Evaluating the Role of MRI in the Diagnosis of Female Pelvic Disorders: A Case Series of Patients from a Tertiary Care Hospital

Background: Magnetic Resonance Imaging (MRI) has emerged as a pivotal diagnostic tool in the assessment of pelvis pathology, offering unparalleled soft tissue contrast and detailed anatomic information. This paper reviews the diverse applications of MRI in evaluating various pelvic disorders. Advantages of MRI over traditional imaging modalities were discussed, particularly its ability to provide multiplanar imaging, reduce the need for ionizing radiation, and enhance tissue characterization. Methods: In our present retrospective case series of 11 abnormal female pelvis, which we evaluated on 1.5 Tesla MRI scanner, we came across a different & diverse case spectrum of abnormal female pelvis involving uterus and ovaries. The study was done in the Department of Radio - diagnosis, Jorhat Medical College, and Hospital for a period of 6 months from March, 2023 to August, 2023. The age group of patients included in this series range from 16 years to 60 years, including patients of reproductive age group and post - menopausal age group. Results: We found 11 pelvic conditions including multiple fibroids, adenomyosis of uterus, dermoid cyst, complex ovarian cyst, paraovarian cyst, neoplastic conditions of both uterus and ovary with certain inflammatory conditions. MRI was significantly superior to ultrasound in the evaluation of the tumour extension, myometrium invasion, detection of lymph nodes and parametrical involvement. Conclusions: MRI is an excellent investigation to evaluate the female pelvic masses due to its high spatial resolution, excellent tissue contrast, and multiplanar imaging capability. Characterization of uterine and ovarian tumours helps in the surgical planning.