Imaging of Endometriosis-Related Pain
This chapter details diagnostic imaging tools for endometriosis, focusing on MRI and ultrasound to identify endometriomas, peritoneal, and deep infiltrating implants, and recent MRI techniques for neural involvement.
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This chapter reviews diagnostic imaging tools for endometriosis, emphasizing epidemiologic and mechanistic ideas about pain generation and detailing MRI as a second-level modality after transvaginal ultrasound (TVUS). It describes MRI protocols and characteristic imaging features of the main endometriosis forms (endometrioma, peritoneal endometriosis, and deep infiltrating implants) and also briefly surveys newer MRI techniques aimed at evaluating neural involvement in severe endometriosis-related pain. A stated limitation is that the chapter provides an illustrative overview of diagnostic tools rather than presenting new patient data or a unified comparative accuracy analysis. This paper is centrally about endometriosis — it focuses on MRI (and its relation to TVUS) for diagnosing and assessing endometriosis-related pain, including neural involvement.
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