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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Polycystic ovary syndrome (PCOS)
Synonyms
- Stein-Leventhal syndrome
Definitions
- 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
- Erdem CZ et al: Polycystic ovary syndrome: dynamic contrast-enhanced ovary MR imaging. Eur J Radiol. 51(1):48-53, 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
- Mitchell DG et al: Polycystic ovaries: MR imaging. Radiology. 160(2):425-9, 1986
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Polycystic ovary syndrome (PCOS)
Synonyms
- Stein-Leventhal syndrome
Definitions
- 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
- Erdem CZ et al: Polycystic ovary syndrome: dynamic contrast-enhanced ovary MR imaging. Eur J Radiol. 51(1):48-53, 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
- Mitchell DG et al: Polycystic ovaries: MR imaging. Radiology. 160(2):425-9, 1986
