Functional magnetic resonance imaging (MRI) in diagnosis of pelvic endometriosis

Noran Mohammed Shams El Dine, Mohammed Mahmoud Dawoud, Noha Mohammed Abd El-mabod, Basma Samir El- Deeb
In: International Journal of Radiology and Diagnostic Imaging · 2024 · vol. 7(1) , pp. 01–07 · doi:10.33545/26644436.2024.v7.i1a.359 · W4390636718
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Functional MRI, particularly with DWI, SWI, and DCE sequences, accurately diagnosed various pelvic endometriosis manifestations, achieving 96.3% sensitivity and 93.3% accuracy compared to laparoscopy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This cross-sectional prospective study evaluated functional MRI features for diagnosing pelvic endometriosis in women aged 18+ referred for clinical suspicion or after ultrasound findings, with laparoscopy used as the reference standard. Among 27 laparoscopically positive patients, functional MRI with supplemental DWI, SWI, and DCE identified 26 positive instances and characterized lesion types including tubal, ovarian endometrioma, deep infiltrating, and adenomyosis cases; it reported combined-test performance of 96.3% sensitivity, 100% positive predictive value, and 93.3% accuracy. The paper’s key limitation as presented is the small sample size and that the findings are based on patients selected for suspected pelvic disease. This paper is centrally about endometriosis — specifically functional MRI (DWI, SWI, and DCE) for diagnosis and lesion characterization in pelvic endometriosis.

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Abstract

Background: Pelvic discomfort and infertility are two potential side effects of endometriosis, a chronic multifocal gynecologic condition that mostly affects women of childbearing age. This research aimed to characterise the various pelvic endometriosis manifestations as shown on functional MRI.Methods: Female patients aged 18 and up who were referred from the gynaecology and obstetrics department to the Radiodiagnosis and medical imagining department at Tanta University Hospitals for evaluation of a clinical suspicion of pelvic endometriosis or during an abdominal or trans-vaginal ultrasound examination were included in this cross-sectional prospective study.Results: By laparoscopy, 27 patients tested positive. Twenty-six positive instances were found using MRI with supplemental DWI, SWI, and DCE. There was one tubal case, two CS cases, four deep infiltrating cases, ten adenomyosis cases, and nine ovarian endometrioma cases among the positive cases. Improved sensitivity of 96.3%, 100% PPV, and 93.3% accuracy were all achieved by combining DWI, SWI, and DCE MRI for the diagnosis of endometriosis.Conclusions: Since DWI and SWI can identify the hemorrhagic nature of endometriotic lesions, they may be used in lieu of invasive laparoscopy to make a diagnosis of endometriosis, which greatly improves the diagnostic accuracy of MRI.
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Abstract

Background: Pelvic discomfort and infertility are two potential side effects of endometriosis, a chronic multifocal gynecologic condition that mostly affects women of childbearing age. This research aimed to characterise the various pelvic endometriosis manifestations as shown on functional MRI.

Methods

Female patients aged 18 and up who were referred from the gynaecology and obstetrics department to the Radiodiagnosis and medical imagining department at Tanta University Hospitals for evaluation of a clinical suspicion of pelvic endometriosis or during an abdominal or trans-vaginal ultrasound examination were included in this cross-sectional prospective study.

Results

By laparoscopy, 27 patients tested positive. Twenty-six positive instances were found using MRI with supplemental DWI, SWI, and DCE. There was one tubal case, two CS cases, four deep infiltrating cases, ten adenomyosis cases, and nine ovarian endometrioma cases among the positive cases. Improved sensitivity of 96.3%, 100% PPV, and 93.3% accuracy were all achieved by combining DWI, SWI, and DCE MRI for the diagnosis of endometriosis.

Conclusions

Since DWI and SWI can identify the hemorrhagic nature of endometriotic lesions, they may be used in lieu of invasive laparoscopy to make a diagnosis of endometriosis, which greatly improves the diagnostic accuracy of MRI. Pages: 01-07 | Views: 2651 | Downloads: 1462 How to cite this article: Dr. Noran Mohammed Shams El Dine, Dr. Mohammed Mahmoud Dawoud, Dr. Noha Mohammed Abd El-mabod, Dr. Basma Samir El- Deeb. Functional magnetic resonance imaging (MRI) in diagnosis of pelvic endometriosis. Int J Radiol Diagn Imaging 2024;7(1):01-07. DOI: 10.33545/26644436.2024.v7.i1a.359

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Condition tags

endometriosisadenomyosisendometriomainfertility

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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.

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