{"paper_id":"635cd1e9-e45a-46ac-b261-25486dfaf734","body_text":"ECR 2010 / C-1271\nMR imaging of deep pelvic endometriosis: Spectrum of findings\nCongress:\nECR 2010\nPoster Number:\nC-1271\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, Obstetrics (Pregnancy / birth / postnatal period), Pelvis\nAuthors:\nP. Paolantonio, R. Ferrari, M. Rengo, F. Vecchietti, P. Lucchesi, A. Laghi; Latina/IT\nDOI:\n10.1594/ecr2010/C-1271\nLearning objectives\nThe Purpose of this Exhibit is to review the pathological and clinical features of endometriosis and to show the MRI characteristics, appearances and location of pelvic endometriosis providing laparoscopic correlation.\nBackground\nWe will discuss the rationale of an MR protocol suited for the identification of deep pelvic endometriosis.\nImaging findings OR Procedure details\nWe will show the MR appearance of both ovaric endometriomas and pelvic endometriosis. We will show cases of periteoneal endometriosis with pelvic adhesion, severe Pouch of Douglas endometriosis and extraperitoneal endometriosis (rectovaginal septal, retroforniceal involvement, uterosacral ligament Rectal invasion).\nConclusion\nMRI is a useful adjunct to clinical, sonographic and laparoscopic assessment of patients with endometriosis. It is particularly useful for assessment of laparoscopic \"blind areas\" such as retroperitoneal disease and endometriosis deep to dense adhesions. The goal in identification of deep pelvic endometriosis is the identification of fibrotic tissue usually hypointense on T2W images. MRI provides useful information for pre-operative planning and is a non-invasive technique for disease diagnosis, staging and treatment follow-up.\nReferences\nAPGO Educational Series on Women’s Health Issues. Chronic pelvic pain: an integrated approach. Crofton, Md: APGO, January 2000.Harris RD, Holtzman SR, Poppe AM. Clinical outcome in female patients with pelvic pain and normal pelvic US findings. Radiology 2000; 216: 440– 443.Kuligowska E, Deeds L, Lu K. Pelvic Pain: Overlooked and Undiagnosed gynecologic conditions. Radiographics 2005; 25: 3-20.Hottat N, Larrouse C, Anaf V, Noel JC, Matos C, Absil J, Metens T. Endometriosis: contribution of 3.0T Pelvic MR imaging I preoperative assessmentinitial results. Radiology 2009; 253: 126-134.Francica...","source_license":"CC0","license_restricted":false}