Jennifer Flanagan, Presenter: Nothing to Disclose

April Alexander Bailey MD, Abstract Co-Author: Nothing to Disclose

Elysia Moschos MD, Abstract Co-Author: Nothing to Disclose

In women with abnormal uterine bleeding and thickened endometrium, saline infusion sonography (SIS) can aid in detection and differentiation of endometrial masses, guide targeted endometrial sampling (SISES) and increase sensitivity for atypia and malignancy. Endometrial cancer is the most common gynecologic malignancy and patient obesity further increases risk, adding to the urgency of early and accurate diagnosis of endometrial pathology. Traditional blind endometrial biopsy (EMB) has low sensitivity for endometrial lesions. Endometrial polyps possess a small, but real, chance of malignant transformation. Intracavitary submucosal leiomyomata are an important differential diagnosis for endometrial masses and can be better assessed with SIS to aid surgical planning for possible hysteroscopic removal. Therefore, differentiating endometrial masses is imperative. This exhibit will review endometrial disease and focus on SIS procedure and SIS imaging characteristics of different endometrial masses (hyperplasia, endometrial polyps, polyps with atypia, intracavitary submucosal leiomyomata, and endometrial carcinoma).

Introduction to endometrial disease Indications for imaging and preliminary clinical evaluation SIS procedure and technique SIS diagnosis of endometrial disease (imaging presentation and differential diagnoses)

http://abstract.rsna.org/uploads/2014/14013780/14013780_pqnt.pdf

Flanagan, J, Bailey, A, Moschos, E, Name That Polyp: Diagnosis of Endometrial Polyps and Other Endometrial Pathology with Saline Infusion Sonography (SIS).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14013780.html