Magnetic resonance imaging in the differential diagnosis of female genital malformations


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Abstract

The development of the female reproductive system consists of several stages of transformation of the paramesonephric (Mullerian) ducts. Embryonic developmental defects at any stage can lead to various anomalies that correspond to this period of embryogenesis. Early diagnosis of congenital anomalies of the female reproductive system in the prepubertal period can prevent clinical symptoms and possible serious complications. Ultrasound is a main method for diagnosing female reproductive malformations; however, even after their preliminary diagnosis has been established, further examination is frequently required to accurately determine the type of congenital anomaly for planning a possible surgical intervention. Magnetic resonance imaging (MRI) is the method of choice in the diagnosis of this type of pathology, making it possible not only to visualize the type of the defect accurately, but also the presence of concomitant pathology, including that during the obvious adhesive process and in pediatric patients. Conclusion. The findings should be analyzed in conjunction with clinical data and other diagnostic methods, allowing the full determination of management tactics for this patient group.

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About the authors

Egor M. Syrkashev

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_syrkashev@oparina4.ru
M.D., Researcher of the Radiology Department

Alek S. Arakelyan

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: arakelyanac@mail.ru
PhD, Senior Researcher of the Gynecological Department

Vladimir G. Bychenko

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_bychenko@oparina4.ru
PhD, Head of the Department of Radiation Diagnostics

Irina A. Luzhina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Radiologist of the Department of Radiation Diagnostics

Leila V. Adamyan

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: adamyanleila@gmail.com
Academician of RAS, MD, PhD, Professor RAS, Honored Master of Science of the Russian Federation, Head Specialist in Gynecology of Ministry of Healthcare of Russia, Head of the Department of Surgical Gynecology

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