Endometrial Abnormalities And Role Of Imaging, Which Modality And When?


Professor of Radiology, Tehran University of Medical Sciences Imam Khomeini Complex, ADIR



Women symptoms arising from the endometrial abnormalities are common and depend on age, menstrual cycle, and history of medications such as hormone replacement and tamoxifen.
Although imaging doesn’t replace tissue diagnosis but it could predict benign and malignant conditions based on endometrial thickness, shape and several other characteristics.
The first modality of choice is transvaginal ultrasound (TVUS) and transabdominal ultrasound (TAUS) is sometimes useful. Endometrial biopsy may be used before TVUS in some cases and nowadays it is done more than D&C as first line sampling method. Magnetic resonance imaging (MRI) plays acomplementary role. Additional imaging methods include Saline Infusion hysterosonography (SIS) and new promising method, Gel Infusion hysterosonography (GIS).