Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Claudia Lucia Piccolo, Laura Cea, Martina Sbarra, Anna Maria De Nicola, Carlo De Cicco Nardone, Eliodoro Faiella, Rosario Francesco Grasso, Bruno Beomonte Zobel
In: Applied Sciences · 2023 · vol. 13(18) , pp. 10509 · doi:10.3390/app131810509 · W4386929344
article OA: gold CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review provides radiologists with a roadmap for interpreting pelvic MRI scans of endometriosis, detailing usual and unusual localizations, key sequences, and contrast agent use.

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Abstract

Endometriosis is a chronic condition characterized by the presence of abnormal endometrial tissue outside the uterus. These misplaced cells are responsible for inflammation, symptoms, scar tissue and adhesions. Endometriosis manifests mainly in three patterns: superficial peritoneal lesions (SUP), ovarian endometriomas (OMA) and deep infiltrating endometriosis (DIE). It also exhibits atypical and extremely rare localization. The updated 2022 guidelines of the ESHRE recommend using both ultrasound and magnetic resonance imaging (MRI) as first-line diagnostic tests. Currently, MRI provides a more complete view of the pelvis anatomy. The aim of our review is to provide radiologists with a “map” that can help them in reporting pelvic MRI scans in patients with endometriosis. We will illustrate the usual and unusual localizations of endometriosis (categorized into compartments) using post-operative imaging, and we will focus on the role of MRI, the main sequences and the use of contrast agents.

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Condition tags

endometriosisdie_deep_infiltrating

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.

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last seen: 2026-06-04T00:00:01.174412+00:00
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