Difference between revisions of "Template:Intrauterine devices - indications and choice of modality"
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↑ 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:. ISSN 0271-5333.
m (→Choice of modality: Expanded) |
(→Choice of modality: +Low dose CT) |
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*'''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> | ||
*'''[[X-ray of intrauterine devices|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.<ref name="BoortzMargolis2012"/> | *'''[[X-ray of intrauterine devices|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.<ref name="BoortzMargolis2012"/> | ||
| − | *'''CT''' is indicated in suspected complications such as perforation of nearby organs and/or abscess formation.<ref name="BoortzMargolis2012"/> | + | *'''Low dose CT''' is indicated when specific anatomic location of the IUD is needed. |
| + | *'''Normal dose CT''' is indicated in suspected complications such as perforation of nearby organs and/or abscess formation.<ref name="BoortzMargolis2012"/> | ||
*'''MRI''' is rarely indicated, but can visualize an IUD with both 1.5-T and 3.0-T magnets.<ref name="BoortzMargolis2012"/> | *'''MRI''' is rarely indicated, but can visualize an IUD with both 1.5-T and 3.0-T magnets.<ref name="BoortzMargolis2012"/> | ||
Revision as of 12:32, 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]
- Low dose CT is indicated when specific anatomic location of the IUD is needed.
- Normal dose 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]
