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Role of Abdominal Ultrasonography as a Preliminary Imaging Technique in the Assessment of Female Pelvic Pathologies

Introduction: The essentiality of ultrasound as a screening technique in detecting pelvic pathologies has been decreasing, since the advent of advanced imaging modalities like Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). Often, the physicians resort to prescribing MRI or CT study as the initial imaging investigation, which in fact should be the final decisive imaging modality. This original research article proves the point that ultrasound still has its own significance in the modern imaging era. Material and methods: This was a retrospective study and was based on the usage of radiation-free modalities like ultrasound and MRI. Fifty women were scanned by using both trans-abdominal USG and MRI abdomen with pelvis. They presented with complaints of abdominal pain of varying degrees. Age range was 15-64 years of age [mean age= 33.4 years]. Results: Pelvic ultrasound and MRI of 50 patients were analyzed. The MRI study picked up pathologies in 5 patients who were reported to be normal with ultrasonography. Of 45 patients picked up by ultrasound, MRI study of the lesions in the 23 patients helped in the detailed characterization of the lesions. In the remaining 22 patients, the MRI results were in concordance with those of USG. Conclusion: Magnetic Resonance Imaging plays a pivotal role in characterizing female pelvic pathologies and therefore can be used as a problem-solving tool in patients when the ultrasound is inconclusive or suboptimal. However, the superior imaging potential of MRI should not preclude the use of ultrasound as a screening tool.