This suggests that contrast-enhanced MRI could be used as a reliable adjunct for diagnosing cesarean scar pregnancy in select cases or if US is inconclusive or nondiagnostic. The typical findings of a gestational sac embedded in the anterior lower part of the uterus in the sagittal T2-weighted views were identified in all the patients. However, MRI examinations were performed approximately 5 days after the US examinations, which may have resulted in some bias, and same- day studies might have yielded similar sensitivity between both modalities [6]. Please refer to the Special Imaging Considerations section above for a discussion about the use of gadolinium-based contrast in the setting of pregnancy. In the early 1990s, Doppler imaging was suggested as a tool allowing for increased detection rate of ectopic pregnancy, increasing sensitivity from 71% to 87% [11]; however, a recent study evaluating the correlation between adnexal sonographic findings and tubal rupture found no statistically significant correlation. Nonspecific adnexal Acute Pelvic Pain in the Reproductive Age Group findings allows earlier detection of ectopic pregnancy than previously reported findings of detection of a yolk sac or embryonic heartbeat [12]. US Pelvis Transabdominal A combined transabdominal and transvaginal approach is typically used for pelvic US imaging, and both should be performed when possible. A transabdominal-only approach could serve as an alternative if a transvaginal approach is not feasible. TVUS and transabdominal US (TAUS) of the pelvis are the most useful imaging modalities for initial assessment when an obstetrical or gynecological etiology is suspected [13]. US Pelvis Transvaginal A combined transabdominal and transvaginal approach is typically used for pelvic US imaging, and both should be performed when possible. TVUS is the most useful method to evaluate the endometrium, early pregnancy, and adnexa [14].
Acute Pelvic Pain in the Reproductive Age Group. This suggests that contrast-enhanced MRI could be used as a reliable adjunct for diagnosing cesarean scar pregnancy in select cases or if US is inconclusive or nondiagnostic. The typical findings of a gestational sac embedded in the anterior lower part of the uterus in the sagittal T2-weighted views were identified in all the patients. However, MRI examinations were performed approximately 5 days after the US examinations, which may have resulted in some bias, and same- day studies might have yielded similar sensitivity between both modalities [6]. Please refer to the Special Imaging Considerations section above for a discussion about the use of gadolinium-based contrast in the setting of pregnancy. In the early 1990s, Doppler imaging was suggested as a tool allowing for increased detection rate of ectopic pregnancy, increasing sensitivity from 71% to 87% [11]; however, a recent study evaluating the correlation between adnexal sonographic findings and tubal rupture found no statistically significant correlation. Nonspecific adnexal Acute Pelvic Pain in the Reproductive Age Group findings allows earlier detection of ectopic pregnancy than previously reported findings of detection of a yolk sac or embryonic heartbeat [12]. US Pelvis Transabdominal A combined transabdominal and transvaginal approach is typically used for pelvic US imaging, and both should be performed when possible. A transabdominal-only approach could serve as an alternative if a transvaginal approach is not feasible. TVUS and transabdominal US (TAUS) of the pelvis are the most useful imaging modalities for initial assessment when an obstetrical or gynecological etiology is suspected [13]. US Pelvis Transvaginal A combined transabdominal and transvaginal approach is typically used for pelvic US imaging, and both should be performed when possible. TVUS is the most useful method to evaluate the endometrium, early pregnancy, and adnexa [14].