{"paper_id":"73e71b62-d9ab-48bd-9629-baada828dbe0","body_text":"ECR 2019 / C-2943\nImaging of endometriosis: what the radiologist needs to know.\nCongress:\nECR 2019\nPoster Number:\nC-2943\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, Pelvis, Abdomen, MR, Ultrasound, Ablation procedures, Biopsy, Image verification\nAuthors:\nH. Jaafar1, Z. Houneida2, W. Elouaer2, S. Majdoub2, D. Bakir2, F. bouzayene2, N. Chouchene3; 1MONASTIR/TN, 2Sousse/TN, 3Mahdia/TN\nDOI:\n10.26044/ecr2019/C-2943\nLearning objectives\n• Discuss the pertinent MRI findings for both pelvic and distant anatomical endometrial implants.\n• Correlate the radiologic findings with pathologic specimens from the selected cases.\n• Describe the complications associated with pelvic and extra-pelvic endometriosis as well as current therapy recommendations.\nBackground\nEndometriosis is a well-known and pervasive cause of pelvic pain and infertility.\nItis defined byan ectopic endometrial tissue outside the uterine cavityexcept formyometrium where the ectopic tissueis calledadenomyosis.As imaging protocols become more precise and experience increases with MRI,\nbetter clinical information can be gained with less invasive methods.\nAppropriate clinical management of the patient depends on accurate diagnosis and thorough evaluation of the involved anatomical sites.\nFindings and procedure details\nEndometriosis is defined as the presence of endometrial tissue outside the uterus.\nThis condition manifests in as many as 10% of women of reproductive age (1).\nIt manifests as dyspareunia,\ndysmenorrhea and\ninfertility,\nalthough it may be asymptomatic.\nThree different forms of endometriosis exist: ovarian endometriosis (endometrioma),\nperitoneal endometriosis and adhesions,\nand deep endometriosis [2].\nETIOLOGY AND PATHOGENESIS:\nThe etiology is multifactorial,\nseveral theories exist.\n-Retrograde menstruation is the most accepted,\nwith transportion of endometrial tissue from the uterine cavity into the peritoneum through the...\nConclusion\nThe lesions of endometriosis are widely polymorphic in terms of signal,\nwith a great many possible locations which are more often than not associated,\nhence the importance of precise knowledge of the various typical appearances.\nMRI is the best imaging examination for a complete and detailed pre-surgical or pre-therapeutic assessment of deep endometriosis.\nReferences\n[1] Buck Louis GM,\nHediger ML,\nPeterson CM,\nCroughan M,\nSundaram R,\nStanford J,et al.\nIncidence of endometriosis by study population and diagnostic method:the ENDO study.\nFertility and Sterility 2011;96(August (2):360-5.\n[2]Caterina Exacoustos ,\nLucia Manganaro ,\nErrico Zupi: Imaging for the evaluation of endometriosis and adénomyoses: Best Practice & Research Clinical Obstetrics and Gynaecology 28 (2014) 655-681.\n[3] Jensen JR,\nCoddington CC 3rd.\nEvolving spectrum: the pathogenesis of endometriosis.\nClin Obstet Gynecol 2010;53(2):379-88.\n[4] Coutinho A Jr.,\nBittencourt LK,\nPires CE,\net al.\nMR...","source_license":"CC0","license_restricted":false}