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Imaging of Endometrial Pathology

LANE, BARTON F. MD; WONG-YOU-CHEONG, JADE J. MD

Clinical Obstetrics and Gynecology: March 2009 - Volume 52 - Issue 1 - p 57-72
doi: 10.1097/GRF.0b013e318196153c
Imaging in Gynecology

The normal endometrium changes regularly with the menstrual cycle and atrophies after menopause. It is important to be aware of the normal spectrum of endometrial appearances at imaging to accurately detect and diagnose pathologic conditions. This article reviews imaging features of the normal and abnormal endometrium, and conditions which may mimic endometrial pathology. Emphasis will be on ultrasound with sonohysterography and magnetic resonance imaging as these are the imaging modalities of choice for evaluation of the endometrium. The complementary role of hysterosalpingography, computed tomography, and 18-fluorodeoxyglucose-positron emission tomography will also be discussed.

Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, Maryland

Correspondence: Barton F. Lane, MD, Department of Diagnostic Radiology, University of Maryland School of Medicine, Baltimore, MD. E-mail: blane@umm.edu

© 2009 Lippincott Williams & Wilkins, Inc.