Difference between revisions of "Template:Intrauterine devices - indications and choice of modality"

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===Indications===
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For intrauterine devicess (IUDs), indications for imaging are mainly suspected perforation or expulsion, such as painful insertion and missing strings on vaginal examination.
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===Choice of modality===
 
===Choice of modality===
 
*'''Transvaginal ultrasonography''' is generally the initial investigation of choice.<ref name="BoortzMargolis2012">{{cite journal|last1=Boortz|first1=Hillary E.|last2=Margolis|first2=Daniel J. A.|last3=Ragavendra|first3=Nagesh|last4=Patel|first4=Maitraya K.|last5=Kadell|first5=Barbara M.|title=Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care|journal=RadioGraphics|volume=32|issue=2|year=2012|pages=335–352|issn=0271-5333|doi=10.1148/rg.322115068}}</ref>
 
*'''Transvaginal ultrasonography''' is generally the initial investigation of choice.<ref name="BoortzMargolis2012">{{cite journal|last1=Boortz|first1=Hillary E.|last2=Margolis|first2=Daniel J. A.|last3=Ragavendra|first3=Nagesh|last4=Patel|first4=Maitraya K.|last5=Kadell|first5=Barbara M.|title=Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care|journal=RadioGraphics|volume=32|issue=2|year=2012|pages=335–352|issn=0271-5333|doi=10.1148/rg.322115068}}</ref>

Revision as of 12:24, 2 July 2019

Indications

For intrauterine devicess (IUDs), indications for imaging are mainly suspected perforation or expulsion, such as painful insertion and missing strings on vaginal examination.

Choice of modality

  • Transvaginal ultrasonography is generally the initial investigation of choice.[1]
  • Projectional radiography ("X-ray") of intrauterine devices can detect the absence versus presence of an intrauterine device, which is useful when an IUD is not found on vaginal examination and ultrasonography.[1]
  • CT is indicated in suspected complications such as perforation of nearby organs and/or abscess formation.[1]
  • MRI is rarely indicated, but can visualize an IUD with both 1.5-T and 3.0-T magnets.[1]
  • 1.0 1.1 1.2 1.3 Boortz, Hillary E.; Margolis, Daniel J. A.; Ragavendra, Nagesh; Patel, Maitraya K.; Kadell, Barbara M. (2012). "Migration of Intrauterine Devices: Radiologic Findings and Implications for Patient Care ". RadioGraphics 32 (2): 335–352. doi:10.1148/rg.322115068. ISSN 0271-5333.