Diagnosis of GTN usually involves a combination of clinical evaluation, imaging studies, and laboratory tests. The detection of elevated levels of hCG is a crucial marker for GTN. Ultrasound imaging can help identify molar pregnancies and other abnormalities within the uterus. Additional imaging, such as CT scans or MRI, may be necessary to assess the extent of the disease or to check for metastasis. A biopsy or histological examination of the tissue may confirm the diagnosis.