice diagnostic tool in the management
of abnormal uterine bleeding, adnexal masses, infertility, pelvic
pain, early pregnancy and many other conditions.
In case of diagnostic dilemmas, other imaging methods have
proven their value for second‐step evaluation. we focus on
practical guidance in performing gynecological ultrasound and
discuss the role of different imaging modalities in common
clinical conditions.
3. GYNECOLOGY
from the Greek, gynaikos gyno- pertaining
to woman
logy, meaning study of
Thus, gynecology literally is the "study of
woman
• modern gynecology disorders of the
female reproductive organs
4. WHAT IS GYNECOLOGY
• The medical specialty concerned with the female reproductive organs
• - external genitalia
• Vulva : labia majora , labia minora , and clitoris
• -Internal genitalia
• Uterus
• Ovaries
• Fallopian tubes
• Vagina : extends to the external surface of the body
9. Ultrasound: it’s the first
choice (screening) is sound
that travels through soft tissue
and fluids, but it bounces
back, or echoes, off denser
surfaces. This is how it creates
an image.
12. A computerized tomography
(CT) scan combines a series of X-ray images
taken from different angles around your body
and uses computer processing to create cross-
sectional images (slices) of the bones, blood
vessels and soft tissues inside your
body. CTscan images provide more-detailed
information than plain X-rays do
https://www.youtube.com/watch?v=trPl31UQGbk
15. Magnetic resonance imaging (MRI) is a medical
imaging technique used in radiology to form
pictures of the anatomy and the physiological
processes of the body. MRI scanners use strong
magnetic fields, magnetic field gradients, and
radio waves to generate images of the organs in
the body.
https://www.youtube.com/watch?v=E44W54z_Yk
w
16. Tumors
more accurate than CT or US
thanks to better contrast
between individual tissues
Endometriosis
presence of methemoglobin
– specific picture
18. For conventional radiography,
an x-ray beam is generated and
passed through a patient to a
piece of film or a radiation
detector, producing an image.
Different soft tissues attenuate x-
ray photons differently,
depending on tissue density; the
denser the tissue, the whiter (more
radiopaque) the image.
21. Angiography is an imaging test
that uses X-rays to view your
body's blood vessels. The X-rays
provided by an angiography are
called angiograms. This test is
used to study narrow, blocked,
enlarged, or malformed arteries
or veins in many parts of your
body, including your brain, heart,
abdomen, and legs.