Difference between revisions of "X-ray of intrauterine devices"

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==Planning==
 
==Planning==
 
{{Intrauterine devices - indications and choice of modality}}
 
{{Intrauterine devices - indications and choice of modality}}
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===Settings===
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Anteroposterior view of whole abdomen,<ref>{{cite journal|title=Expulsion of a Spontaneously Broken Arm of a T- Shaped IUD: a Case Report|journal=ARC Journal of Public Health and Community Medicine|volume=3|issue=2|year=2018|issn=24560596|doi=10.20431/2456-0596.0302005}}</ref> preferably standing.<ref name=medscape>{{cite web|ulr=https://emedicine.medscape.com/article/1997999-technique|author=Sarah Hagood Milton|title=Intrauterine Device Extraction Technique|website=[[Medscape]]}} Updated Nov 29, 2018</ref> A lateral view may be taken as well<ref name=medscape/><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> in non-pregnant and relatively older patients.
 
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Revision as of 12:31, 2 July 2019

Author: Mikael Häggström [notes 1]

Planning

Indications

For intrauterine devices (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]

Settings

Anteroposterior view of whole abdomen,[2] preferably standing.[3] A lateral view may be taken as well[3][1] in non-pregnant and relatively older patients.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. 1.0 1.1 1.2 1.3 1.4 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. 
  2. "Expulsion of a Spontaneously Broken Arm of a T- Shaped IUD: a Case Report ". ARC Journal of Public Health and Community Medicine 3 (2). 2018. doi:10.20431/2456-0596.0302005. ISSN 24560596. 
  3. 3.0 3.1 Error on call to Template:cite web: Parameters url and title must be specifiedSarah Hagood Milton. . Medscape. Updated Nov 29, 2018