Standard Method For Women Pelvic Mri


Assistant Professor of Radiology, TUMS, YAS Hospital



Magnetic resonance imaging of the pelvis is a noninvasive technique for the evaluation, assessment of severity, and follow-up of diseases of the female pelvic organs. MRI provides excellent contrast of soft tissues and provides multiplanar and 3D depiction of pathology and anatomy without exposure to ionizing radiation.
Indication Includes:
1-Evaluation of suspicious known mass/tumors for further evaluation of indeterminate or questionable findings; 2-Evaluation of known cancer for further evaluation of indeterminate or questionable findings or staging; 3-For evaluation of suspected infection or inflammatory disease; 4- Pre-operative evaluation; 5-For post-operative/procedural evaluation; 6- Endometriosis; 7- Pelvic floor imaging…
Standard MRI of the female pelvis includes coronal single-shot fast spin-echo (FSE), axial T2-weighted (T2W) FSE, axial in-phase and opposed-phase T1- weighted (T1W) gradient-recalled echo (GRE), and sagittal T2W FSE fat-suppressed sequences utilizing a dedicated pelvic phased-array coil. Fat-suppressed axial 3-dimensional T1W GRE dynamic imaging following intravenous administration of 20 mL of gadolinium contrast is obtained routinely. Delayed fat-suppressed 2-dimensional (2D) GRE imaging is subsequently obtained in another plane. If artifact from the bowel is perceived as problematic on  initial sequences, glucagon may be administered by intramuscular (0.8 mg) or intravenous injection (0.2 mg). For pelvic floor imaging, dynamic 2D GRE imaging may be performed with and without the Valsalva maneuver, to detect pelvic prolapse.