US PELVIS 3D

A 3D Pelvic Ultrasound is a specialized, non-invasive diagnostic imaging test that provides highly detailed, three-dimensional views of the female pelvic organs. Its primary purpose is to create clear, lifelike images of the uterus, ovaries, fallopian tubes, bladder, and surrounding tissues. At Cadabams Diagnostics, we utilize this advanced technology to give your doctor the most accurate information possible for diagnosis and treatment planning. As a safe imaging technique that uses high-frequency sound waves instead of radiation, it offers a risk-free way to investigate a wide range of gynaecological concerns.

What is a 3D Pelvic Ultrasound?

A 3D Pelvic Ultrasound builds upon the foundation of a standard 2D ultrasound. During the scan, a series of 2D images are captured from different angles. Sophisticated computer software then "stitches" these images together to construct a detailed, three-dimensional rendering of the organs.

The key difference when comparing 2D vs 3D pelvic ultrasound is the level of detail and spatial orientation. While a 2D scan provides a flat, cross-sectional "slice," a 3D scan creates a comprehensive volume of data. This allows the radiologist at Cadabams Diagnostics to virtually rotate and examine the organ from any angle—including the coronal plane, which is often difficult to visualize with 2D imaging alone. This enhanced perspective is invaluable for accurately assessing the shape, size, and structure of pelvic organs.

Types of 3D Pelvic Ultrasound

The 3D images can be created using data from one or both of the following approaches:

• Transabdominal Ultrasound: The ultrasound probe (transducer) is coated with gel and moved across your lower abdomen. This approach requires you to have a full bladder, which acts as an acoustic window, pushing the bowel aside and providing a clearer view of the pelvic organs.
• Transvaginal Ultrasound: A specially designed, thin transducer is covered with a sterile, lubricated sheath and gently inserted into the vaginal canal. This method brings the probe closer to the pelvic organs, providing a much more detailed and clearer view, especially of the uterus and ovaries. This scan is performed with an empty bladder.

Often, a comprehensive pelvic exam will involve both techniques to gather the most complete information.

Our radiologists meticulously evaluate several key parameters to provide a comprehensive assessment. This includes a detailed 3D ultrasound for uterus and ovaries.

• Uterus: We assess the overall size, shape, position (e.g., anteverted, retroverted), and contour. The 3D view is exceptional for identifying congenital anomalies like a septate, bicornuate, or arcuate uterus, as well as acquired conditions such as fibroids (leiomyomas) and adenomyosis.
• Endometrium (Uterine Lining): The thickness and regularity of the endometrium are measured. This is crucial for evaluating menstrual cycle health and detecting abnormalities like endometrial polyps or abnormal thickening (hyperplasia).
• Ovaries: We measure the size and volume of each ovary. The presence of any cysts or masses is noted and characterized. For fertility assessments, an antral follicle count can be performed to help estimate ovarian reserve.
• Adnexa: The area surrounding the uterus and ovaries is carefully checked for any abnormal masses, fluid collections, or signs of inflammation.
• Bladder and Cul-de-sac: The bladder is assessed for any wall abnormalities, and the cul-de-sac (the space behind the uterus) is checked for the presence of free fluid, which can indicate various conditions.

You may be referred for this test to investigate a specific symptom or condition. Common reasons include:

• Investigating the underlying causes of infertility or recurrent pregnancy loss.
• Diagnosing the source of abnormal or postmenopausal uterine bleeding.
• Evaluating chronic or acute pelvic pain.
• Identifying, measuring, and mapping uterine fibroids or endometrial polyps.
• Detecting and characterizing ovarian cysts, tumours, or other adnexal masses.
• Confirming and classifying suspected congenital uterine anomalies.
• Guiding procedures such as IUD placement or fertility treatments.

When and Who Needs to Take a 3D Pelvic Ultrasound?

Your doctor may recommend a 3D Pelvic Ultrasound in various clinical situations. It is particularly useful for:

• Infertility Investigations: To assess uterine shape and check for abnormalities that could affect implantation.
• Assessment of Uterine Abnormalities: To accurately diagnose and classify congenital uterine anomalies (e.g., septate or bicornuate uterus) or acquired issues like fibroids.
• Evaluation of Pelvic Masses: To get a clearer view of uterine fibroids, endometrial polyps, or ovarian cysts.
• Pre-Surgical Planning: To provide surgeons with a detailed anatomical map before procedures like myomectomy (fibroid removal).

This test is commonly recommended for women experiencing symptoms such as abnormal uterine bleeding, chronic pelvic pain, recurrent miscarriages, or for those with suspected structural issues in their reproductive organs.

