{"paper_id":"be623777-8b74-43ca-ae66-9354791b9751","body_text":"ECR 2012 / C-1201\nFiber tracking of the sacral nerves in female pelvis: a potential method to evaluate endometriosis-related fibres alteration?\nCongress:\nECR 2012\nPoster Number:\nC-1201\nType:\nScientific Paper\nKeywords:\nPelvis, Genital / Reproductive system female, MR\nAuthors:\nL. Manganaro, V. Vinci, F. Fierro, P. Lodise, M. E. Sergi, S. Bernardo, G. Vittori, M. G. Porpora, M. Marini; Rome/IT\nDOI:\n10.1594/ecr2012/C-1201\nPurpose\nOur study aimed to evaluate the feasibility of tractoghraphy to study sacral nerves in women affected by pelvic endometriosis associated to crhonic pelvic pain.\nMethods and Materials\nWe enrolled 2 groups of patient:30 women came with US diagnosis of endometriosis and had an important clinical history of pelvic pain; and a control-group of 10 women.\nOperating on 3T MRI,\nwe reconstructed nervous pathway by postprocessing the DTI images with speficic software .\nRadiologists made two different kind of evaluation:\n-quantitative analysis: by evaluation of the 3D architecture of nervous pathways reconstructed by software,\nradiologists mainly considered fibres length and branches morphology.\n-qualitative analysis: considering values of Fractional Anisotropy (FA)\nFor what concern...\nResults\nResults concerning Tractography can be divided into two main branches,\nconcerning the 3D architecture of nervous pathways andsecondly,\nnot for importance,\nthe fractional anisotropy.\nAccording to this analysis,\nit resulted that all 10 volunteers patients were included in 1st class.\nOn the contrary,\nthe 30 positive patients were distributed in the three classes differently as follows:\n22/30 patients in 3rd class\n6/30 patients in 2nd class\n2/30 patients in 1st class\nMost of patients included in 3rd class presented numerous branches (more than 6) with...\nConclusion\nVarious studies demonstrated the correlation between endometriosis and alterated pelvic innervations; moreover,\nin particular cases some studies suggest nerve-sparing surgery in order to reduce women’s symptons.\nIn agreement with these,\nin our preliminary experience the comparison between the two group demontrated a difference in the nervous pathways with significant alteration in case of posterior compartments implants localization; moreover Tractography revealed to be diriment to detect nerves alteration and represent the only non-invasive way to study nervous pathways; therefore,\nin next future it may be useful...\nReferences\nC.\nKhalil ∗,\nJ.F.\nBudzik,\nE.\nKermarrec,\nV.\nBalbi,\nV.\nLe Thuc,\nA.\nCotten.\nTractography of peripheral nerves and skeletal muscles.\nEuropean Journal of Radiology 76 (2010) 391–397\nHiltunen J,\nSuortti T,\nArvela S,\nSeppa M,\nJoensuu R,\nHari R.\nDiffusion tensor imaging and tractography of distal peripheral nerves at 3 T.\nClin Neurophysiol 2005;116(10):2315–23\nFauconnier A,\nChapron C,\nDubuisson JB,\nVieira M,\nDousset B,\nBreart G.\nRelation between pain symptoms and the anatomic location of deep infiltrating endometriosis.\nFertil Steril 2002;78:719 –26\nImaging delle...","source_license":"CC0","license_restricted":false}