Deep infiltrating endometriosis: Should rectal and vaginal opacification be systematically used in MR imaging?

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This paper investigates whether rectal and vaginal opacification should be routinely employed during MRI scans for deep infiltrating endometriosis.

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Abstract

ObjectivesTo evaluate the interest of rectal and vaginal filling in vaginal and recto-sigmoid endometriosis with MR imaging. To compare the results between a senior and a junior radiologist review.MethodsSixty-seven patients with clinically suspected deep infiltrating endometriosis were included in our MRI protocol consisting of repeated T2-weigthed sequences (axial and sagittal) before and after rectal and vaginal marking with ultrasonography gel. Vaginal and recto-sigmoid endometriosis lesions were analyzed before and after opacification. The inter-reader agreement between senior and junior scores was studied.ResultsConcerning vaginal and muscularis and beyond colonic involvement, no significant difference (P=0.32) was observed and the inter-reader agreement was excellent (K=0.96 and 0.97 respectively). Concerning serosa colonic lesions, a significant difference was observed (P=0.01) and the inter-reader agreement was poor (K=0).ConclusionsRectal and vaginal filling in endometriosis staging with MRI is not necessary no matter the reader experiment.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Magnetic Resonance Imaging Rectum Vagina Adult Clinical Competence Colon, Sigmoid Colon, Sigmoid Endometriosis Female Humans Magnetic Resonance Imaging Middle Aged Observer Variation Rectal Diseases Rectal Diseases Rectum 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.

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