{"paper_id":"3875bb10-3882-4a90-b309-94886490160a","body_text":"ECR 2015 / C-0337\nRole of MRI in detection of deep infiltrating endometriosis\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2015\nPoster Number:\nC-0337\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, MR, Contrast agent-intravenous, Diagnostic procedure, Pelvic floor dysfunction, Tissue characterisation\nAuthors:\nE. Puchkova, E. A. Mershina, V. Sinitsyn, T. Pustovitiva; Moscow/RU\nDOI:\n10.1594/ecr2015/C-0337\nLearning objectives\nTo illustrate the typical MR imaging findings of deep infiltrating endometriosis,\ndescribe the different locations of solid endometriosis and review MR imaging protocol in affected patients.\nBackground\nEndometriosis is a severe gynecologic disorder that affects women of reproductive age[1,2,3].\nIt is defined as the presence of functional endometrial glands and stroma outside the uterus[6,8].\nThere are three forms of pelvic endometriosis - superficial peritoneal lesions,\novarian endometrioma and deep infiltrating endometriosis.\nThe superficial peritoneal lesions are noninvasive implants that can be easily diagnosed at laparoscopy[12,13].\nOvarian endometrioma is a widely known disorder that can be easily detected with US,\nMRI and laparoscopy[5,14,15,16].\nThe deep infiltrating endometriosis is defined as subperitoneal endometrial lesions...\nFindings and procedure details\nThe presentation is based on analysis of 65 cases of deep pelvic endometriosis.\nExaminations were performed with 1.5 T MR scanner.\nStandard imaging protocol includes sagittal,\naxial and oblique coronal turbo spin-echo T2-weighted images (T2-WI),\ncoronal T2-WI with fat suppression,\naxial and coronal turbo spin-echo T1-WI with fat suppression before and after intravenous administration of gadolinium chelates (0.2 mmol/kg).\nSagittal sequences were acquired with saturation bands placed anteriorly to eliminate the high signal of subcutaneous fat and breath artifacts.\nStandard protocol is detailed in the...\nConclusion\nDeep infiltrating endometriosis is a severe gynecologic disorder for which surgery remains the best medical procedure.\nAdequate treatment requires radical removing of all endometriotic lesions therefore an accurate preoperative assessment of the endometriosis extension is extremely important.\nMRI is a non-invasive preoperative examination with a high diagnostic accuracy that helps to identify endometriotic lesions to define the surgical strategy.\nMRI allows to diagnose endometriosis of the bladder,\nureters,\nvesicouterine pouch,\nround,\nbroad and uterosacral ligaments,\nrectovaginal pouch,\nand small implants on the serosal surface of...\nReferences\nChoudhary S.,\nFasih N.,\nParadatos D.,\nSurabhi VR.\nUnusual imaging appearances of endometriosis.\nAJR Am J Roentgenol 2009;192(6):1632-1644.\nAvailable at: http://www.ajronline.org/doi/full/10.2214/AJR.08.1560\nWoodward PJ.,\nSohaey R.,\nMezzetti TP Jr.\nEndometriosis: radiologic-pathologic correlation.\nRadioGraphics 2001;21(1):193-216.\nAvailable at:http://pubs.rsna.org/doi/full/10.1148/radiographics.21.1.g01ja14193\nTrufanov G.E.\nRadiologic guidelines in gynaecology.\n– 2008.\n- Jelbi-Spb.\n– 592s.\n(inRussian)\nGiudice LC.,\nKao LC.\nEndometriosis.\nLancet 2004;364(9447):1789-1799.\nAvailable at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(04)17403-5/fulltext\nAdamjan L.V.,\nKulakov V.I.,\nAndreeva E.N.\nEndometriosis (Guidelines for radiologist).\n– 2006.\n– M.:Medicina.\n– 480s.\n(inRussian)\nMatalliotakis IM.,\nArici A.,\nCakmak H.,\nGoumenou AG.,\nKoumantakis G.,...","source_license":"CC0","license_restricted":false}