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Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary...

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Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian radiologic cooperative Hasan Joorabchi-MD OB & GY, Tabriz medical university, Iran Mohammad Hossein Herischi – MD Orthopedist, Baku, Republic Azerbayjan Shahyar Pashaie – PhD Anatomist, Tehran, Iran Dariush Etemadi –MD Radiologist, Koorosh medical imaging center, Tehran, Iran [email protected] www.medimage.ir Women's imaging Women's imaging Pelvic pain Pelvic pain MRI in chronic pelvic pain (C.P.P.) MRI in chronic pelvic pain (C.P.P.)
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Page 1: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center

General secretary of Iranian society of radiology - President of Iranian radiologic cooperativeHasan Joorabchi-MD OB & GY, Tabriz medical university, IranMohammad Hossein Herischi – MD Orthopedist, Baku, Republic AzerbayjanShahyar Pashaie – PhD Anatomist, Tehran, Iran Dariush Etemadi –MD Radiologist, Koorosh medical imaging center, Tehran, Iran

[email protected] www.medimage.ir

Women's imagingWomen's imaging

Pelvic pain Pelvic pain MRI in chronic pelvic pain (C.P.P.)MRI in chronic pelvic pain (C.P.P.)

Page 2: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

1/3 of women pelvic pain in lifetime Most common complain Most difficult to diagnosis and manage 60% (three of five) never find out the cause of their

pelvic pain

[email protected] www.medimage.ir

Page 3: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Women seek help from: Gynecologists Urologists Family practitioners

[email protected] www.medimage.ir

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Pelvic masses

Page 7: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

PET/CT technique & imaging issues

Page 8: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Low midline pelvic mass

Prolapsing Leiomyoma Mucinous Rectal Cancer

Page 9: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Anorectal Mass

Prolapsing rectal cancer Rectum duplication cyst

Page 10: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Page 14: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
Page 15: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Chronic pelvic pain:Any pelvic pain lasting more than six months1 woman of five women (20% incidence)It is a non specific pain (acute pain may indicate a specific

injury)Cause: change in nervous system, tissues or muscles

[email protected] www.medimage.ir

Page 19: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Sacral teratoma

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Sacral Masses

Anterior Meningocele Sacrococcygeal chordoma

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Signs and symptoms:1. Severe and steady pain (dull to sharp,

mild to severe)2. Pain that comes and goes (intermittent)3. Sharp pains or cramping4. Dull aching5. Limited physical activity6. Pressure or heaviness deep within pelvis7. Painful intercourse8. Pain when urination and bowel movement9. Severe cramping during periods10. Depression and hopelessness and

addiction

Page 23: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Accurate diagnosis: Pelvic exam Cultures of excretions Pelvic ultrasound and sonohisterography (TA, TV ,TR) Laparascopy X-ray, X-ray CT, CT PET MRI (most accurate)

[email protected] www.medimage.ir

Page 24: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Hemangioma, Pelvis

Page 40: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Hemangiopericytoma Liposarcoma

Page 41: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Pelvic congestion syndrome

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Pelvic congestion syndromePelvic congestion syndrome

Lymphadenopathy

Page 43: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

CYSTIC ADENOMYOSIS

Page 44: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

ADENOMYOSIS

Page 45: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Cervical cancer

Page 50: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Cervical cancer

Page 51: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

URETHRAL ANATOMY & IMAGING ISSUE

Page 52: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

Vaginal fistula

Page 53: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Pelvic MRI: Non-invasive 3 Dimensional (x-y-z) Accurate Gives vital information Uncover, covered conditions Elegant imaging technology Diagnosis and staging Can diagnose pelvic floor lesions T1 - T2 - T1,F.S - T1,GD - 3D,GRE - T1 dynamic - MR

lymphangiography MR PET

[email protected] www.medimage.ir

Page 55: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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MUCINOUS CYSTADENOMA

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PELVIC FLOOD DESCENT

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MR TECHNIQUE & ANATOMY

Page 60: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.
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Interventional treatments: Acupuncture Biofeed back and relaxation therapies Nerve stimulation devices Local anesthesia injection in tender areas Help women who have become dependent on

narcotics Fibroid embolization

[email protected] www.medimage.ir

Page 63: Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

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