Magnetic resonance imaging in the assessment of complex Mullerian anomalies

Objective To evaluate the accuracy of magnetic resonance imaging in assessment of adolescent patients with complex Mullerian anomalies and its contribution towards operative management. Design A retrospective review of magnetic resonance imaging and operative findings. Setting A London teaching hospital that is a tertiary referral centre for complex reproductive tract disorders. Sample All adolescents referred for assessment of complex Mullerian anomalies, from 1996 to 1999, and undergoing both magnetic resonance imaging and surgical assessment. Method In the nine suitable patients magnetic resonance imaging and surgical findings were compared and the role of magnetic resonance imaging in determining the route and type of surgery was evaluated. Main outcome measures Magnetic resonance imaging data on reproductive tract anatomy and surgical findings detailing reproductive tract anatomy. Results There was good correlation of magnetic resonance imaging and operative findings in all cases. The best correlation was with uterine structure. In four cases the magnetic resonance imaging findings were essential for the appropriate choice of the surgical approach and type of procedure. Conclusions Magnetic resonance ima-ina is a valuable tool in the management of this particular complex group of patients.