[MR imaging features of deep pelvic endometriosis: correlation with laparoscopy]

C. Jarlot, Jarlot C, Anglade E, E. Anglade, Paillocher N, N. Paillocher, D Moreau, David Moreau, Moreau D, L. Catala, Catala L, C. Aubé, Aubé C, Christophe Aubé
Journal de Radiologie · 2008 · vol. 89(11) , pp. 1745–1754 · doi:10.1016/s0221-0363(08)74479-2 · PMID:19106831 · W1964255999
Diagnostic accuracy OA: closed CC0 ⤵ 17 in-corpus citations
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This study explored MRI features of deep endometriosis and their correlation with laparoscopic findings to characterize the condition.

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Abstract

UNLABELLED: Deep pelvic endometriosis is an invalidating disorder affecting the retrocervical region, rectosigmoid colon and urinary bladder generally requiring surgical management. MRI is the preoperative imaging modality of choice. The purpose of this paper is to describe the MR imaging features of deep pelvic endometriosis with laparoscopic correlation. METHODS: Thirty-five patients with clinical suspicion of deep pelvic endometriosis underwent pelvic MRI. Results of MRI, including morphological and signal characteristics features of the lesions were compared to laparoscopic fidings. RESULTS: Laparoscopy detected lesions of deep pelvic endometriosis of the uterosacral ligaments (n=10), torus uterinum (n=9), rectosigmoid (n=11), Douglas pouch (n=9), recto-vaginal septum (n=6), bladder (n=4) and posterior vaginal cul-de-sac (n=2). The sensitivity, specificity, positive predictive value and negative predictive value of MRI were assessed for each localization. CONCLUSION: MRI allows diagnosis of deep pelvic endometriosis of the bladder, rectosigmoid and Douglas pouch and with lower sensitivity for lesions of the uterosacral ligaments, posterior vaginal cul-de-sac and rectovaginal septum.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Magnetic Resonance Imaging Magnetic Resonance Imaging Pelvis Pelvis Adult Adult Endometriosis Endometriosis Female Female Humans Humans Middle Aged Middle Aged Young Adult Young Adult

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 (23)

Cited by (17)

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