Chapter 18

Three-dimensional Pelvic Sonography of Uterine Masses

Chelsea Reed Samson, Rochelle Filker Andreotti, Rifat Ali Wahab, Glynis Ann Sacks and Arthur Carroll Fleischer


Though computed tomography (CT) and magnetic resonance imaging (MRI) have been reaping the benefits of three-dimensional reconstruction for many years, threedimensional sonography is a relatively recent advancement and valuable tool for gynecologic imaging. The most useful clinical three-dimensional applications in the pelvis have evolved from the ability to reconstruct and obtain the coronal plane of the uterus. Ambiguity that arises in the evaluation of masses and adhesions associated with the endometrial cavity and adjacent myometrium may be resolved using this technique. The coronal plane is most beneficial for examination of fibroids, polyps, and adhesions. Retrospective volume manipulation with or without sonohysterography creates reconstructions that aid in precise localization, measurement, and characterization of such abnormalities. The approach for therapeutic intervention can be reliably guided by threedimensional sonography, thus promoting greater patient comfort, safety, and preservation of fertility.

Total Pages: 269-281 (13)

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