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Arakelyan A.S.

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Healthcare of Russia

Bychenko V.G.

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Adamyan L.V.

Moscow State Medical and Dental University named after A.I. Evdokimov

Luzhina I.A.

V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology

Stepanian A.A.

Academia of Women’s Health and Endoscopic Surgery

Clinical and diagnostic aspects of the management of patients with malformations of the uterus and vagina: the place and role of magnetic resonance imaging in combination with laparoscopy

Authors:

Arakelyan A.S., Bychenko V.G., Adamyan L.V., Luzhina I.A., Stepanian A.A.

More about the authors

Journal: Russian Journal of Human Reproduction. 2021;27(4): 69‑83

DOI: 10.17116/repro20212704169

Read: 3482 times

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Table of contents

CLINICAL AND DIAGNOSTIC ASPECTS OF THE MANAGEMENT OF PATIENTS WITH MALFORMATIONS OF THE UTERUS AND VAGINA: THE PLACE AND ROLE OF MAGNETIC RESONANCE IMAGING IN COMBINATION WITH LAPAROSCOPY
CLINICAL AND DIAGNOSTIC ASPECTS OF THE MANAGEMENT OF PATIENTS WITH MALFORMATIONS OF THE UTERUS AND VAGINA: THE PLACE AND ROLE OF MAGNETIC RESONANCE IMAGING IN COMBINATION WITH LAPAROSCOPY

To cite this article:

Arakelyan AS, Bychenko VG, Adamyan LV, Luzhina IA, Stepanian AA. Clinical and diagnostic aspects of the management of patients with malformations of the uterus and vagina: the place and role of magnetic resonance imaging in combination with laparoscopy. Russian Journal of Human Reproduction. 2021;27(4):69‑83. (In Russ.)
https://doi.org/10.17116/repro20212704169

Подписка 2026 Проблемы репродукции (Russian Journal of Human Reproduction)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To increase the efficiency of diagnosis and management of patients with malformations of the uterus and vagina.

MATERIAL AND METHODS

1352 women for whom magnetic resonance imaging (MRI) was used to diagnose malformations of the uterus and vagina were included in this study. All patients underwent complete history taking, gynecological examination, MRI and ultrasound examination of the pelvic organs.

RESULTS

Clinical features and MRI images are presented for 156 patients with uterine and vaginal aplasia, 25 patients with vaginal aplasia with functioning uterus, 79 with unicornuate uterus, 89 — with uterine and vaginal duplication, 48 — with uterine and vaginal duplication and aplasia of the second vagina, 40 patients with two-legged uterus, 892 — with a uterine septum, and 23 — with a T-shaped uterus.

CONCLUSION

Study results clearly demonstrated the role of MRI in assessment and interpretation of anatomical detailes of uterine and vaginal malformations. MRI method is highly accurate in both diagnosis and differential diagnosis of uterine and vaginal malformations due to the possibility of three-dimensional visualization of the images and use of contrast.

Keywords:

magnetic resonance imaging
malformations of the uterus and vagina
Müllerian anomalies

Authors:

Arakelyan A.S.

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Healthcare of Russia

Bychenko V.G.

Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology

Adamyan L.V.

Moscow State Medical and Dental University named after A.I. Evdokimov

Luzhina I.A.

V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology

Stepanian A.A.

Academia of Women’s Health and Endoscopic Surgery

Received:

26.05.2021

Accepted:

17.06.2021

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References:

