MRI and rectal endoscopy sonography performance to diagnose the digestive depth infiltration of pelvic endometriosis

Aurélie Buffeteau, Ariane Weyl, Adrien Vavasseur, Julie Meilleroux, Adeline Pointreau, Romain Griffier, Élodie Chantalat, Elodie Chantalat, Fabien Vidal
Archives of gynecology and obstetrics · 2022 · vol. 307(1) , pp. 51–58 · doi:10.1007/s00404-022-06532-1 · PMID:35435484 · W4223949919
review OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study evaluated MRI and RES performance in predicting bowel wall infiltration depth in deep infiltrating endometriosis, finding them to agree in 85% of cases.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This single-center retrospective study (April 2014–March 2020) evaluated how well pelvic MRI and rectal endoscopy sonography (RES) predict the depth of bowel wall infiltration (including transmural involvement) in patients with deep infiltrating endometriosis who underwent digestive tract resection and had full preoperative imaging. Among 52 patients, pathological examination showed digestive involvement in 92.3% and transmural infiltration in 38.4%; MRI and RES suspected transmural involvement in 80.8%, with sensitivity 0.95 but low specificity 0.28. MRI and RES agreed in 85% of cases with moderate concordance (kappa 0.5), and subgroup analysis of those with transmural MRI lesions showed similarly high sensitivity (0.95) but very low specificity (0.13). A key limitation stated by the authors is the retrospective, single-center design, and they conclude that a second-line exam adds little when no transmural impairment is present on the first imaging. This paper is centrally about endometriosis — it assesses MRI and RES performance for predicting digestive depth infiltration in deep infiltrating pelvic endometriosis.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Rectal Diseases

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References (29)

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europepmc
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openalex
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License: CC0 · commercial use OK