Pelvic Inflammatory Disease
TA Tukeva et al (Helsinki Univ Central Hosp),
MR Imaging in Pelvic Inflammatory Disease: Comparison with Laparoscopy and US.
Radiology 210: 209-216, 1999.
Thirty consecutive patients hospitalized because of clinical suspicion of PID underwent transvaginal US and T1-weighted spin-echo MRI. In all patients had laparoscopy following MRI.
It was found that imaging findings in patients with PID included fluid-filled tube, pyosalpinx, tubo-ovarian abscess, or polycystic-like ovaries and free pelvic fluid. Transvaginal ultrasound findings were concordant with laparoscopic results in 81% of the 21 patients when MRI diagnosis of concordant with that of laparoscopic 95% of patients with PID.
Conclusion : MRI is more accurate than transvaginal ultrasound in diagnosing PID. MRI provides information on the differential diagnosis of PID. MRI decreases the need for diagnostic laparoscopy.