1. Text Book Reading
Grainger & Allison’s Diagnostic Radiology
5th edition, Chapter 54, P. 1217-1221 (Imaging In Gynecology)
ULTRASOUND GYNECOLOGY
Presented by : Eva Hadaniah Asryati
Consultant : dr. H. Edy Moeljono, Sp.Rad (K) RA

2. Imaging techniques in ginecology
 Ultrasound
 Computed tomography
 Magnetic resonance imaging
 Positron emission tomography
 Hysterosalpingography
 Sonohysterography

3. Introduction
 Ultrasound : primary imaging technique
 Methods : Transabdominal & Transvaginal
 Used extensively :
1. Pelvic organs
2. Gynecologic problems
3. Adnexal masses
4. Cancer

4. Technique Equipment
1. TAS
(Transabdominal
sonography)
2. TVS
( Transvaginal
sonography )

5. TVUS vs TAUS
TAUS TVUS
Field of view Wide Narrow
Deep Shallow
Tranduser 3,5 - 5,5 MHz 5-8 MHz
Maneuverability Free Limited
Urinary bladder Full Not needed

6. Transvaginal US
Helpful :
1. Locating the embryonic
heartbeat in an early
pregnancy
2. Evaluating the uterine
texture
3. Measuring a cyst in an
ovary
www.RadiologyInfo.org/en/info.cfm

7. Menstrual Cycle
Proliferative Phase Folicular Phase
www.RadiologyInfo.org/en/info.cfm

8. Menstrual Cycle
SECRETION PHASE MENSTRUAL PHASE
www.RadiologyInfo.org/en/info.cfm

9. Periovulasi
www.RadiologyInfo.org/en/info.cfm

10. RESUME
 Introduction
 Transvaginal US
 Menstrual phase
 Proliferative phase
 Folicular phase
 Secretion Phase

11. QUIZ
This is the image
transvaginal of the utery.
1. Please describe this
picture.
2. What is the phase of the
picture beside ?

12. THANK YOU…..
SUGGESTION PLEASE…

13. Ovary
 Sagittal
Transvaginal US
Normal ovary (O)
with follicles. Note
the location of the
ovary anterior and
medial to the
internal iliac
vessels (I) within
the ovarian fossa.

14. Uterus
 Normal : 5 and 9 cm  Advantages :
 Phase of the cycle, the 1. relatively inexpensive
endometrium up to 8 mm. 2. provides multiplanar
 Midcycle, the endometrium views
up to 12–16 mm. 3. widely available
 Secretory phase, become 4. lacks ionizing radiation
hyperechoic or contrast
 Fallopian tubes : usually media
not identified
 Menopause : endometrial
thickness of 5 mm

15. Transvaginal Transrectal