Benefits of Taking the Test

Opting for a 3D Pelvic Ultrasound offers significant advantages over a standard 2D scan:

• Superior Visualization: It provides an unparalleled view of the uterine coronal plane, which is essential for diagnosing congenital uterine issues.
• Accurate Volume Calculations: Allows for more precise measurements of the volume of the uterus, ovaries, fibroids, and cysts, which helps in monitoring growth or treatment response.
• Increased Diagnostic Confidence: The added detail helps radiologists make a more confident diagnosis, which can reduce the need for more invasive and expensive procedures like MRI or laparoscopy.
• Better Characterization of Masses: 3D imaging can help better differentiate between benign and potentially more serious pelvic masses.

Illnesses Diagnosed with US Pelvis 3D

This advanced imaging technique is instrumental in diagnosing a wide array of gynaecological conditions:

• Congenital Uterine Anomalies: Septate Uterus, Bicornuate Uterus, Arcuate Uterus.
• Uterine Fibroids (Leiomyomas): Precisely locating and measuring fibroids.
• Endometrial Polyps
• Adenomyosis
• Ovarian Cysts and Tumors
• Signs suggestive of Polycystic Ovary Syndrome (PCOS): Such as enlarged ovaries with multiple small follicles.
• Complications of Pelvic Inflammatory Disease (PID): Such as fluid-filled fallopian tubes (hydrosalpinx).

Preparation is straightforward and depends on the type of scan you are having.

• For a Transabdominal Scan: You will need to have a full bladder. Please drink approximately 1 litre of water (about 4-5 glasses) starting one hour before your appointment. Do not empty your bladder until after this part of the scan is complete.
• For a Transvaginal Scan: A full bladder is not needed. In fact, you will be asked to empty your bladder completely just before the transvaginal portion of the procedure begins for optimal comfort and image quality.
• Clothing: It is best to wear comfortable, loose-fitting, two-piece clothing (like a top and pants/skirt) as you may only need to lower your pants for the transabdominal scan.
• Diet: No special dietary restrictions are necessary before your appointment unless you are specifically instructed otherwise by your doctor.

Pre-requisites

• Please bring your doctor's referral or prescription for the 3D Pelvic Ultrasound.
• If you have had previous imaging scans (like a 2D ultrasound, MRI, or CT scan of your pelvis), please bring the reports and images with you. This allows our radiologist to make valuable comparisons.

Best Time to Take the 3D Pelvic Ultrasound

A 3D Pelvic Ultrasound can be performed at any time. However, for certain diagnostic purposes, the timing within your menstrual cycle can be important. For example, if the scan is to evaluate the endometrial lining or for fertility purposes, your doctor may recommend scheduling it during a specific phase of your cycle (e.g., just after your period ends). Please follow your doctor's specific instructions on timing.

Eligibility

The 3D Pelvic Ultrasound is safe for almost everyone, including women who are pregnant. The transabdominal approach can be performed on any patient. A transvaginal scan is typically performed on women who are sexually active. For patients who have never been sexually active or who find the procedure uncomfortable, the transabdominal approach will be used as the primary method.

Procedure for Taking a 3D Pelvic Ultrasound

Understanding the 3D Pelvic Ultrasound procedure can help you feel more comfortable and prepared on the day of your test at Cadabams Diagnostics.

1. Arrival & Prep: Upon arrival, you will register at the front desk. A sonographer will then greet you and escort you to a private ultrasound room. You may be asked to change into a hospital gown.
2. Transabdominal Part (if performed): You will lie comfortably on your back on an examination table. A clear, warm gel will be applied to your lower abdomen. The sonographer will then press a handheld transducer firmly against your skin and move it around to capture images of your pelvic organs.
3. Transvaginal Part (if performed): After the transabdominal scan, you will be asked to go to the restroom to empty your bladder. You will lie on the bed, often with your knees bent or your feet placed in supports (stirrups). A thin, sterile-covered, and lubricated transvaginal probe will be gently inserted into the vagina. This part of the scan is usually very brief but provides incredibly clear images.
4. Image Acquisition: During both parts of the scan, the sonographer will be capturing the necessary 2D images and 3D volume data. You may be asked to hold your breath for a few seconds at a time. The 3D rendering happens on the machine's computer.
5. Duration: The entire appointment, including preparation and scanning, typically lasts between 20 to 40 minutes.

Caution Before Taking the Test

For your safety and comfort, please inform the sonographer before the scan begins if:

• You have a known allergy to latex (for the transvaginal probe cover).
• You are experiencing severe pain, as they can adjust the procedure to maximize your comfort.
• There is any possibility that you might be pregnant.