Polycystic ovarian morphology (PCOM) with clinical and endocrinologic dysfunction
Must exclude other etiologies of hyperandrogenism and menstrual disturbances
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Badeeb A et al: Dark cortical rim: an MRI feature of polycystic ovarian syndrome. Abdom Radiol (NY). 46(3):1148-56, 2020
Fondin M et al: Polycystic ovary syndrome in adolescents: which MR imaging-based diagnostic criteria? Radiology. 285(3):961-70, 2017
Kenigsberg LE et al: Clinical utility of magnetic resonance imaging and ultrasonography for diagnosis of polycystic ovary syndrome in adolescent girls. Fertil Steril. 104(5):1302-9.e1-4, 2015
Dewailly D et al: Definition and significance of polycystic ovarian morphology: a task force report from the Androgen Excess and Polycystic Ovary Syndrome Society. Hum Reprod Update. 20(3):334-52, 2014
Lujan ME et al: Updated ultrasound criteria for polycystic ovary syndrome: reliable thresholds for elevated follicle population and ovarian volume. Hum Reprod. 28(5):1361-8, 2013
Battaglia C et al: Two- and three-dimensional sonographic and color Doppler techniques for diagnosis of polycystic ovary syndrome. The stromal/ovarian volume ratio as a new diagnostic criterion. J Ultrasound Med. 31(7):1015-24, 2012
Lee TT et al: Polycystic ovarian syndrome: role of imaging in diagnosis. Radiographics. 32(6):1643-57, 2012
Dewailly D et al: Diagnosis of polycystic ovary syndrome (PCOS): revisiting the threshold values of follicle count on ultrasound and of the serum AMH level for the definition of polycystic ovaries. Hum Reprod. 26(11):3123-9, 2011
Barber TM et al: Patterns of ovarian morphology in polycystic ovary syndrome: a study utilising magnetic resonance imaging. Eur Radiol. 20(5):1207-13, 2010
Griffin Y et al: Radiology of benign disorders of menstruation. Semin Ultrasound CT MR. 31(5):414-32, 2010
Shanbhogue AK et al: Clinical syndromes associated with ovarian neoplasms: a comprehensive review. Radiographics. 30(4):903-19, 2010
Peri N et al: Sonographic evaluation of the endometrium in patients with a history or an appearance of polycystic ovarian syndrome. J Ultrasound Med. 26(1):55-8; quiz 59-60, 2007
Trivax B et al: Diagnosis of polycystic ovary syndrome. Clin Obstet Gynecol. 50(1):168-77, 2007
Chang RJ: A practical approach to the diagnosis of polycystic ovary syndrome. Am J Obstet Gynecol. 191(3):713-7, 2004
Phy J et al: Transvaginal ultrasound detection of multifollicular ovaries in non-hirsute ovulatory women. Ultrasound Obstet Gynecol. 23(2):183-7, 2004
The Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group: Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 19(1):41-7, 2004
Balen AH et al: Ultrasound assessment of the polycystic ovary: international consensus definitions. Hum Reprod Update. 9(6):505-14, 2003
Dolz M et al: Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography. J Ultrasound Med. 18(4):303-13, 1999
Sutton CL et al: Ovarian masses revisited: radiologic and pathologic correlation. Radiographics. 12(5):853-77, 1992
Polycystic ovarian morphology (PCOM) with clinical and endocrinologic dysfunction
Must exclude other etiologies of hyperandrogenism and menstrual disturbances
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Badeeb A et al: Dark cortical rim: an MRI feature of polycystic ovarian syndrome. Abdom Radiol (NY). 46(3):1148-56, 2020
Fondin M et al: Polycystic ovary syndrome in adolescents: which MR imaging-based diagnostic criteria? Radiology. 285(3):961-70, 2017
Kenigsberg LE et al: Clinical utility of magnetic resonance imaging and ultrasonography for diagnosis of polycystic ovary syndrome in adolescent girls. Fertil Steril. 104(5):1302-9.e1-4, 2015
Dewailly D et al: Definition and significance of polycystic ovarian morphology: a task force report from the Androgen Excess and Polycystic Ovary Syndrome Society. Hum Reprod Update. 20(3):334-52, 2014
Lujan ME et al: Updated ultrasound criteria for polycystic ovary syndrome: reliable thresholds for elevated follicle population and ovarian volume. Hum Reprod. 28(5):1361-8, 2013
Battaglia C et al: Two- and three-dimensional sonographic and color Doppler techniques for diagnosis of polycystic ovary syndrome. The stromal/ovarian volume ratio as a new diagnostic criterion. J Ultrasound Med. 31(7):1015-24, 2012
Lee TT et al: Polycystic ovarian syndrome: role of imaging in diagnosis. Radiographics. 32(6):1643-57, 2012
Dewailly D et al: Diagnosis of polycystic ovary syndrome (PCOS): revisiting the threshold values of follicle count on ultrasound and of the serum AMH level for the definition of polycystic ovaries. Hum Reprod. 26(11):3123-9, 2011
Barber TM et al: Patterns of ovarian morphology in polycystic ovary syndrome: a study utilising magnetic resonance imaging. Eur Radiol. 20(5):1207-13, 2010
Griffin Y et al: Radiology of benign disorders of menstruation. Semin Ultrasound CT MR. 31(5):414-32, 2010
Shanbhogue AK et al: Clinical syndromes associated with ovarian neoplasms: a comprehensive review. Radiographics. 30(4):903-19, 2010
Peri N et al: Sonographic evaluation of the endometrium in patients with a history or an appearance of polycystic ovarian syndrome. J Ultrasound Med. 26(1):55-8; quiz 59-60, 2007
Trivax B et al: Diagnosis of polycystic ovary syndrome. Clin Obstet Gynecol. 50(1):168-77, 2007
Chang RJ: A practical approach to the diagnosis of polycystic ovary syndrome. Am J Obstet Gynecol. 191(3):713-7, 2004
Phy J et al: Transvaginal ultrasound detection of multifollicular ovaries in non-hirsute ovulatory women. Ultrasound Obstet Gynecol. 23(2):183-7, 2004
The Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group: Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 19(1):41-7, 2004
Balen AH et al: Ultrasound assessment of the polycystic ovary: international consensus definitions. Hum Reprod Update. 9(6):505-14, 2003
Dolz M et al: Polycystic ovarian syndrome: assessment with color Doppler angiography and three-dimensional ultrasonography. J Ultrasound Med. 18(4):303-13, 1999
Sutton CL et al: Ovarian masses revisited: radiologic and pathologic correlation. Radiographics. 12(5):853-77, 1992