The Role of Magnetic Resonance Imaging in the Evaluation of Congenital Uterine Abnormalities: A Comprehensive Review

Congenital malformations of the uterus result from non-development or partial or complete non-fusion of the mullerian ducts, and present as a spectrun of reproductive disorders. Magnetic Resonance (MR) Imaging is a valuable technique for non-invasive evaluation of these abnormalities. This article reviews the classification of mullerian duct anomalies, the normal MR anatomy of the uterus, and the MR imaging features of the various congenital uterine malformations. The increasing availability of MR imaging may replace more invasive procedures including laparoscopy and/or hysteroscopy as initial diagnostic procedures.