{"paper_id":"997d8367-bb53-4366-84dd-40a6614a9d0d","body_text":"Abstract\nBackground\nThe purpose of the study was to compare the accuracy of double-contrast barium enema (DCBE) and magnetic resonance imaging (MRI) in the diagnosis of intestinal endometriosis using the histological examination on resected specimen as comparative standard.\nMethods\nEighty-three consecutive patients with suspected intestinal endometriosis, resected between 2005 and 2007, were prospectively evaluated. All of the women underwent preoperative DCBE and MRI on the same day. We evaluated number, site (rectum, sigmoid, cecum), and size of the lesions. The imaging findings were correlated with those resulting at pathology.\nResults\nAmong the 65 women who underwent surgery, 50/65 (76.9%) were found to have bowel endometriosis, with 9/50 (18%) patients presenting two lesions; DCBE allowed to detect 50/59 (84.7%) lesions. MRI allowed to detect 42/59 (71.1%) lesions. DCBE showed sensibility, specificity, PPV, NPV, and accuracy of respectively 84.7, 93.7, 98.0, 62.5, and 86.6%, MRI of 71.1, 83.3, 93.3, 46.8, and 74.6%.\nConclusion\nDCBE is more accurate than unenhanced MRI in the diagnosis of bowel endometriosis, and should be preferred in the preoperative management of this disease, since it usually enables a proper surgical planning.\nSimilar content being viewed by others\nReferences\nWoodward PJ, Sohaey R, Mezzetti TP. Endometriosis: radiologic-pathologic correlation. Radiographics 2001;21:193-216\nOlive DL, Schwartz LB. Endometriosis N Engl J Med 1993;328:1759-1779\nLu PY, Ory SJ. Endometriosis: current management Mayo Clin Proc 1993;70:453-463\nCornillie FJ, Oosterlynck D, Lauweryns JM, et al. Deeply infiltrating pelvic endometriosis: histology and clinical significance Fertil Steril 1990;53:978- 983\nJubanyik KJ, Comite F. Extra-pelvic endometriosis Obstet Gynecol Clin North Am 1997;24:411-440\nFaccioli N, Manfredi R, Mainardi P, et al. 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Abdom Imaging 35, 414–421 (2010). https://doi.org/10.1007/s00261-009-9544-5\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00261-009-9544-5","source_license":"CC0","license_restricted":false}