关键词: Infertility Magnetic resonance imaging (MRI) Mullerian duct anomalies Reproductive medicine Urogenital development Wolffian duct anomalies

Mesh : Humans Female Wolffian Ducts Mullerian Ducts / diagnostic imaging abnormalities Magnetic Resonance Imaging / methods Urogenital Abnormalities / diagnostic imaging Laparoscopy Uterus

来  源:   DOI:10.1007/s11934-022-01138-1

Abstract:
OBJECTIVE: This review summarizes the pathway of Mullerian and Wolffian duct development, anomalies that result from disruptions to this pathway, and the characteristics on advanced imaging that identify them.
RESULTS: In-office evaluation for reproductive anomalies is usually inadequate for the diagnosis of congenital reproductive anomalies. Magnetic resonance imaging (MRI) has usurped invasive diagnostic methods including laparoscopy, hysteroscopy, and vasography as the new gold standard. Because of its superior soft-tissue delineation and the availability of advanced functional sequences, MRI offers a sophisticated method of distinguishing reproductive anomalies from one another, characterizing the degree of defect severity, and evaluating for concomitant urogenital anomalies non-invasively and without radiation exposure to the patient. Congenital anomalies of the Mullerian and Wolffian duct can be incredibly nuanced, requiring prompt and accurate diagnosis for management of infertility. Definitive diagnosis should be made early with MRI.
摘要:
目的:本文综述了Mullerian和Wolffian导管发育的途径,这条通路中断导致的异常现象,以及识别它们的高级成像特征。
结果:生殖异常的办公室评估通常不足以诊断先天性生殖异常。磁共振成像(MRI)已经取代了侵入性诊断方法,包括腹腔镜检查,宫腔镜检查,血管造影作为新的黄金标准。由于其优越的软组织轮廓和先进的功能序列的可用性,MRI提供了一种区分生殖异常的复杂方法,表征缺陷严重程度,和评估伴随的泌尿生殖系统异常非侵入性和没有辐射暴露给患者。Mullerian和Wolffian导管的先天性异常可以非常细微,需要及时准确的诊断来治疗不孕症。MRI早期应明确诊断。
公众号