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Female Pelvis MRI - Interactive Atlas of Cross-Sectional Anatomy

Atlas-MR


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Method


  • Magnetic resonance (MR) imaging is a valuable technique for noninvasive evaluation of the female pelvic region (like diagnosing or staging developmental anomalies, leiomyomas, adenomyosis, vaginal neoplasms, endometrial or cervical carcinoma, ovarian cysts, endometriosis, teratomas, polycystic ovaries or other ovarian masses), but also for the study of the normal anatomy of the female pelvis.
  • In this anatomical study, we provide to the user a friendly and dynamic tool to learn and understand the main anatomic structures of the female pelvis.

Cross sectional anatomy: Magnetic Resonance Imaging (MRI) of the female pelvic region

  • An MR was performed on a healthy woman with two kinds of weightings: axial, coronal and sagittal spin-echo T2-weighted MR images and axial spin-echo gadolinium-enhanced fat-saturated T1-weighted MR images.
  • DICOM images (from our PACS (Picture Archiving and Communicating System)) were exported as jpeg format and resized with Adobe Photoshop.
  • Interactive anatomical tools have been developed with the software Macromedia Flash.
  • This anatomical atlas has been especially designed for radiologists, gynecologists, medical students and residents.

Anatomy of the human female pelvis: how to use anatomic labels

  • The horizontal top menu (anatomical structures) allows to the user to chose the kind of anatomical labels he need to show on the exam :
    • Genital organs : uterus (with uterine zonal anatomy : endometrium, myometrium, junctional zone), cervix (central zone, cervical stroma), parametria, vagina, ovaries and adnexa with follicles
    • Urinary system including urinary bladder, ureter, urethra
    • Digestive system including rectum and sigmoid colon
    • Pelvic diaphragm
    • Pelvic girdle
    • Spaces and foramens of the pelvic region
    • Muscles
    • Arteries
    • Veins
    • Nerves
    • Pelvic measurements
  • The user is able to choose one of the three planes of interest (axial, coronal or sagittal) with the left vertical menu, which provides also cross references.
  • As the cursor is moved over a particular anatomic area of the pelvic region, this region is highlighted and labeled: peritoneal cavity, subperitoneal space and perineal region.

Labeled anatomical structures


List of labels used for this pelvic anatomical atlas (English, French and Latin (terminologia anatomica)) :

  • Acetabulum
  • Adductor brevis
  • Adductor longus
  • Adductor magnus
  • Ala of ilium; Wing of ilium
  • Ala; Wing
  • Anal canal
  • Anatomical structures
  • Anococcygeal body; Anococcygeal ligament
  • Anorectal flexure; Perineal flexure
  • Anterior inferior iliac spine
  • Anterior part (Vaginal fornix)
  • Anterior sacral foramina
  • Anterior wall
  • Antero-posterior diameter of pelvic inlet (13 cm)
  • Antero-posterior diameter of pelvic outlet (10 cm)
  • Apex of bladder
  • Arcuate line
  • Arteries
  • Body of bladder
  • Body of ilium
  • Body of uterus
  • Bones
  • Bulbospongiosus
  • Caecum
  • Clitoris
  • Deep transverse perineal muscle
  • Descending colon
  • Diagrams
  • Digestive system
  • Endometrium
  • External anal sphincter
  • External iliac artery
  • External iliac vein
  • External oblique
  • External urethral orifice
  • External urethral sphincter female
  • Fundus of bladder
  • Fundus of uterus
  • Gemellus inferior; Inferior gemellus
  • Gemellus superior; Superior gemellus
  • Genital organs
  • Gluteus maximus
  • Gluteus medius
  • Gluteus minimus
  • Greater sciatic foramen
  • Greater trochanter
  • Head
  • Hide
  • Ileum
  • Iliacus
  • Iliococcygeus (Levator ani)
  • Inferior gluteal artery
  • Inferior gluteal vein
  • Inferior pubic ramus
  • Inguinal ligament
  • Internal iliac artery
  • Internal iliac vein
  • Internal oblique
  • Internal pudendal artery
  • Internal pudendal vein
  • Internal urethral orifice
  • Ischial spine
  • Ischial tuberosity
  • Ischioanal fossa
  • Ischiocavernosus
  • Ischiococcygeus; Coccygeus
  • Isthmus of uterus
  • Junctional zone
  • L5
  • Labium majus
  • Labium minus
  • Lateral part (Vaginal fornix)
  • Lateral part (Vaginal fornix)
  • Left ovarian vein
  • Lesser sciatic foramen
  • Lesser trochanter
  • Linea alba
  • Mons pubis
  • Muscles
  • Myometrium
  • Neck
  • Neck of bladder
  • Nerves
  • Obturator artery
  • Obturator canal
  • Obturator externus
  • Obturator foramen
  • Obturator internus
  • Obturator membrane
  • Obturator vein
  • Ovarian artery
  • Ovary
  • Ovary
  • Parametrium
  • Pararectal fossa
  • Pectineus
  • Pelvic diaphragm; Pelvic floor
  • Pelvic girdle
  • Pelvic measurements
  • Perineal fascia; Superficial investing fascia of perineum; Deep perineal fascia
  • Perineal membrane
  • Perineal region
  • Peritoneal cavity
  • Piriformis
  • Posterior inferior iliac spine
  • Posterior part (Vaginal fornix)
  • Posterior wall
  • Promontory
  • Psoas major
  • Pubic symphysis
  • Pubic tubercle
  • Puborectalis (Levator ani)
  • Pudendal canal
  • Pudendal nerve
  • Quadratus femoris
  • Rectouterine pouch female
  • Rectovaginal fascia; Rectovaginal septum female
  • Rectum
  • Rectus abdominis
  • Rectus femoris
  • Retropubic space
  • Round ligament of uterus
  • Round ligament of uterus
  • Sacral plexus
  • Sacrospinous ligament
  • Sacrotuberous ligament
  • Sacrum
  • Sartorius
  • Sciatic nerve
  • Sigmoid colon
  • Sigmoid colon
  • Soft tissues
  • Spaces / Foramens
  • Subperitoneal space
  • Superior gluteal artery
  • Superior gluteal vein
  • Superior pubic ramus
  • Supravaginal part
  • Suspensory ligament of ovary; Infundibulopelvic ligament female
  • Transverse diameter of pelvic inlet (13 cm)
  • Transverse diameter of pelvic outlet (11 cm)
  • Transversus abdominis; Transverse abdominal
  • Trigone of bladder
  • Umbilical artery
  • Ureter
  • Ureter
  • Ureteric orifice
  • Uretrovaginal space
  • Urinary bladder
  • Urinary system
  • Uterine artery
  • Uterine horn
  • Uterine tube
  • Uterine veins
  • Uterosacral ligament; Rectouterine ligament
  • Vagina
  • Vaginal part
  • Veins
  • Vesical veins
  • Vesicouterine pouch female
  • Vesicovaginal space
  • Vestibule

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Author(s)
Micheau A, Filhastre M, Hoa D
Last modification
01 / 06 / 2008