Imaging

Salpingitis

Preliminary Diagnosis: Salpingitis

I. What imaging technique is first-line for this diagnosis?

Gray scale and Color Doppler sonographic evaluation of the pelvis. Transvaginal offers better resolution compared to a transabdominal approach.

II. Describe the advantages and disadvantages of this technique for diagnosing salpingitis.

Advantages

  • Highly portable and inexpensive imaging modality.

  • Does not expose patients to ionizing radiation.

Disadvantages

  • Highly operator dependent.

  • Less adept in detecting any secondary complications, such as an abscess.

III. What are the contraindications for the first-line imaging technique?

No specific contraindications to sonographic imaging are noted. The transvaginal approach may be uncomfortable for some patients.

IV. What alternative imaging techniques are available?

  • CT with contrast of the pelvis

  • MR with contrast of the pelvis

V. Describe the advantages and disadvantages of the alternative techniques for diagnosing salpingitis.

CT with contrast of the pelvis

Advantages

  • Relatively fast, inexpensive imaging modality.

  • Offers great sensitivity and specificity in detecting any particular complications from salpingitis.

  • Allows for treatment planning, and is helpful in guiding treatment.

Disadvantages

  • Exposes patients to ionizing radiation.

  • May be less sensitive in detailing subtle changes from salpingitis.

MR with contrast of the pelvis

Advantages

  • Does not expose patients to ionizing radiation.

  • Highly sensitive and specific in detecting and detailing complications from salpingitis.

Disadvantages

  • Expensive.

  • Time consuming.

  • Requires significant patient cooperation to minimize motion artifact.

VI. What are the contraindications for the alternative imaging techniques?

CT with contrast of the pelvis

  • May be contraindicated in pregnant patients.

  • Relative contraindication in patients with renal failure.

  • Relative contraindication in patients with contrast allergy.

MR with contrast of the pelvis

  • May not be performed in patients with non-MR compatible hardware.

  • Gadolinium contrast is contraindicated in patients with a GFR ≤ 30.

Related Resources

You must be a registered member of Cancer Therapy Advisor to post a comment.

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Prostate Cancer Regimens Drugs
Rare Cancers Regimens
Renal Cell Carcinoma Regimens Drugs
Skin Cancer Regimens Drugs
Urologic Cancers Regimens Drugs

Sign Up for Free e-newsletters