THE ORTHOGONAL
VIEW IN GYNAECOLOGICAL IMAGING: WORK IN PROGRESS
Dr Gary Pritchard MBBS FRANZCOG DDU, Brisbane Ultrasound
for Women, Spring Hill, Queensland.
Introduction
Transvaginal B-mode imaging is the current standard
in assessment of female pelvic anatomy. Because the
intervening tissue consists only of vaginal wall,
higher frequency probes can be used to produce images
of outstanding quality. This instrument has allowed
greater precision in the diagnosis of gynaecological
disease. The transvaginal approach has problems however,
in that there is a more limited ability to angle the
probe to obtain optimum planes than with a transabdominal
approach. The sonographer is then required to produce
a mental image of the third plane, in order to arrive
at a decision about the pelvic findings. Considerable
experience and training is needed to allow accurate
interpretation of the findings, and while we recognise
that this is essential, it is true that those factors
can vary widely within the sonographic community.
Citation
Pritchard G. The orthogonal view in gynaecological
imaging: work in progress. ASUM Bulletin 2001.3:15-17.