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World J Radiol. Dec 28, 2015; 7(12): 484-493
Published online Dec 28, 2015. doi: 10.4329/wjr.v7.i12.484
Three-dimensional imaging of the uterus: The value of the coronal plane
Lufee Wong, Nikki White, Jayshree Ramkrishna, Edward Araujo Júnior, Simon Meagher, Fabricio Da Silva Costa
Lufee Wong, Nikki White, Jayshree Ramkrishna, Simon Meagher, Fabricio Da Silva Costa, Monash Ultrasound for Women, Clayton, Victoria 3168, Australia
Lufee Wong, Department of Obstetrics and Gynaecology, Monash Medical Centre, Southern Health, Clayton, Victoria 3168, Australia
Edward Araujo Júnior, Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo, CEP 05303-000, Brazil
Author contributions: Wong L performed the research; White N, Ramkrishna J, Meagher S and Da Silva Costa F contributed to the images; Wong L and Da Silva Costa F wrote the manuscript; Araujo Júnior E reviewed the manuscript.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Edward Araujo Júnior, PhD, Professor, Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), Rua Belchior de Azevedo, 156, apto. 111 Torre Vitoria, São Paulo, CEP 05303-000, Brazil. araujojred@terra.com.br
Telephone: +55-11-37965944 Fax: +55-11-37965944
Received: July 9, 2015
Peer-review started: July 14, 2015
First decision: August 25, 2015
Revised: October 10, 2015
Accepted: November 3, 2015
Article in press: November 4, 2015
Published online: December 28, 2015
Abstract

Advent in three-dimensional (3D) imaging technology has seen 3D ultrasound establish itself as a useful adjunct complementary to traditional two-dimensional imaging of the female pelvis. This advantage largely arises from its ability to reconstruct the coronal plane of the uterus, which allows further delineation of many gynecological disorders. 3D imaging of the uterus is now the preferred imaging modality for assessing congenital uterine anomalies and intrauterine device localization. Newer indications include the diagnosis of adenomyosis. It can also add invaluable information to delineate other endometrial and myometrial pathology such as fibroids and endometrial polyps.

Keywords: Three-dimensional ultrasound, Coronal view, Pelvis, Uterus, Uterine anomalies

Core tip: Three-dimensional ultrasound imaging of the female pelvis is a useful adjunct to conventional two-dimensional imaging. By acquiring a set volume which is stored, volumetric acquisitions allow the offline review, manipulation and analysis of saved images to obtain the maximum information from a study. Recent literature has suggested this imaging approach is rapidly realizing widespread use in the assessment of a variety of gynecological disorders including uterine anomalies, intrauterine device localization, endometrial disorders and fibroids. Recent advances have also suggested it may be useful in diagnosing disorders of the endometrial-myometrial interface, such as adenomyosis.