{"paper_id":"4811b59f-fb35-43a1-833b-4c2954e8668e","body_text":"ECR 2015 / C-1064\nRole of imaging in the preoperative assessment of pelvic and extrapelvic endometriosis: a pictorial essay\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2015\nPoster Number:\nC-1064\nType:\nScientific Exhibit\nKeywords:\nGenital / Reproductive system female, MR, Structured reporting, Education and training, Obstetrics\nAuthors:\nM. Peri, F. Vernuccio, D. Picone, P. Purpura, G. Lo Re, G. La Tona, S. Salerno, A. Lo Casto; Palermo/IT\nDOI:\n10.1594/ecr2015/C-1064\nAims and objectives\n-To create a MR radiological template for endometriosis\n-To review MR reports and images in patients with endometriosis to assess the accurancy of the reports.\nMethods and materials\nEndometriosis,\nfirstly described by John Sampson in 1921,\nand is characterized by the presence of ectopic endometrial tissue.\nIf this latter is located within the uterine myometrium it is called adenomyosis or internal endometriosis; if it is outside uterus it is called endometriosis.\nThis ectopic tissue is gonadic hormone responsive,\nas normal eutopic endometrial tissue: this phenomenon causes an inflammatory fibrotic reaction,\nwhich is responsible for the clinical symptoms [1].\nBeing often asymptomatic and sometimes “microscopic”,\nits real incidence and prevalence are not definite.\nHowever,...\nResults\nEndometriosis is a more and more frequent disease in the clinical context,\nbeing often an incidental finding.\nTherefore,\nit is mandatory that the radiologist takes into account the diagnosis of endometriosis, mainly in women of childbearing age who perform imaging examinations without specific symptoms and signs,\nin women with chronic pelvic pain and infertility and in patients with already known endometrial lesions.\nIn this latter situation,\nit is necessary to recognize the different characteristics of disease presentation and major development sites.\nFailure to recognize changes...\nConclusion\nAim of our poster is to provide a methodology for the study of endometriosis,\nas a support for the radiologist.\nThanks to the study of multi - parametric MRI radiologist 's role in the management of female pelvic pathology,\nand in particular,\nin the study of endometriosis ,\nis becoming increasingly important within a multidisciplinary team (radiologist,\ngynecologist,\ngeneral surgeon,\nnephrologist).\nThe goal is to lead a correct clinical- diagnostic - therapeutic management of a disease,\nwhich is often an incidental finding in clinical- radiological...\nReferences\n1) Luisi S.,\nLazzeri L.,\nCiani V et al.\nEndometriosi profonda: approccio diagnostico non invasivo.\nSezione di Ostetrica e Ginecologica,\nDipartimento di Pediatria,\nOstetricia e Medicina della Riproduzione,\nUniversità degli Studi di Siena.\n2012.\n2) Fauconnier A.,\nChapron C.\nEndometriosis and pelvic pain: epidemiological evidence of the relationship and implications.\nHum Reprod Update 2005;11:595–606.\n3) Chamiè LP,\nMD,\nPhD et al.\nFindings of pelvic endometriosis at transvaginal US,\nMR Imaging,\nand Laparoscopy.\nRadiographics 2011; 31:E77-E100\n4) Chamiè LP,\nMD,\nPhD et al.\nTransvaginal US after...","source_license":"CC0","license_restricted":false}