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Errors in Imaging of the Acute Female Pelvis: Where Do They Occur and How Can We Reduce Them?

  • Ania Z. Kielar
  • Shauna Duigenan
  • Darcy J. Wolfman
Chapter

Abstract

This chapter outlines issues which can lead to errors in pelvic imaging, specifically in women. This includes common pelvic diagnoses which can have variable imaging appearances, as well as less common, but clinically significant pathologic conditions. The best imaging modality for each condition, depending on the clinical history provided, will be reviewed.

Keywords

Errors Women’s imaging Endometriosis Standardization Guidelines 

References

  1. 1.
    Pope A. Phrases, saying, proverbs and idioms at The Phrase Finder. 2018. https://www.phrases.org.uk/meanings/to-err-is-human.html. Accessed 5 Jun 2018.
  2. 2.
    Brook OR, O’Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401–10.CrossRefGoogle Scholar
  3. 3.
    Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: Institute of Medicine Committee on Quality of Health Care in America. National Academies Press; 2000.Google Scholar
  4. 4.
    Glanc P, O'Hayon BE, Singh DK, Bokhari SA, Maxwell CV. Challenges of pelvic imaging in obese women. Radiographics. 2012;32(6):1839–62.CrossRefGoogle Scholar
  5. 5.
    Bruno MA, Walker EA, Abujudeh HH. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Radiographics. 2015;35(6):1668–76.CrossRefGoogle Scholar
  6. 6.
    Bhosale PR, Javitt MC, Atri M, Harris RD, Kang SK, Meyer BJ, et al. ACR appropriateness criteria(R) acute pelvic pain in the reproductive age group. Ultrasound Q. 2016;32(2):108–15.Google Scholar
  7. 7.
    Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008;28(5):1355–68.CrossRefGoogle Scholar
  8. 8.
    Dormagen JB, Gaarder M, Drolsum A. Standardized cine-loop documentation in abdominal ultrasound facilitates offline image interpretation. Acta Radiol. 2015;56(1):3–9.CrossRefGoogle Scholar
  9. 9.
    Johnson W, Taylor MB, Carrington BM, et al. The value of hyoscine butylbromide in pelvic. MRI Clin Radiol. 2007;62(11):1087–93.CrossRefGoogle Scholar
  10. 10.
    Marcal LP, Fox PS, Evans DB, et al. Analysis of free-form radiology dictations for completeness and clarity for pancreatic cancer staging. Abdom Imaging. 2015;40(7):2391–7.CrossRefGoogle Scholar
  11. 11.
    Nielsen JW, Boomer L, Kurtovic K, et al. Reducing computed tomography scans for appendicitis by introduction of a standardized and validated ultrasonography report template. J Pediatr Surg. 2015;50(1):144–8.CrossRefGoogle Scholar
  12. 12.
    Larson DB, Towbin AJ, Pryor RM, et al. Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology. 2013;267(1):240–50.CrossRefGoogle Scholar
  13. 13.
    Levine D, Brown DL, Andreotti RF, et al. Management of asymptomatic ovarian and other adnexal cysts imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement. Radiology. 2010;256(3):943–54.CrossRefGoogle Scholar
  14. 14.
    Sparic R, Mirkovic L, Malvasi A, et al. Epidemiology of uterine myomas: a review. Int J Fertil Steril. 2016;9(4):424–35.PubMedGoogle Scholar
  15. 15.
    Kim H-G, Song YJ, Na YJ, et al. A case of torsion of a subserosal leiomyoma. J Menopausal Med. 2013;19(3):147–50.CrossRefGoogle Scholar
  16. 16.
    Tanos V, Berry KE. Benign and malignant pathology of the uterus. Best Pract Res Clin Obstet Gynaecol. 2018;46:12–30.CrossRefGoogle Scholar
