Abstract
The use of radiodiagnostic methods in diagnosis of gynaecological diseases has longer tradition but their relevance has been for long time underestimated. Besides classical methods (excretion urography irrigoscopy hysterosalpingography) neither computed tomography did not gain acceptance as a method of golden standard.
The role of computed tomography remained on the field of imaging of ovarian tumours and the assessment of results of surgical or conservative therapy and recurrence of female diseases. Nevertheless, computed tomography fails in diagnostic of uterine tumours.
Only start of magnetic resonance improved the diagnostic of uterine tumours. Recently, magnetic resonance is used especially for staging of cervical carcinoma or to prove its recurrence.
Key role of magnetic resonance of female inner genital organs is to confirm the invasion to parametria (the differentiation between the stadium T II a and T II b according to FIGO classification). It helps to decide between surgical therapy or actino- chemotherapy.
In order to improve this diagnostic apart from T1 and T2 weighted images diffusion weighted images and dynamic imaging (perfusion) are used. The second most frequent indication of magnetic resonance in diagnostic of gynaecological diseases is imaging of endometriosis.
Magnetic resonance depicts various stadia and localisations of endometriosis. The hybrid method PET/CT is used to confirme dissemination of malignant tumours of uterus.
The method is based on the presumption of increased metabolism in tumour cells. Currently, fast development of both proper gynaecological examination methods and gynaecological imaging takes place.