Objective: The purpose of this retrospective study was to assess the imaging characteristics of ovarian vein reflux using time-resolved MR angiography (TR-MRA). One hundred consecutive female patients underwent TR-MRA of the pelvis to evaluate suspected or known pelvic pathology. Findings of ovarian vein reflux, ovarian vein dilation, and periuterine varices were analyzed and correlated with symptoms of pelvic pain.
Conclusion: Overall, TR-MRA is a useful sequence for the assessment of ovarian vein reflux, which may aid the evaluation of pelvic congestion syndrome.