Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society

Zanardi, Romeo; Frate, Chiara Del; Zuiani, Chiara; Bazzocchi, Massimo

doi:10.1007/s00261-003-0005-2

Cited by 68 publications

(44 citation statements)

References 12 publications

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“…However, laparoscopy does not permit an adequate evaluation of subperitoneal extension in all cases. For vaginal endometriosis, clinical examination is superior to both ultrasound and laparoscopy [9,15,26,27]. We were able to recruit 31 patients with deep pelvic endometriosis giving us an average population size.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, the major role of MRI in deep pelvic endometriosis lies in diagnosing and establishing an exhaustive map of the lesions [9][10][11][12][13]. Taking all sites into account MRI sensitivity is 90.3%.…”

Section: Introductionmentioning

confidence: 99%

“…However, radiographic imaging can be difficult, notably in cases of obliteration of the rectovaginal pouch or in cases involving lesions of the [11,13,14]. Various adjuncts have been tried to improve the performance of MRI for this indication: antispasmodics, enemas, utilisation of an endocavitary antenna, and acquiring T1-weighted images with fat suppression [5,9,15]. However, none of these techniques has helped improve the detection of deep pelvic endometriosis of the vagina or rectovaginal septum.…”

Section: Introductionmentioning

confidence: 99%

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Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

et al. 2009

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“…However, in patients with endometriosis the decision to carry out laparoscopic surgery is usually based on clinical symptoms rather than on imaging findings [30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

et al. 2010

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“…MRI is able to obtain a much larger field of view when compared with US, and it able to detect extrapelvic implants assisting in preoperative staging. 60 MRI's role in the diagnosis and management of endometriosis and the detection of deep endometriosis is superior and results in higher accuracy than CT or US.…”

Section: Endometriosismentioning

confidence: 99%

Imaging Modalities in Gynecology

Busse¹

2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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REVIEW ARTICLE DSJUOG ULTRASOUNDTransabdominal gynecologic ultrasound combined with transvaginal scanning is a technique that was initially introduced in the early 1980's and quickly became a "musthave" procedure for gynecologists and emergency room physicians for assistance in diagnosing many gynecologic conditions. Rapid advances in the quality of the equipment, techniques used to obtain best images, and research designed to help physicians interpret their findings have contributed to ultrasound's quick rise in use and popularity. It is ubiquitous that ultrasound is the imaging modality of choice for gynecologic conditions.The advantages of ultrasound are numerous. It is fast, easy to obtain, has a high patient tolerance and is relatively inexpensive when compared to CT and MRI. Many physicians' offices have ultrasound machines that are more than sufficient to make common diagnoses thereby alleviating patient anxiety and physician concerns if an abnormality is found during a physical exam. Appropriate referrals and treatments can be initiated in a timely manner at minimum expense. The ability to use the transvaginal ultrasound as an extension of a pelvic exam is extremely useful, particularly when the source of pain is uncertain during bimanual exam or if a mass is found of uterine or ovarian origin. An obvious advantage, especially when compared to CT, is that no radiation exposure occurs. As will be discussed in more detail, pelvic ultrasound has been shown, in numerous studies, to have a high negative predictive value and offers excellent resolution of the uterus and adnexal structures, especially when compared to CT and MRI.There are disadvantages; however, that should be addressed. Even with routine use of transabdominal scanning which utilizes the acoustic window of a full bladder, the field of view is very limited, especially, compared to CT and MRI. Transvaginal sonography limits the field; however, it is effective in obtaining excellent resolution of the uterus, endometrium and adnexal structures. Ultrasound visualizes the bowel poorly and it is well-known that bowel gas corrupts the ultrasound signal allowing for potential "missed" masses not visible under the bowel. An additional drawback is that poor contrast occurs between dissimilar tissues (i.e. blood and fat) making it difficult to characterize certain ovarian masses accurately.Ultrasound characterizes gynecologic pathology extremely well. Fibroids, endometriomas, dermoids, masses that are suspicious for malignancy, uterine anomalies, IUD complications, ectopic pregnancies, and endometrial pathology (with the help of transvaginal saline infusion sonography) are diagnoses that are detected with high accuracy. The following will give illustrations of the clinical utility of diagnostic gynecologic ultrasound for specific clinical conditions. AbstractAlthough ultrasound is the primary imaging modality for most gynecologic diagnoses and conditions, knowledge of other diagnostic imaging procedures is important to gynecologists, emergency room physici...

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Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society

Cited by 68 publications

References 12 publications

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

Imaging Modalities in Gynecology

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