Diagnosis of pelvic endometriosis by magnetic resonance imaging using "fat-saturation" technique
Non-randomised trial
OA: closed
CC0
⤵ 28 in-corpus citations
AI-generated summary
This paper investigates the diagnostic accuracy of the fat-saturation technique in magnetic resonance imaging for detecting pelvic endometriosis.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
OBJECTIVE: To assess the usefulness of fat-saturated magnetic resonance (MR) imaging for detecting small endometrial implants.
DESIGN: Prospective evaluation by conventional and fat-saturated MR imaging.
SETTING: Shimane Medical University Hospital, Izumo, Japan.
PATIENTS: Fifty-one consecutive patients with clinically suspected pelvic endometriosis.
INTERVENTIONS: Magnetic resonance images < 2 weeks before laparoscopy or laparotomy.
MAIN OUTCOME MEASURE: The location, number, and size of lesions.
RESULTS: Surgery revealed a normal pelvis in 5 patients, endometriosis in 44 (42 with pigmented lesions and 2 with nonpigmented lesions and adhesions), and other cystic lesions in 2. With fat-saturated MR imaging, overall sensitivity, specificity, positive predictive value, and negative predictive value were 89%, 71%, 95%, and 50%, respectively. At surgery, 122 pigmented lesions of endometriosis were detected. Conventional MR images indicated lesions of endometriosis in 74. When fat-saturated images were used, 103 lesions were detected. With conventional MR images, only one of 34 small endometrial implants (2 to 3 mm in diameter) was detected. However, the addition of fat-saturated images increased the detection rate to 15 of 34, and all lesions > 4 mm in diameter.
CONCLUSION: Conventional MR imaging for detecting small endometrial implants was improved by addition of the fat-saturation technique. Therefore, fat-saturation MR imaging is an acceptable for detecting small endometriomas.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood (2-hop)
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]
References (10)
- Computed tomography of endometriosis via openalex
- Endometrial cysts of the ovary: MR imaging via openalex
- Endometriosis: appearance and detection at MR imaging via openalex
- Endometriosis detection by US with laparoscopic correlation via openalex
- Magnetic resonance imaging using "fat-saturation" technique is useful for diagnosing small endometrioma: a case report via openalex
- Pelvic endometriosis: MR imaging via openalex
- W1997475360 via openalex
- W2126659089 via openalex
- W2161830434 via openalex
- W1997312656 via openalex
Cited by (27)
- Diagnosis and treatment of early-stage endometriosis by Transvaginal Hydro laparoscopy 2023
- Anogenital distance in adult women is a strong marker of endometriosis: results of a prospective study with laparoscopic and histological findings 2020
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- Secondary Mullerian System 2013
- Endométriose 2013
- Diagnosis of Endometriosis: Imaging 2011
- CA 125 serum values in surgically treated endometriosis patients and its relationships with anatomic sites of endometriosis and pregnancy rate 2010
- The threshold for laparoscopy for pelvic pain 2010
- Deep endometriosis: a review 2009
- Endometriosis infiltrante: revisión de tema Deep endometriosis: a review 2009
- Can symptomatology help in the diagnosis of endometriosis? Findings from a national case-control study--Part 1 2008
- Endometriose pélvica: comparação entre imagens por ressonância magnética de baixo campo (0,2 T) e alto campo (1,5 T) 2008
- Value of MRI for the diagnosis of deep pelvic endometriosis 2008
- Accuracy of magnetic resonance imaging and rectal endoscopic sonography for the prediction of location of deep pelvic endometriosis 2007
- Imaging in endometriosis 2007
- Imagerie par résonance magnétique et endométriose 2007
- [Endometriosis imaging] 2007
- Resonancia magnética y endometriosis 2007
- Endométriomes ovariens 2006
- Usefulness and limits of CA-125 in diagnosis of endometriosis without associated ovarian endometriomas 2005
- Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis 2003
- Comparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosing bladder endometriosis 2002
- Deeply infiltrating endometriosis: implications, diagnosis, and management 2001
- Diagnostic value of radiological tests in chronic pelvic pain 2000
- Is laparoscopy the gold standard for the diagnosis of endometriosis? 2000
- Obstructive uropathy secondary to endometriosis 1997
- Prognostic application of magnetic resonance imaging in patients with endometriomas treated with gonadotrophin-releasing hormone analogue 1996
Source provenance
- europepmc
- last seen: 2026-10-21T06:16:17.486033+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:59:07.256998+00:00
- unpaywall
- last seen: 2026-09-17T06:32:46.214484+00:00
License: CC0
· commercial use OK