  1. Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Human Reproduction Update. 2008;14(5):415-429.  https://doi.org/10.1093/humupd/dmn018
  2. Adamyan LV, Kurilo LF, Glybina TM, Okulov AB, Makiyan ZN. Anomalies in the development of the female reproductive system: a new look at morphogenesis. Problemy Reproduktsii. 2009;15(4): 10-19. (In Russ.).
  3. Silberzweig JE. MR hysterosalpingography compared with conventional hysterosalpingography. American Journal of Roentgenology. 2009;192(6):W350. https://doi.org/10.2214/AJR.08.2171
  4. Winkel CA. Diagnosis and treatment of uterine pathology. In: Carr BC, Blackwell RE. Textbook of Reproductive Medicine. Appleton & Lange, East Norwalk; 1993;481-504. 
  5. Carrington BM, Hricak H, Nuruddin RN, Secaf E, Laros RK Jr, Hill EC. Müllerian duct anomalies: MR imaging evaluation. Radiology. 1990;176(3):715-720.  https://doi.org/10.1148/radiology.176.3.2202012
  6. Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCherney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography, and hysterosalpingography. Radiology. 1992;183(3):795-800.  https://doi.org/10.1148/radiology.183.3.1584936
  7. Akhatov AF, Ryzhkin SA, Mihailov MK. Experience in using magnetic resonance imaging of the uterus and its appendages as an alternative to X-ray hysterosalpingography. Zhurnal radiologii i yadernoj meditsiny. 2016;97(5):268-273. (In Russ.). https://doi.org/10.20862/0042-4676-2016-97-5-268-273
  8. Bodyazhina VI, Zhmakin KN. Uchebnik ginekologii. M.: Medgiz; 1958. (In Russ.).
  9. Mueller GC, Hussain HK, Smith YR, Quint EH, Carlos RC, Johnson TD, DeLancey JO. Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR. American Journal of Roentgenology. 2007;189(6):1294-302.  https://doi.org/10.2214/AJR.07.2494
  10. Li S, Qayyum A, Coakley FV, Hricak H. Association of renal agenesis and mullerian duct anomalies. Journal of Computer Assisted Tomography. 2000;24(6):829-834.  https://doi.org/10.1097/00004728-200011000-00001
  11. Troiano RN, McCarthy SM. Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004;233(1):19-34.  https://doi.org/10.1148/radiol.2331020777
  12. Behr SC, Courtier JL, Qayyum A. Imaging of müllerian duct anomalies. Radiographics. 2012;32(6):233-250.  https://doi.org/10.1148/rg.326125515
  13. Saleem SN. MR imaging diagnosis of uterovaginal anomalies: current state of the art. Radiographics. 2003;23(5):e13.  https://doi.org/10.1148/rg.e13
  14. McRobbie D, Moore E, Graves M, Prince M. MRI from Picture to Proton. 2nd edn. Cambridge: Cambridge University Press; 2006. https://doi.org/10.1017/CBO9780511545405
  15. Letyagin AYu, Tulupov AA, Savelov AA, Korostyshevskaya AM. Magnetic resonance imaging: the possibilities of modern imaging technology in clinical diagnostics. Vestnik NGU. Seriya: Biologiya, klinicheskaya meditsina. 2004;2(3):63-86. (In Russ.).
  16. Adamyan LV, Makiyan ZN, Bychenko VG, Miroshnikova NA. Metod funktsional’noj magnitno-rezonansnoj tomografii dlya opredeleniya perfuzionnogo krovotoka pri vrozhdennykh anomaliyakh matki s ispol’zovaniem paramagnitnogo kontrastnogo agenta. Patent RF №RU 2 611 762 C1/28.02.2017. Zayavl. №2015152932. Byull. №7. Opubl. 28.02.2017. (In Russ.).
  17. Hameeduddin A, Sahdev A. Diffusion-weighted imaging and dynamic contrast-enhanced MRI in assessing response and recurrent disease in gynaecological malignancies. Cancer Imaging. 2015; 15(1):3.  https://doi.org/10.1186/s40644-015-0037-1
  18. Jegannathan D, Indiran V. Magnetic resonance imaging of classified and unclassified Müllerian duct anomalies: Comparison of the American Society for Reproductive Medicine and the European Society of Human Reproduction and Embryology classifications. SA Journal of Radiology. 2018;22(1):1259. https://doi.org/10.4102/sajr.v22i1.1259
  19. Adamyan LV, Kulakov VI, Khashukoeva AZ. Poroki razvitiya matki i vlagalishcha. M.: Meditsina; 1998. (In Russ.).
  20. Demidov VN. Ul’trazvukovaya diagnostika porokov razvitiya matki i vlagalishcha (Klinicheskaya lektsiya). Vypusk VII. M.: Triada-X; 2006. (In Russ.).
  21. Grimbizis GF, Gordts S, Di Spiezio Sardo A, Brucker S, De Angelis C, Gergolet M, Li TC, Tanos V, Brölmann H, Gianaroli L, Campo R. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Human Reproduction. 2013;28(8): 2032-2044. https://doi.org/10.1093/humrep/det098
  22. Acién P. Incidence of Müllerian defects in fertile and infertile women. Human Reproduction. 1997;12(7):1372-1376. https://doi.org/10.1093/oxfordjournals.humrep.a019588
  23. Ludwin A, Ludwin I, Bhagavath B, Lindheim SR. Pre-, intra-, and postoperative management of Robert’s uterus. Fertility and Sterility. 2018;110(4):778-779.  https://doi.org/10.1016/j.fertnstert.2018.05.033
  24. Acién P, Bataller A, Fernández F, Acién MI, Rodríguez JM, Mayol MJ. New cases of accessory and cavitated uterine masses (ACUM): a significant cause of severe dysmenorrhea and recurrent pelvic pain in young women. Human Reproduction. 2012;27(3): 683-694.  https://doi.org/10.1093/humrep/der471
  25. Zurawin RK, Dietrich JE, Heard MJ, Edwards CL. Didelphic uterus and obstructed hemivagina with renal agenesis: case report and review of the literature. Journal of Pediatric and Adolescent Gynecology. 2004;17(2):137-141.  https://doi.org/10.1016/j.jpag.2004.01.016
  26. Grigore M, Cojocaru C, Mareş A, Indrei A, MD, Duct M. Anomalies: Clinical Issues and of 3D Ultrasound Diagnosis. Gineco.ro. 2009;5(2):100-105. 
  27. Adamyan LV. Luchevaya diagnostika i terapiya v akusherstve i ginekologii: natsional’noe rukovodstvo. Gl. red. toma Adamyan LV, Demidov VN, Gus AI. M.: GEOTAR-Media; 2012. (In Russ.).
  28. Trufanov GE, Panov VO. Rukovodstvo po luchevoj diagnostike v ginekologii. SPb: Elbi-SPb; 2008. (In Russ.).
  29. Kulakov VI, Adamyan LV, Murvatov KD. Magnitno-rezonansnaya tomografiya v ginekologii: Atlas. M.: Antidor; 1999. (In Russ.).
  30. Adamyan LV, Kulakov VI, Murvatov KD, Makarenko VN. Spiral’naya komp’yuternaya tomografiya v ginekologii: Atlas. M.: Meditsina; 2001. (In Russ.).
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