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Pelvic ultrasonography in anorexia nervosa: what the clinician should ask the radiologist and how to use the information provided
Author(s) -
Mason Helen D.,
Key Adrienne,
Allan Rosemary,
Lask Bryan
Publication year - 2006
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.719
Subject(s) - anorexia nervosa , maturity (psychological) , ultrasonography , medicine , eating disorders , transvaginal ultrasonography , radiology , psychology , psychiatry , developmental psychology
Pelvic ultrasonography is generally regarded as the gold standard for determination of pelvic maturity and hence the need for further weight gain in patients with anorexia nervosa. Many clinicians, however, have limited knowledge of this technique. Here, we describe the use of pelvic ultrasonography in anorexia nervosa and present an algorithm to assist the clinician, both with what questions to ask from the radiologist, and how to use the information provided to determine the morphology and hence maturity of the pelvic organs. We then show how this information can be used to assign the level of pelvic maturity a grade from 1 to 5. Finally, we demonstrate use of this system in two patients who progressively gained weight until pelvic maturity was achieved. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.