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Endovaginal Magnetic Resonance Imaging of the Female Urethra

Endovaginal Magnetic Resonance Imaging of the Female Urethra PICTORIAL ESSAY Endovaginal Magnetic Resonance Imaging of the Female Urethra Khaled M. Elsayes, MD,*† Govind Mukundan, MD,* Vamsidhar R. Narra, MD,* Hatem A. Abou El Abbass, MD,† Srinivasa R. Prasad, MD,‡ and Jeffrey J. Brown, MD* Paraurethral glands known as Skene glands surround the Summary: Magnetic resonance imaging (MRI) is playing an urethral lumen. Despite being tiny structures, various path- important role in the clinical evaluation of women presenting with ologic conditions can affect them, ranging from benign con- urethral symptoms. Voiding cystourethrography, direct urethrogra- ditions like diverticula and urethritis to malignant lesions like phy, and pelvic sonography provide limited information on urethral carcinoma and metastatic deposits. abnormalities that are in continuity with the urethra. On the other hand, urethra and periurethral tissues can be noninvasively evaluated by high-resolution endocavitary MRI. Because of its multiplanar MRI ANATOMY capability and high tissue contrast, endovaginal MRI is an extremely On axial T2-weighted images, a ‘‘target’’ appearance of reliable diagnostic test in the evaluation of urethral abnormalities. In the urethra is identified with a low-signal outer ring and an this article, the utility of endovaginal MRI in the detection and inner dot, with a high-signal middle ring sandwiched between. characterization of a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Computer Assisted Tomography Wolters Kluwer Health

Endovaginal Magnetic Resonance Imaging of the Female Urethra

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Copyright
Copyright © 2006 by Lippincott Williams & Wilkins
ISSN
0363-8715
eISSN
1532-3145
DOI
10.1097/01.rct.0000187420.61062.f9
Publisher site
See Article on Publisher Site

Abstract

PICTORIAL ESSAY Endovaginal Magnetic Resonance Imaging of the Female Urethra Khaled M. Elsayes, MD,*† Govind Mukundan, MD,* Vamsidhar R. Narra, MD,* Hatem A. Abou El Abbass, MD,† Srinivasa R. Prasad, MD,‡ and Jeffrey J. Brown, MD* Paraurethral glands known as Skene glands surround the Summary: Magnetic resonance imaging (MRI) is playing an urethral lumen. Despite being tiny structures, various path- important role in the clinical evaluation of women presenting with ologic conditions can affect them, ranging from benign con- urethral symptoms. Voiding cystourethrography, direct urethrogra- ditions like diverticula and urethritis to malignant lesions like phy, and pelvic sonography provide limited information on urethral carcinoma and metastatic deposits. abnormalities that are in continuity with the urethra. On the other hand, urethra and periurethral tissues can be noninvasively evaluated by high-resolution endocavitary MRI. Because of its multiplanar MRI ANATOMY capability and high tissue contrast, endovaginal MRI is an extremely On axial T2-weighted images, a ‘‘target’’ appearance of reliable diagnostic test in the evaluation of urethral abnormalities. In the urethra is identified with a low-signal outer ring and an this article, the utility of endovaginal MRI in the detection and inner dot, with a high-signal middle ring sandwiched between. characterization of a

Journal

Journal of Computer Assisted Tomography – Wolters Kluwer Health

Published: Jan 1, 2006

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