Does Computed Tomography–Based Virtual Colonoscopy Improve the Accuracy of Preoperative Assessment Based on Magnetic Resonance Imaging in Women Managed for Colorectal Endometriosis?

Claudia Mehedințu, Lăcrămioara Aurelia Brîndușe, Elvira Brătilă, Michèle Monroc, Michele Monroc, Monroc M, Lemercier E, Ebticem Lemercier, E Lemercier, Suaud O, Olivier Suaud, O. Suaud, Cecile Collet-Savoye, Collet-Savoye C, Horace Roman
Journal of Minimally Invasive Gynecology · 2018 · vol. 25(6) , pp. 1009–1017 · doi:10.1016/j.jmig.2018.01.019 · PMID:29374618 · W2791916528
article OA: closed CC0 ⤵ 19 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study evaluated whether CT virtual colonoscopy enhances the accuracy of preoperative MRI assessments for women undergoing treatment for colorectal endometriosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo evaluate whether combining computed tomography-based virtual colonoscopy (CTC) with magnetic resonance imaging (MRI) improves preoperative assessment of colorectal endometriosis.DesignRetrospective study using prospectively recorded data (Canadian Task Force classification II-2).SettingUniversity tertiary referral center.PatientsSeventy-one women treated for colorectal endometriosis managed between June 2015 and May 2016.InterventionsPatients included in our study underwent colorectal surgery for deep endometriosis infiltrating the rectum or the sigmoid colon and had preoperative assessment using MRI and CTC. To establish the correlation between preoperative and intraoperative findings, the concordance kappa index was used.Measurements and main resultsPreoperative data provided by MRI, CTC, and a combination of both were compared with intraoperative findings. All 71 patients had a total of 105 endometriotic intestinal lesions intraoperatively confirmed. Some 71.2% of rectal nodules and 60.0% of sigmoid nodules infiltrated the muscularis propria of the intestinal wall, with most infiltrating between 25% and 50% of the rectal circumference; 73% of rectal nodules and 96% of sigmoid nodules led to varying degrees of stenosis. The concordance between intraoperative and preoperative findings concerning the presence of rectal nodules was high, at .88 when associating CTC with MRI, whereas each imaging technique taken individually provided lower concordance coefficients. In our study 80.3% of patients underwent the procedure that had been preoperatively planned.ConclusionOur study suggests that associating MRI with CTC leads to improved accuracy in preoperative assessment of colorectal endometriosis and in subsequent preoperative choice of surgical procedures on the digestive tract.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Rectal Diseases Sigmoid Diseases Adult Colonography, Computed Tomographic Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Preoperative Period Prospective Studies Rectal Diseases Rectal Diseases Retrospective Studies Sigmoid Diseases Sigmoid Diseases

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (26)

Cited by (19)

Source provenance

europepmc
last seen: 2026-08-09T06:10:49.860119+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:20:01.354358+00:00
unpaywall
last seen: 2026-06-13T06:42:57.164913+00:00
License: CC0 · commercial use OK