title: The use of MRI in the pre-surgical evaluation of patients with androgen insensitivity syndrome.
abstract: BACKGROUND
  Patients diagnosed with androgen insensitivity syndrome (AIS) need bilateral gonadectomy (orchiectomy) for malignancy risk reduction. Imaging of the gonads (testicles) prior to surgery is recommended. Ultrasonography has typically been used. However, magnetic resonance imaging (MRI) provides better localization of the gonads and pre-surgical planning.
  
  
  METHODS
  In this case series, we describe how MRI was utilized in planning surgical gonadectomy in 3 patients with complete AIS and to review the literature regarding MRI and AIS.
  
  
  CONCLUSIONS
  MRI prior to surgery was helpful in localizing and planning for removal of the gonads while preventing injury to other structures. Surgical specialists with experience with inguinal dissection were appropriately consulted when an inguinal dissection was likely to be needed to complete the gonadectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Sana
authors.initials: S
authors.lastname: Khan
authors.affiliation: Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Lisa
authors.initials: L
authors.lastname: Mannel
authors.affiliation: Department of Radiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Christian L
authors.initials: CL
authors.lastname: Koopman
authors.affiliation: Department of Radiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Rao
authors.initials: R
authors.lastname: Chimpiri
authors.affiliation: Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Karl R
authors.initials: KR
authors.lastname: Hansen
authors.affiliation: Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Electronic address: latasha-craig@ouhsc.edu.
authors.forename: LaTasha B
authors.initials: LB
authors.lastname: Craig
mesh_terms: D000293:Adolescent; D013734:Androgen-Insensitivity Syndrome / Q000601:surgery*; D004822:Epididymis / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009919:Orchiectomy; D011300:Preoperative Care; D055815:Young Adult
keywords: Androgen insensitivity; Gonadectomy; Imaging; MRI; Orchiectomy