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Congress: ECR25
Poster Number: C-22536
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-22536
Authorblock: I. Isufi, S. Persiani, E. Sala, G. Avesani, B. Gui; Rome/IT
Disclosures:
Ina Isufi: Nothing to disclose
Salvatore Persiani: Nothing to disclose
Evis Sala: Nothing to disclose
Giacomo Avesani: Nothing to disclose
Benedetta Gui: Nothing to disclose
Keywords: Genital / Reproductive system female, Pelvis, MR, Education, Education and training
Learning objectives The primary goal of this review is to provide a comprehensive understanding of imaging modalities in diagnosing female infertility, with a special focus on Magnetic Resonance Imaging (MRI). By outlining imaging protocols and interpreting diagnostic findings, this article aims to enhance the accuracy of clinical assessments and improve patient outcomes.
Read more Background Infertility affects approximately 13-15% of couples globally and is diagnosed when a couple fails to conceive after one year of regular, unprotected intercourse. This condition represents both clinical and social challenges, with several pelvic disorders contributing to female infertility. Among these are premature ovarian insufficiency, polycystic ovarian syndrome (PCOS), pelvic inflammatory disease (PID), endometriosis, fibroids, endometrial polyps, Müllerian duct anomalies (MDA), and adenomiosis.Imaging techniques are critical for diagnosing infertility-related pathologies. Hysterosalpingography (HSG) is typically used to evaluate fallopian tube patency,...
Read more Findings and procedure details Müllerian Duct Anomalies (MDA)MDAs are congenital abnormalities that arise from the improper development, fusion, or resorption of the embryological structures responsible for forming the female reproductive tract. These anomalies can affect the uterus, cervix, and upper vagina, and their impact on fertility and pregnancy outcomes varies depending on the specific type (1, 2, 4, 6).MRI has emerged as the gold standard in detecting and classifying MDAs due to its ability to provide detailed images of uterine anatomy, particularly the external...
Read more Conclusion The assessment and management of female infertility require a thorough understanding of various gynecological conditions. MRI plays a pivotal role in diagnosing these conditions by offering detailed insights into pelvic pathologies that may hinder fertility. Its superior imaging capabilities allow for accurate differentiation between uterine anomalies, fibroids, adenomiosis, endometriosis, PID, and PCOS.By understanding the specific MRI characteristics of these conditions, clinicians can make more informed decisions about treatment strategies. This, in turn, improves the likelihood of successful fertility interventions. Familiarity...
Read more References Sugi MD, et al. Müllerian Duct Anomalies: Role in Fertility and Pregnancy. RadioGraphics 2021; 41:1857–1875. Bhagavath B, Ellie G, Griffiths KM, et al. Uterine Malformations: An Update of Diagnosis, Management, and Outcomes. Obstet Gynecol Surv 2017;72(6):377–392.  Expert Panel on Women’s Imaging; Wall DJ, Reinhold C, et al. ACR Appropriateness Criteria® Female Infertility. J Am Coll Radiol2020;17(5S):S113–S124. O’Flynn O’Brien KL, Bhatia V, Homafar M, et al. The Prevalence of Müllerian Anomalies in Women with a Diagnosed Renal Anomaly. J Pediatr Adolesc Gynecol 2021;34(2):154–160. Reuter KL,...
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