MRI of the uterus

Magnetic resonance imaging is a modern, highly effective method for examining internal organs, which uses the magnetic resonance technique without radiation exposure to the body. MRI of the uterus allows you to evaluate the anatomy and topographic features of the organ, to obtain a series of layered images in different projections. Diagnostics has a minimum of contraindications and is carried out as prescribed by a gynecologist, oncologist or endocrinologist.

What does an MRI of the uterus and appendages show

The doctor recommends an MRI of the uterus to clarify the preliminary diagnosis after an ultrasound examination, with re-diagnosis to assess the effectiveness of therapy. Also, the study is carried out before surgery or after surgery to study structural and functional changes in the tissues of the uterus and surrounding appendages.

Uterine MRI can reveal:

  • The structure of the uterus, fallopian tubes, ovaries.
  • The presence of developmental anomalies and congenital changes in the organ.
  • Neoplasms, determine their exact location and size.
  • Endometriosis
  • Growth of connective tissue (adhesions and scars).
  • Focuses of inflammation and their causes.
  • The presence of metastases and the degree of damage to neighboring organs.

MRI of the cervix is performed to study neoplasms and their location, differentiate benign and cancerous tumors, and determine the stage of development of pathologies. The images obtained during the study allow the doctor to assess the nature of pathological changes and choose a method of treatment - medical or surgical. With the help of MRI of the uterine appendages, a specialist can recognize even minor changes in the structure of tissues and organs, which cannot be done using other diagnostic methods.

The study is carried out with problems with conception. This allows you to determine the cause of infertility and choose a treatment method. In the presence of a postoperative scar on the uterus, MRI when planning a pregnancy makes it possible to assess the degree of growth of the connective tissue, and in case of obstruction of the tubes, to find out what influenced the violation.

What does an MRI of the uterus with contrast show

For a more detailed differential diagnosis of neoplasms in the cavity of the organ itself or appendages, MRI of the uterus with contrast is used. The technique involves the introduction of a contrast agent into the vein, which allows the assessment of tissues with a similar structure. At the same time, it is possible to differentiate not only the area of distribution of the neoplasm, but also to identify malignant tumors.

MRI for uterine cancer with contrast enhancement visualizes metastases and allows you to assess the stage of development of the disease.

Thanks to the method, the doctor sees even small neoplasms (up to 4 mm in diameter). In the pictures you can determine their type - cysts, fibroids, polyps, recognize structural disorders in tissues, impaired blood circulation in the vessels. With MRI of uterine fibroids, the doctor determines the location of the node - on the mucous or in muscle tissue, in the neck or body of the organ. The tactics of treatment also depend on the diagnosis, the type of operation - embolism, resection or removal of the entire organ.

Indications for MRI of the uterus and appendages

Magnetic resonance imaging is prescribed for:

  • Infertility of unknown origin to determine the cause.
  • Suspicion of oncology in the presence of neoplasms in the reproductive organs.
  • Evaluation of the effectiveness of treatment after removal of tumors, chemotherapy, radiation therapy of oncology.
  • Uterine bleeding and irregular menstruation.
  • Pelvic injuries, developmental anomalies.

The main indication for tomography of the reproductive organs is the differentiation of tumors and the detection of cancer at an early stage. The study is highly informative and accurate compared to other methods.

Contraindications

MRI should not be performed on pregnant women and people with a pacemaker, non-removable metal or electronic implants and prostheses in the body. Contraindications to tomography with contrast are renal dysfunction, pregnancy and lactation, allergy to a contrast agent.

To exclude complications, before the examination, the doctor prescribes tests for the patient and studies the medical history.

How the diagnostic procedure works

MRI diagnostics is carried out a few hours after the last meal, not on an empty stomach. A day before the examination, it is recommended to exclude food that leads to abundant gas formation (sweets, legumes, cabbage, bakery products, raw fruits and vegetables). Gases distort the picture and affect the accuracy of the results. The day before the tomography and immediately before the MRI of the pelvis, you can drink Espumizan or activated charcoal.

Magnetic resonance imaging is performed on a 1.5 Tesla machine. The tomograph can be open or closed type. Before the procedure, it is necessary to change into clothes without metal fasteners, remove accessories, removable dentures or a hearing aid (if any).

Then the patient lies down on the tomograph conveyor, the doctor fixes the limbs and gives out headphones. During operation, the apparatus moves into the tunnel. The procedure is painless, there may be a feeling of light tingling and warmth in the abdomen.

Inside the tomograph, speakers and a microphone are built-in for two-way communication with the doctor. The patient can hear the operator's commands or report pain if they appear. For an emergency, a panic button is provided to stop the device.

The examination lasts approximately 30 minutes, during which it is important to remain still.

How is an MRI of the uterus done with contrast?

The procedure consists of two steps. First, a standard diagnosis is carried out with a series of tomography images. Next, the patient is injected intravenously with a substance based on gadolinium. With repeated shooting, tissues of different structures are visualized in contrast. The duration of the diagnostics with contrast enhancement is 40-60 minutes.

Is it possible to do an MRI during menstruation?

The study is carried out after the end of menstruation, not earlier than on the 5th-7th day of menstruation. For some pathologies, the doctor sets the date of the examination for the second half of the cycle.

MRI of the uterus in Moscow in clinics "K+31" can be done by appointment by phone +7 (499) 999-31-31. The administrator will select a suitable time for your appointment and advise on preparation for the study.

In our clinic, diagnostics is carried out by experienced radiologists using modern equipment. The results will be ready 2 hours after the diagnosis. You can order an additional service from us for a detailed interpretation of the data obtained during the study.

Service record



Specialists

All specialists
Sinitsyn
Valentine Evgenyevich

Chief Consultant in Radiation Diagnostics, Radiologist

Doctor of Sciences, PhD, professor

Maso
Michael Lvovich

Mammologist, radiologist, ultrasound diagnostician

PhD

Puzakov
Kirill Borisovich

Leading Consultant in Radiology, Radiologist

Chichkanova
Tatyana Vladimirovna

Oncologist-mammologist, radiologist

Kondratyev
Eugene Valerevich

Leading CT Specialist, MRI

PhD, leading research fellow

Sychenkova
Irina Yuryevna

Leading MRI Specialist

Leading expert MNIOI them. P.A. Herzen

Schulz
Eugene Igorevich

Leading neuroradiologist in MRI and CT diagnostics

PhD

Vasilieva
Yulia Nikolaevna

Radiologist, leading specialist in radiation diagnostics

PhD

Yagizarov
Imran Rasulovich

Head of the department of radiation diagnostics, radiologist