Wenche M. Klerkx1, Taro Takahara2, Qvinny Leemans2, Thomas C. Kwee2, Peter Luijten2, Willem P. Mali2
1Gynecology, University Medical Center Utrecht, Utrecht, Netherlands; 2Radiology, University Medical Center Utrecht, Utrecht, Netherlands
Hysteroscopy, saline infusion sonohysterography, and hysterosalpingography are commonly used for the evaluation of uterine pathologies, but are invasive and operator-dependant procedures. MRI does not have these disadvantages, but evaluation of the shape of the uterine cavity is often difficult using conventional MRI. MR hysterography, using a diffusion-weighted sequence based on the concept of Diffusion weighted Whole body Imaging with Background body signal Suppression (DWIBS) may be an excellent alternative. In this study, we introduce the MR hysterography technique and show that the best visualization of the uterine cavity can be obtained in the follicular phase of the menstruation cycle.