MRI of the pelvis

Magnetic resonance (MR) is a non-invasive procedure that enables evaluation, assessment of the dissemination and tracking of male and female pelvic organ disorders. Pelvic MR is the method of choice for many pelvic pathologies. This technique offers great soft tissue contrast resolution and enables the analysis of the pelvic organ anatomy and pathology. An additional positive side is that there is no exposure to ionizing radiation.

Indications:

• Detection and assessment of the dissemination of malignant gynecological conditions: cervix, vagina, vulva
• Detection and evaluation of pelvic masses, benign and cystic formations, endometriosis
• Detection and assessment of dissemination of malignant rectal conditions
• Detection and evaluation of benign rectal conditions
• Tracking patients with gynecological and rectal malignancies, tracking patients after surgeries, radiotherapy and chemotherapy

To analyze the pathological changes of the uterine cervix, we use a vaginal gel when performing an MRI scan. Vaginal distension is performed by inserting a catheter into the vagina and slowly applying the gel.

To analyze the pathological changes of the terminal end of the large intestine (rectum), we use a rectal gel when performing an MR scan. Rectal distension is performed by inserting a catheter into the rectum and slowly applying the gel.

Rectal and vaginal gel distension represents a simple procedure which can improve detection and visualization of pelvic tumor and non-processes in certain indications and can also enable a more accurate dissemination assessment of the disease.