{"paper_id":"cefb4aa6-d3bc-4215-b776-a849c8fab7a0","body_text":"ECR 2014 / C-1567\nMRI in deep endometriosis: can we reduce undertreatment?\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2014\nPoster Number:\nC-1567\nType:\nScientific Exhibit\nKeywords:\nGenital / Reproductive system female, MR, Staging\nAuthors:\nV. Di Paola, F. Castelli, S. Mehrabi, R. Manfredi, R. Pozzi Mucelli; Verona/IT\nDOI:\n10.1594/ecr2014/C-1567\nAims and objectives\nEndometriosis consists of the presence of endometrial glands and stroma outside of the uterine cavity (1),\nthat is in the adnexa (tubo-ovarian endometriosis),\nor in the torus uterinus,\nrecto-vaginal septum,\nutero-sacral ligament,\npelvic wall or pelvic organs (deep endometriosis).\nEndometriosisis a disease involving 10% of patients (2),\nwith a peak of incidence in childbearing age between 24 and 29 years,\nand causing chronic and invalidating pelvic pain in more than half of histologically confirmed cases (3) and infertility being present in 30% of infertile women...\nMethods and materials\nThis retrospective study enrolled all Patients between December 2009 and April 2012 with suspected tubo-ovarian and/or deep endometriosis,\nwhose data were considered for inclusion in our study.\nPatient data were included according to the following criteria: Patients with (a) tubo-ovarian and/or deep endometriosis suspected at physical examination and transvaginal ultrasound,\n(b) availability of MR examination findings,\n(c) histopathological results from laparoscopic or surgical treatment.\nExclusion criteria were as follows: (a) There was a lack of available MR examination findings,\nand/or (b) There was a lack...\nResults\nAt MRI we didn’t find any endometriosic lesions in 17/64 Patients (0 accordingly ENZIAN Score).\nIn the other 47/64 Patients we found: 42 lesions in rectovaginal space of which 11 < 1 cm (1A),\n17 between 2 and 3 cm (2A) and 14 > 3 cm (3A); 21 lesions on uterosacral ligaments,\nof which 12 < 1 cm (1B) and 9 between 2 and 3 cm (2B); 12 lesions on rectal or colic wall,\nof which 7 < 1cm (1C),\n4 between 2 and 3...\nConclusion\nMRI has been demonstrated to have an accuracy of 98% for deep endometriosis,\nin accordance with recent literature results (10-12).\nIn our work we found the highest accuracy for rectal-colic wall and for uterosacral ligaments,\nresulting higher than other works (13-14) probably due to the retrograde injection of gel through the rectum (15).\nThe main limit was represented by bladder lesions,\nprobably due to fibrotic constitution of the lesions (16) and to poor filling of the bladder.\nOn conclusion,\nMRI has been demonstrated useful in...\nReferences\n1.L.Marcal,\nM.\nA.Nothaft,\nF.\nCoelho,\nand H.\nChoi.Deep pelvic endometriosis:MRimaging.Abdominal Imaging,\nvol.\n35,\nno.\n6,\npp.\n708–715,\n2010.\n2.Vigano P,\nParazzini F,\nSomigliana E,\nVercellini P.\nEndometriosis: epidemiology and aetiological factors.Best practice & research Clinical obstetrics & gynaecology 2004;18:177-200.\n3.Triolo O,\nLagana AS,\nSturlese E.\nChronic pelvic pain inendometriosis: an overview.\nJournal of clinical medicine research 2013;5:153-63.\n4.Rogers PA,D'Hooghe TM,\nFazleabas A.\nDefining future directions for endometriosis research: workshop report from the 2011 world congress of endometriosis in Montpellier,France.\nReproductive sciences 2013;20:483-99.\n5.Carvalho LF,\nRossener...","source_license":"CC0","license_restricted":false}