Ultrasound diagnostics of the pelvic organs: methodology, echography of the uterus, assessment of the endometrium and adnexa, diagnosis of pathologies

Course curriculum

• How to perform gynecological ultrasound: which access route and which techniques to use
  • — Information on how to perform pelvic ultrasound: how, when, by which approach (methodology, technique). Methods of image optimization to make the image high-quality and clear. Indications for various pelvic ultrasound approaches. Indications for 3D ultrasound in gynecology. A systematic approach to performing transabdominal and transvaginal pelvic ultrasound: the algorithm and understanding of the individual steps of pelvic ultrasound, understanding and correct use of probe orientation. Hygienic requirements for the probe cover during transrectal, translabial, and transperineal ultrasound approaches
• How to make the image high-quality and clear. How to obtain informative images of the pelvic organs: technical nuances of device settings
  • — Practical aspects of ultrasound physics: how to use physical principles for optimal imaging and accurate diagnosis. How to use the settings and buttons of ultrasound machines. Understanding the characteristics of ultrasound machines. Optimizing the image according to the scanning plane and object of interest. Information about artifacts in ultrasound
• A systematic approach to uterine ultrasonography: anatomical nuances, assessment rules, correct description in the ultrasound protocol
  • — Application of a systematic approach to performing abdominal and vaginal ultrasound scanning of the uterus. Normal ultrasound appearance of the pelvic organs. Uterine anatomy and ultrasound correlations. Rules for obtaining uterine sections, taking measurements and describing them according to the ISUOG and MUSA guidelines. Age-related features of the ultrasound image of the uterus. General rules for describing the ultrasound image of the uterus
• Standardized examination and assessment of the endometrium: is it as simple as it seems
  • — Technique for the correct ultrasound examination of the endometrium. Features of the ultrasound appearance of the endometrium in different phases of the cycle and at different age periods
  • — Methods for overcoming endometrial imaging difficulties. Rules for endometrial assessment according to the IETA guideline: quantitative assessment of the endometrium and fluid in the uterine cavity; qualitative assessment of the endometrium. Standardized IETA terminology for describing the ultrasound appearance of the endometrium. Reference values for the dimensions of uterine structures
• Sonographic appearance and assessment of normal ovaries
  • — Goals of ultrasound assessment of the adnexa. Anatomical features of ovarian location and ultrasound appearance across different age periods. Methodology for obtaining ovarian images. ISUOG ovarian scanning technique. Ultrasound characteristics of the ovaries. Normative ovarian dimensions across different age periods. The role of Doppler scanning in ovarian assessment. Conditions for visualizing the fallopian tubes
• Assessment and description of myometrial pathology according to international standards
  • — How to correctly assess the myometrium as a whole. How to assess myometrial masses. How to describe the myometrium and its pathology in accordance with the MUSA (Morphological Uterus Sonographic Assessment) rules. Terms, definitions, and measurements that can be used to describe and report ultrasound features of the myometrium using grayscale sonography, color/power Doppler, and three-dimensional ultrasound imaging. Detailed description of myometrial pathology. Description of the myometrium in daily practice. Doppler characteristics of myometrial pathology
• Sonographic appearance of fibroids — assessment features and ultrasound protocol
  • — Classification of the causes of abnormal uterine bleeding (AUB). Fibroids as one of the causes of AUB. Ultrasound signs of fibroids. Classification of myomatous node localization by FIGO. Clinical examples. How to correctly diagnose and evaluate uterine fibroids. How to describe myomatous nodes (MUSA). Which aspects are mandatory to reflect in the ultrasound report for uterine fibroids
• Sonographic signs of adenomyosis – how many are there and which ones are reliable?
  • — Prevalence and clinical presentation of adenomyosis. Sonographic signs of adenomyosis. How to correctly assess and describe adenomyosis foci according to the IDEA and Delphi consensus. Differential diagnosis of fibroids and adenomyosis. Examples of classification and description of a uterus with adenomyosis
• Ovarian masses. How to work according to the IOTA group recommendations
  • — Standardization of terminology in describing ovarian masses according to IOTA. Recognition of certain ovarian masses by «pattern», clinical examples. IOTA Simple Rules and their application. Malignancy risk calculation models. Examples of how the IOTA rules work
• Ovarian masses. Should O-RADS be applied?
  • — What the O-RADS system is and how to apply it. The O-RADS Lexicon. How to determine the risk of malignancy (risk stratification). Management strategy for patients with ovarian masses. Clinical examples of applying O-RADS. Incorporating the ADNEX model into the O-RADS risk classification system