Deep infiltrating endometriosis MR imaging with surgical correlation

Tang, Xiaodong; Ling, Rennan; Gong, Jingshan; Mei, Dongdong; Luo, Yan; Li, Minge; Xu, Jiali; Ma, Ling

doi:10.21037/qims.2018.01.10

Cited by 8 publications

(5 citation statements)

References 17 publications

(20 reference statements)

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“…MRI after surgery may show an alteration of the physiological morphology of the pelvis due to the presence of adhesions and sometimes because of the obliterations of anatomical spaces and pouch without a fat tissue interface between the bladder, uterus, vagina and rectum [91]. According to Chamié et al, the first pelvic post-operative MRI should be performed after 6 months.…”

Section: Post-operative Imagingmentioning

confidence: 99%

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Piccolo,

Cea,

Sbarra

et al. 2023

Applied Sciences

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Endometriosis is a chronic condition characterized by the presence of abnormal endometrial tissue outside the uterus. These misplaced cells are responsible for inflammation, symptoms, scar tissue and adhesions. Endometriosis manifests mainly in three patterns: superficial peritoneal lesions (SUP), ovarian endometriomas (OMA) and deep infiltrating endometriosis (DIE). It also exhibits atypical and extremely rare localization. The updated 2022 guidelines of the ESHRE recommend using both ultrasound and magnetic resonance imaging (MRI) as first-line diagnostic tests. Currently, MRI provides a more complete view of the pelvis anatomy. The aim of our review is to provide radiologists with a “map” that can help them in reporting pelvic MRI scans in patients with endometriosis. We will illustrate the usual and unusual localizations of endometriosis (categorized into compartments) using post-operative imaging, and we will focus on the role of MRI, the main sequences and the use of contrast agents.

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Section: Post-operative Imagingmentioning

confidence: 99%

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Piccolo,

Cea,

Sbarra

et al. 2023

Applied Sciences

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show abstract

“…Uterosacral ligaments originate from the torus uterinus, attach posteriorly to the sacrum, and are considered the second most common site after the ovaries in some studies. The proximal third are the most commonly involved sites, presenting as asymmetric shortening, thickening (>9 mm), and nodularity of the involved ligament [53].…”

Section: Posterior Compartmentmentioning

confidence: 99%

Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity

Zuber¹,

Shoaib²,

Kumari³

2022

Pol J Radiol

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Endometriosis is a common benign and chronic inflammatory gynaecological disease due to functional endometrial glands and stroma in an ectopic location outside the uterine cavity. It affects 5-10% of reproductive age group women in the peak age of 24-29 years. However, women with infertility and chronic pelvic pain have an even greater prevalence, accounting for 30-50% and 90% of cases, respectively. Although it is a common entity, patients often get a delayed diagnosis because it is often subtle (hidden), missed, or confused with mimics, leading to misdiagnosis, which significantly affects patients' quality of life because they live in constant pain from undiagnosed endometriosis. Laparoscopy followed by histopathological confirmation is the gold standard for diagnosis, but it is an invasive procedure. MRI is an excellent non-invasive modality that helps in non-invasive diagnosis, with excellent delineation of the disease extent, and thus provides a presurgical mapping of the disease, which is helpful for the operating surgeon. Radiologists should be aware of all possible spectrum and diagnose this early and provide a detailed structured report mapping the entire extent of the disease process, which helps in effective treatment planning and successful outcomes in improving patients' quality of life.

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“…Citation: Roufael J, Fedida B, Chis C, Guillermin A, Labauge P, Panel P. Correlation between surgical findings and magnetic resonance imaging of deep infiltrating endometriosis. J Clin Images Med Case Rep. 2021; 2(2): 1076. between MRI and per operative findings [6,7,8]. It is to be noted that all images were analyzed prospectively by a specialized radiologist.…”

Section: Introductionmentioning

confidence: 99%

Correlation between surgical findings and magnetic resonance imaging of deep infiltrating endometriosis

Roufael¹,

Fedida²,

Chis³

et al. 2021

J Clin Images Med Case Rep

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In this review, images during surgical excision of Deep Infiltrating Endometriosis (DIE) were correlated to preoperative Magnetic Resonance Imaging (MRI) findings. MRI is known to be the best tool for mapping DIE, it displays a high accuracy in the diagnosis and the characterization of endometriosis lesions. Recent studies showed also that MRI findings can be correlated to the length of operating time, to the duration of hospital stay, and to the risk of voiding problems. In this article we emphasize on the importance of having an experienced radiologist that has the ability of detecting adhesions and superficial peritoneal lesions, a value that was underestimated in previous studies. DIE presents on MRI as an intermediate signal intensity on T1-weighted images, hypointense signal on T2-weighted images, and homo- or heterogeneous enhancement after intravenous gadolinium injection. Preoperative MRI findings help doctors to elaborate a tailored therapeutic plan for each patient depending on the clinical context (Fertility preservation, IVF, complete surgical excisions). Most importantly correct investigation and accurate description of small lesions enhance surgical planification and adequate information of the patients.

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Deep infiltrating endometriosis MR imaging with surgical correlation

Cited by 8 publications

References 17 publications

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity

Correlation between surgical findings and magnetic resonance imaging of deep infiltrating endometriosis

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