{"paper_id":"dd0b16a8-30bc-4bc0-8659-b8cf453a69ca","body_text":"ECR 2015 / C-1364\nMRI findings in endometriosis\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2015\nPoster Number:\nC-1364\nType:\nEducational Exhibit\nKeywords:\nTissue characterisation, Pathology, Diagnostic procedure, MR, Management, Genital / Reproductive system female, Abdomen\nAuthors:\nR. M. Viguer Benavent, G. Montoliu Fornas, P. Rudenko, M. �. Sánchez Fuster; Valencia/ES\nDOI:\n10.1594/ecr2015/C-1364\nLearning objectives\nWe review a series of cases (2011/2014) of deep pelvic endometriosis and endometriosis in our center with the objective of describing the radiographic signs and the most frequent findings,\nexplaining radiological management and MRI protocol,\nand evaluating the resonance role in the diagnosis and surgical planning.\nBackground\nEndometriosis is defined as the presence of ectopic endometrial tissue outside the uterus.\nDepending on its location,\nthree forms of pelvic endometriosis are defined:\n- Endometrioma.\nEndometriosis located in the ovarian,\nwith characteristic cyst formation due to cyclical bleeding.\n- Superficial lesions or noninvasive peritoneal implants.\n- Deep pelvic endometriosis or infiltrating endometriosis,\nsubperitoneal invasion greater than 5mm.\nThe ectopic endometrial tissue responds to hormonal stimuli causing variable degrees of bleeding and symptoms depending on its grade and location.\nWhile superficial lesions and endometriomas are...\nFindings and procedure details\n1.\nRM protocol\nThe diagnosis and evaluation of the extension of deep pelvic endometriosis is difficult employing only physical examination and conventional methods.\nExploratory laparoscopy considered as \"gold standard\" has limitations in assessing the subperitoneal space and under peritoneal adhesions,\nwhich are frequent in this entityandprevent adequate visualization.\nMRI due to its spatial resolution and its ability to tissue characterization is a precise technique in evaluating the extension of endometriosis and in detecting its complications.\nTherefore,\nprovides information necessary to establish a map of the...\nConclusion\nMRI has an important role in the diagnosis and treatment of endometriosis.\nBecause of its spatial resolution and the ability of tissue characterization is an accurate technique in the assessment of its extension and detecting its complications.\nTherefore,\nprovides necessary information to establish a map of the disease and plan an appropriate surgical treatment.\nOur role as radiologists involves the knowledge of radiologic manifestations of endometriosis and the most appropriate MRI protocol for an accurate interpretation.\nReferences\n- Coutinho A Jr,\nBittencourt LK,\nPires CE,\nJunqueira F,\nLima CM,\nCoutinho E,\nDomingues MA,\nDomingues RC,\nMarchiori E.\nMR imaging in deep pelvic endometriosis: a pictorial essay.\nRadiographics.\n2011 Mar-Apr;31(2):549-67.\ndoi: 10.1148/rg.312105144.\n- Siegelman ES,\nOliver ER.\nMR imaging of endometriosis: ten imaging pearls.\nRadiographics.\n2012 Oct;32(6):1675-91.\ndoi: 10.1148/rg.326125518.\n- Marcal L,\nNothaft MA,\nCoelho F,\nChoi H.\nDeep pelvic endometriosis: MR imaging.\nAbdom Imaging.\n2010 Dec;35(6):708-15.\ndoi: 10.1007/s00261-010-9611-y.\n- McDermott S,\nOei TN,\nIyer VR,\nLee SI.\nMR imaging of malignancies arising...","source_license":"CC0","license_restricted":false}