  17. 17.
    Chan YY, Jayaprakasan K, Zamora J, et al. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761–71.CrossRefGoogle Scholar
  18. 18.
    Sawada M, Kakigano A, Matsuzaki S, et al. Obstetric outcome in patients with a unicornuate uterus after laparoscopic resection of a rudimentary horn. J Obstetr Gyaenecol Res. 2018;44(6):1080–6.CrossRefGoogle Scholar
  19. 19.
    Fukunaga T, Fujii S, Inoue C, et al. The spectrum of imaging appearances of mullerian duct anomalies: focus on MR imaging. Jpn J Radiol. 2017;35(12):697–706.CrossRefGoogle Scholar
  20. 20.
    Caserta D, Mallozzi M, Meldolesi C, et al. Pregnancy in a unicornuate uterus: a case report. J Med Case Rep. 2014;8:130.CrossRefGoogle Scholar
  21. 21.
    Ghi T, De Musso F, Maroni E, et al. The pregnancy outcome in women with incidental diagnosis of septate uterus at first trimester scan. Hum Reprod. 2012;27(9):2671–5.CrossRefGoogle Scholar
  22. 22.
    Baker ME, Rendon NC, Rosen MO et al (2013) .ACR. https://acsearch.acr.org/docs/69468/Narrative. Accessed June 5 2018.
  23. 23.
    Williams PL, Laifer-Narin SL, Ragavendra N. US of abnormal uterine bleeding. Radiographics. 2003;23(3):703–18.CrossRefGoogle Scholar
  24. 24.
    Dubinsky TJ. Value of sonography in the diagnosis of abnormal vaginal bleeding. J Clin Ultrasound. 2004;32(7):348–53.CrossRefGoogle Scholar
  25. 25.
    Wolfman W, Leyland N, Heywood M, et al. Asymptomatic endometrial thickening. J Obstet Gynaecol Can. 2010;32(10):990–9.CrossRefGoogle Scholar
  26. 26.
    Kuligowska E, Deeds L, Lu K. Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics. 2005;25(1):3–20.CrossRefGoogle Scholar
  27. 27.
    Guerriero S, Ajossa S, Minguez JA, et al. Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in uterosacral ligaments, rectovaginal septum, vagina and bladder: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2015;46(5):534–45.CrossRefGoogle Scholar
  28. 28.
    Romosan G, Bjartling C, Skoog L, et al. Ultrasound for diagnosing acute salpingitis: a prospective observational diagnostic examination. Hum Reprod. 2013;28(6):1569–79.CrossRefGoogle Scholar
  29. 29.
    Pavlik EJ, DePriest PD, Gallion HH, et al. Ovarian volume related to age. Gynecol Oncol. 2000;77(3):410–2.CrossRefGoogle Scholar
  30. 30.
    Dhanda S, Quek ST, Ting MY, et al. CT features in surgically proven cases of ovarian torsion-a pictorial review. Br J Radiol. 2017;  https://doi.org/10.1259/bjr.20170052.
  31. 31.
    Rha SE, Byun JY, al JSE. CT and MR imaging features of adnexal torsion. Radiographics. 2002;22(2):283–94.CrossRefGoogle Scholar
  32. 32.
    Indran IR, Huang Z, Khin LW, et al. Simplified 4-item criteria for polycystic ovary syndrome: a bridge too far? Clin Endocrinol. 2018;  https://doi.org/10.1111/cen.13755.
  33. 33.
    Nastri CO, Teixeira DM, Moroni RM. Ovarian hyperstimulation syndrome: pathophysiology, staging, prediction and prevention. Ultrasound Obstet Gynecol. 2015;45(4):377–93.CrossRefGoogle Scholar
  34. 34.
    Corwin MT, Gerscovich EO, Lamba R, et al. Differentiation of ovarian endometriomas from hemorrhagic cysts at MR imaging: utility of the T2 dark spot sign. Radiology. 2014;271(1):126–32.CrossRefGoogle Scholar
  35. 35.
    Glastonbury CM. The shading sign. Radiology. 2002;224(1):199–201.CrossRefGoogle Scholar
  36. 36.
