Additional Radiological Techniques (MRI)

In: How to Perform Ultrasonography in Endometriosis · 2018 · pp. 147–168 · doi:10.1007/978-3-319-71138-6_15 · W2896724972
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Magnetic resonance imaging (MRI) is a recommended second-line approach for presurgical planning in endometriosis, detecting hidden implants and extrapelvic lesions.

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This paper is a chapter describing how magnetic resonance imaging (MRI) is used to evaluate endometriosis, with attention to MRI findings across clinical patterns such as endometrioma, peritoneal endometriosis, and deep infiltrating endometriosis. It summarizes the high-level role of MRI as typically second-line after ultrasound but recommended for presurgical planning, emphasizing MRI’s ability to identify implants hidden by adhesions and to detect extrapelvic lesions, while also covering specific signs and newer technical evolutions. The chapter does not present original patient outcomes in the provided text and is presented as a descriptive review, with the caveat that detailed diagnostic performance depends on the imaging protocol and lesion location. This paper is centrally about endometriosis — it focuses on MRI findings and evolving radiological techniques for endometriosis evaluation and presurgical planning.

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Abstract

Endometriosis is a chronic, oestrogen-dependent inflammatory disease affecting approximately 5–10% of reproductive-age women, defined as the presence of endometrial functional epithelium and stroma outside the uterine cavity that respond to hormonal stimulation. Endometriosis has three different clinical patterns of manifestation, which can occur alone or coexist: endometrioma, peritoneal endometriosis and deep infiltrating endometriosis. Magnetic resonance imaging (MRI) is usually performed as second-line approach, after ultrasound examination, but it is recommended in the presurgical planning. Moreover, it allows both to detect endometrial implants hidden by adhesions and to recognize lesions located in an extrapelvic site. In this chapter, we will present MRI findings of endometriosis by underlining the specific signs and newer technological evolutions. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer International Publishing AG, part of Springer Nature About this chapter Cite this chapter Schirru, F., Guerriero, S., Saba, L. (2018). Additional Radiological Techniques (MRI). In: Guerriero, S., Condous, G., Alcázar, J.L. (eds) How to Perform Ultrasonography in Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-71138-6_15 Download citation DOI: https://doi.org/10.1007/978-3-319-71138-6_15 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-71137-9 Online ISBN: 978-3-319-71138-6 eBook Packages: MedicineMedicine (R0)

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