{"paper_id":"bae15789-9a2c-4c80-af41-7ca184b6e2d0","body_text":"ECR 2012 / C-2074\nDeep pelvic endometriosis: MR evaluation\nThis poster was previously presented in Spanish at the 2010 Congreso Nacional SERAM (A Coruña)\nCongress:\nECR 2012\nPoster Number:\nC-2074\nType:\nEducational Exhibit\nKeywords:\nAbdomen, Genital / Reproductive system female, MR, Contrast agent-other, Education, Blood, Haemorrhage\nAuthors:\nR. J. Méndez, J. Barrera Ortega; Madrid/ES\nDOI:\n10.1594/ecr2012/C-2074\nLearning objectives\n-Deep endometriotic implants in the pelvis are not as common as ovarian endometriosis,\nbut they are more frequently related with clinical symptoms and infertility.\n-When medical treatment fails to control symptoms,\nsurgical excision of the endometriotic foci is the treatment of choice.\n-MRI is the best imaging technique to preoperatively detect and stage deep endometriotic implants in the pelvis,\nbut a dedicated MR protocol is needed.\nPatient preparation is also commented.\n-Many times,\nMRI findings are subtle and a careful analysis of the images is...\nBackground\nEndometriosis is defined as the presence of endometrial tissue in an ectopic location,\noutside of the uterine cavity.\nIt is frequent among women in childbearing age.\nEndometriosis is often almost asymptomatic but it is among the leading causes of infertility and pelvic pain.\nThe most frequent locations for the endometriotic implants are the ovaries and the peritoneal surface.\nPathogenesis of this disease is under discussion and it is probably multiple.\nMost of the endometriotic lesions could be explained by the theory of the “retrograde menstruation”...\nImaging findings OR Procedure details\nMagnetic Resonance Technique\nMRI studies presented in this poster were acquired on 1.5 T MR magnets,\nSigna Excite (General Electric Medical Systems).\nFor signal reception an 8 element phased array surface pelvic coil was used.\n-Three series of fast spin echo (FSE) T2 weighted images were acquired in sagittal,\ncoronal and axial planes and a FSE T2 fat suppressed series.\nAcquisition parameters were TR: 3900-4200 ms TE: 85-110 ms,\necho train (ETL) 17-21,\nslice thickness 4-5 mm,\ngap: 0.5-1 mm,\nFOV 20-22 cm,\nmatrix 416-320...\nConclusion\nMRI is a useful technique for the diagnosis of deep endometriosis in the pelvis.\nDetecting the location and extent of deep endometriotic implants can be of value to decide the therapeutic approach and serve as a guide for laparoscopic surgery.\nMRI can also have a role in postsurgical evaluation of complex cases.\nAn appropriate MR study protocol is required for a correct assessment of the lesions.\nVaginal and rectal distension,\nusing fluid or gel,\nfacilitates the detection of deep endometriotic implants in the posterior compartment...\nPersonal Information\nRamiro J Méndez ,\nJerónimo Barrera\nR M Nª Sra del Rosario\nHospital Clínico San Carlos\nMadrid.\nSpain\nContact: [email protected]\nReferences\n1.-Loubeyre P,\nPetignat P,\nJacob S,\nEgger JF,\nDubuisson JB,\nWenger JM.\nAnatomic distribution of posterior deeply infiltrating endometriosis on MRI after vaginal and rectal gel opacification.\nAJR 2009; 192:1625-31.\n2.-Saba L,\nGuerriero S,\nSulis R et al.\nLearning curve in the detection of ovarian and deep endometriosis by using Magnetic Resonance.\nComparison with surgical results.\nEur J Radiol 2011;79:237-44\n3.-Chassang M,\nNovellas S,\nBloch-Marcotte C et al.\nUtility of vaginal and rectal contrast medium in MRI for the detection of pelvic endometriosis.\nEur Radiol...","source_license":"CC0","license_restricted":false}