    Spain J, Rheinboldt M. MDCT of pelvic inflammatory disease: a review of the pathophysiology, gamut of imaging findings, and treatment. Emerg Radiol. 2017;24(1):87–93.CrossRefGoogle Scholar
  37. 37.
    Revzin MV, Mathur M, Dave HB. Pelvic inflammatory disease: multimodality imaging approach with clinical-pathologic correlation. Radiographics. 2016;36(5):1579–96.CrossRefGoogle Scholar
  38. 38.
    Iraha Y, Okada M, Iraha R, et al. CT and MR imaging of gynecologic emergencies. Radiographics. 2017;37(5):1569–86.CrossRefGoogle Scholar
  39. 39.
    Wiesenfeld HC, Hillier SL, Meyn LA, et al. Subclinical pelvic inflammatory disease and infertility. Obstet Gynecol. 2012;120(1):37–43.CrossRefGoogle Scholar
  40. 40.
    Tay JI, Moore J, Walker JJ. Ectopic pregnancy. West J Med. 2000;173(2):131–4.CrossRefGoogle Scholar
  41. 41.
    Bickhaus J, Perry E, Schust DJ. Re-examining sonographic cut-off values for diagnosing early pregnancy loss. Gynecol Obstet. 2013;3(1):141.CrossRefGoogle Scholar
  42. 42.
    Mj G, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1(1):37–8.CrossRefGoogle Scholar
  43. 43.
    Ramanathan S, Raghu V, Ladumor SB, et al. Magnetic resonance imaging of common, uncommon, and rare implantation sites in ectopic pregnancy. Abdom Radiol (NY). 2018;43(12):3425–35.CrossRefGoogle Scholar
  44. 44.
    Hirakawa M, Tajima T, Yoshimitsu K, et al. Uterine artery embolization along with the administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. Am J Roentgenol. 2009;192(6):1601–7.Google Scholar
  45. 45.
    Gunbey HP, Sayit AT, Idilman IS, et al. Migration of intrauterine devices with radiological findings: report on two cases. BMJ Case Reports. 2014;  https://doi.org/10.1136/bcr-2013-202522.
  46. 46.
    Vandermeer FQ, Wong-You-Cheong JJ. Imaging of acute pelvic pain. Clin Obstet Gynecol. 2009;52(1):2–20.CrossRefGoogle Scholar
  47. 47.
    Boyd CA, Riall TS. Unexpected gynecological findings during abdominal surgery. Curr Probl Surg. 2012;49(4):195–251.CrossRefGoogle Scholar
  48. 48.
    Torky HA. Huge nabothian cyst causing hematometra (case report). Eur J Obstet Gynecol Reprod Biol. 2016;207:238–40.CrossRefGoogle Scholar
  49. 49.
    Umesaki N, Nakai Y, Honda K, et al. Power Doppler findings of adenoma malignum of uterine cervix. Gynecol Obstet Investig. 1998;45(3):213–2116.CrossRefGoogle Scholar
  50. 50.
    Jayaprakash S, Lakshimidevi M, Kumar GS. A rare case of posterior vaginal wall cyst. BMJ Case Reports. 2011;  https://doi.org/10.1136/bcr.02.2011.3804.
  51. 51.
    Tiwari U, Relia N, Shailesh F, et al. Gartner duct cyst: CT and MRI findings. J Obstet Gynaecol India. 2014;64(Suppl 1):150–1.CrossRefGoogle Scholar
  52. 52.
    Chaudhari VV, Patel MK, Douek M, et al. MR imaging and US of female urethral and periurethral disease. Radiographics. 2010;30(7):1857–74.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ania Z. Kielar
    • 1
    • 2
    • 3
  • Shauna Duigenan
    • 1
  • Darcy J. Wolfman
    • 4
    • 5
  1. 1.C1-Imaging, The Ottawa HospitalUniversity of OttawaOttawaCanada
  2. 2.University of TorontoTorontoCanada
  3. 3.Ottawa Hospital Research InstituteOttawaUSA
  4. 4.Community Radiology Division, Department of RadiologyJohns Hopkins School of MedicineBaltimoreUSA
  5. 5.American Institute for Radiologic PathologyAmerican College of RadiologySilver SpringUSA

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