Diagnostic Imaging Techniques

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Imaging of the paediatric gynaecological tract encompasses patients with vastly different physiology ranging from the neonate under maternal hormonal influence to the post-pubertal young adolescent. Ultrasound is the mainstay of imaging of the genitourinary tract. In specific clinical circumstances, cross-sectional imaging may be necessary. Magnetic resonance imaging (MRI) with its intrinsic high soft tissue contrast and multiplanar capability is preferred but will usually necessitate some of form of sedation in the younger child. Computed tomography (CT) is preferably avoided because of ionising radiation exposure. Contrast examinations are specialised imaging procedures for specific conditions. This chapter considers the various imaging modalities available for the investigation of gynaecological disorders in children.