Magnetic resonance imaging in the differential diagnosis of female genital malformations

Syrkashev E.M., Arakelyan A.S., Bychenko V.G., Luzhina I.A., Adamyan L.V.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia
The development of the female reproductive system consists of several stages of transformation of the paramesonephric (Müllerian) 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.

Keywords

female genital malformations
MRI

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Received 21.06.2021

Accepted 22.06.2021

About the Authors

Egor M. Syrkashev, M.D., Researcher of the Radiology Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. E-mail: e_syrkashev@oparina4.ru. ORCID: 0000-0003-4043-907X. 119997, Russia, Moscow, Ac. Oparina str., 4.
Alek S. Arakelyan, PhD, Senior Researcher of the Gynecological Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. Tel.: +7(916)376-78-98. E-mail: arakelyanac@mail.ru. ORCID: 0000-0002-3217-1141.
119997, Russia, Moscow, Ac. Oparina str., 4.
Vladimir G. Bychenko, PhD, Head of the Department of Radiation Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. Tel.: +7(495)438-23-11. E-mail: v_bychenko@oparina4.ru. ORCID: 0000-0002-1459-4124.
119997, Russia, Moscow, Ac. Oparina str., 4.
Irina A. Luzhina, Radiologist of the Department of Radiation Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. ORCID: 0000-0002-7985-5735. 119997, Russia, Moscow, Ac. Oparina str., 4.
Leila V. Adamyan, 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, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation; Head of the Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Education,
A.I. Yevdokimov Moscow State University of Medicine and Dentistry. Tel.: +7(495)438-40-68. E-mail: adamyanleila@gmail.com. ORCID: 0000-0002-3253-4512.
119997, Russia, Moscow, Ac. Oparina str., 4.

For citation: Syrkashev E.M., Arakelyan A.S., Bychenko V.G., Luzhina I.A., Adamyan L.V. Magnetic resonance imaging in the differential diagnosis of female genital malformations.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 7: 61-73 (in Russian)
https://dx.doi.org/10.18565/aig.2021.7.61-73

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