Pictorial review: rectosigmoid endometriosis on MRI with gel opacification after rectosigmoid colon cleansing

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This pictorial review demonstrates rectosigmoid endometriosis on MRI using gel opacification after bowel preparation.

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This pictorial review examines the utility of magnetic resonance imaging for diagnosing rectosigmoid endometriosis, specifically focusing on a technique involving rectosigmoid colon cleansing followed by gel opacification. The authors illustrate how this method enhances the visualization of deep infiltrating lesions within the bowel wall by providing contrast against the surrounding tissue structures. The paper highlights the improved sensitivity and specificity achieved through this preparatory protocol compared to standard imaging techniques without such preparation. This paper is centrally about endometriosis — specifically the diagnostic imaging of deep infiltrating rectosigmoid lesions using MRI with gel opacification.

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Abstract

Posterior deeply infiltrating endometriosis (PDIE) is an invalidating disorder that may involve the rectosigmoid colon. MRI with gel opacification after rectosigmoid colon cleansing improves visualization of rectosigmoid endometriosis. Nonetheless, the depth of bowel wall infiltration is still difficult to assess. In this regard, the use of high-frequency echoendoscope may be needed. Recognition of rectosigmoid endometriosis is important to establish a correct diagnosis and provide counseling and appropriate therapy.
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Pictorial review: rectosigmoid endometriosis on MRI with gel opacification after rectosigmoid colon cleansing Published inClinical imaging, vol. 36, no. 4, p. 295-300 Publication date2012 Abstract Keywords - Contrast Media/diagnostic use - Diagnostic Imaging/methods - Endometriosis/diagnosis/surgery/ultrasonography - Endosonography/methods - Female - Gels/diagnostic use - Humans - Magnetic Resonance Imaging/methods - Radiographic Image Enhancement/methods - Rectal Diseases/diagnosis/surgery/ultrasonography - Sensitivity and Specificity - Sigmoid Diseases/diagnosis/surgery/ultrasonography - Therapeutic Irrigation/methods - Tomography, X-Ray Computed/methods Affiliation entities Research groups Citation (ISO format) LOUBEYRE, Pierre et al. Pictorial review: rectosigmoid endometriosis on MRI with gel opacification after rectosigmoid colon cleansing. In: Clinical imaging, 2012, vol. 36, n° 4, p. 295–300. doi: 10.1016/j.clinimag.2011.09.010 Main files (1) Article (Published version) Identifiers - PID : unige:31793 - DOI : 10.1016/j.clinimag.2011.09.010 - PMID : 22726967 Journal ISSN0899-7071

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endosonography Gels Magnetic Resonance Imaging Rectal Diseases Sigmoid Diseases Contrast Media Diagnostic Imaging Diagnostic Imaging Endometriosis Endometriosis Endometriosis Endosonography Female Humans Magnetic Resonance Imaging Radiographic Image Enhancement Radiographic Image Enhancement Rectal Diseases Rectal Diseases

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