What should every radiologist know about MRI findings of endometriosis?

Genital / Reproductive system female, CT, MR, Contrast agent-intravenous, Education and training Authors: L. Sönmez, O. Tokur DOI: 10.26044/ecr2025/C-27600 Learning objectives To identify the different forms of endometriosisTo describe the Magnetic Resonance Imaging (MRI) findings of endometriosisTo determine the features of MRI that allow endometriomas to be distinguished from other adnexal masses.

Endometriosis is a common condition among women of reproductive age, defined by the existence of endometrial tissue outside the uterine cavity. It can present with various symptoms, including abdominopelvic pain, infertility, dysmenorrhea, dyspareunia, and other non-gynecologic symptoms, but most of the patients are asymptomatic. (1) Endometriosis affects approximately 10% of women of reproductive age and 35%–50% of women with pelvic pain and/or infertility. (2) (Fig. 1)There are three types of endometriosis: superficial endometriosis, endometriomas, and deep infiltrating endometriosis. (Fig. 2)Superficial endometriosis (SPE)The most common type... Findings and procedure details Diagnosis of endometriosisAccording to the European Society for Human Reproduction and Embryology (ESHRE) guidelines, laparoscopy is no longer considered the diagnostic gold standard and is now recommended only in patients with negative imaging (MRI and transvaginal ultrasound) results and/or in whom empirical treatment has failed or is inappropriate. (5)The most widely used imaging modalities for endometriosis include TV-US, trans-rectal ultrasound, and MRI.TV-US is the first-line imaging technique to diagnose endometriosis.However, MRI is more accurate for preoperative mapping to plan an appropriate surgical procedure for DIE....

Endometriosis is a common condition among women of reproductive age and has characteristic imaging features that every radiologist should know.MRI is a noninvasive method with excellent diagnostic accuracy for endometriosis, and it has a high sensitivity to detect subperitoneal implants and lesions concealed by adhesions, even though transvaginal sonography is the first-line imaging technique to diagnose endometriosis. Personal information and conflict of interest L. Sönmez: Nothing to disclose O. Tokur: Nothing to disclose

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