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Abstract #4138

Clinical Utility of 3D T2 SPACE Pulse Sequence in MR Imaging of Female Pelvis

Raj Mohan Paspulati1, Kianoush.Ansari Gilani1, Gurupreet Sandhu2

1radiology, University Hospitals, Case Western Reserve University, Cleveland, OH, United States; 2Radiology, University Hospitals, Case Western Reserve university, Cleveland, OH, United States


MR imaging of the female pelvis is performed routinely for diagnosis of various benign uterine or adnexal pathology as well as for staging of gynecologic malignancies. Acquiring high resolution T2 weighted images in 3 orthogonal planes is the gold standard for evaluation of the complex pelvic anatomy and pathology. Traditional T2 weighted imaging includes acquiring high resolution 2D T2 Turbo spin echo (TSE) in 3 planes which is time consuming and image plane has to be prescribed according to the orientation of the uterus. Improper orientation of the imaging plane by the technologist results in loss of crucial anatomical information. Acquiring high resolution 3DT2 weighted images in a single plane significantly reduces scan time and is also less technologist dependent for selecting a proper imaging plane. Imaging technique, clinical utility, advantages and disadvantages of this T2 weighted imaging technique will be illustrated in this exhibit using several examples of benign and malignant pelvic pathology of the female pelvis.