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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Cited by (10)
- Noninvasive Imaging Diagnostics for Endometriosis 2025
- Endometriosis MR mimickers: T2-hypointense lesions 2024
- Bowel preparation in MRI for detection of endometriosis: Comparison of the effect of an enema, no additional medication and intravenous butylscopolamine on image quality 2022
- Bowel preparation in MRI for detection of endometriosis: Comparison of the effect of an enema, no additional medication and intravenous butylscopolamine on image quality 2022
- Patient acceptability and quality of self-administered intravaginal gel for pelvic MRI 2021
- Protocolo de ressonância magnética na avaliação pré-operatória da endometriose profunda 2021
- Assessment of the Effectiveness of the Vaginal Contrast Media in Magnetic Resonance Imaging for Detection of Pelvic Pathologies: A Meta-analysis 2020
- Value of 3D MRI and Vaginal Opacification for the Diagnosis of Vaginal Endometriosis 2020
- Magnetic Resonance Imaging Compared with Rectal Endoscopic Sonography for the Prediction of Infiltration Depth in Colorectal Endometriosis 2017
- Clinical picture and diagnosis of genital endometriosis 2016
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- europepmc
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- pubmed
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