Studies on the Detection of Small Endometrial Implants by Magnetic Resonance Imaging Using a Fat Saturation Technique

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Fat-saturated magnetic resonance imaging increased the detection rate of small endometrial implants measuring less than 10 mm compared to conventional magnetic resonance imaging.

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Abstract

To assess the usefulness of fat-saturated magnetic resonance (MR) imaging in detecting small endometrial implants, 258 pigmented lesions of endometriosis from 80 consecutive patients with histopathologically diagnosed pelvic endometriosis were compared using fat-saturated and conventional MR imaging. MR imaging was performed with a 1.5-tesla superconducting magnet with spin echo T1-, T2-, and fat-saturated T1-weighted images. Both conventional MR images and fat-saturated MR images permitted identification of almost all endometriomas > 10 mm in diameter. With conventional MR imaging, 29 endometrial implants measuring < 10 mm in diameter were detected. One hundred and seven lesions were detected by fat-saturated MR imaging. However, conventional MR images demonstrated only 4 lesions among these 111 small endometrial implants that measured < 5 mm in diameter. The addition of fat-saturated MR imaging increased the detection rate to 55 of 111 lesions. Fat-saturated MR imaging can, therefore, be useful in detecting small endometrial implants.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometrium Adult Endometriosis Endometriosis Endometrium Female Humans Laparoscopy Magnetic Resonance Imaging Magnetic Resonance Imaging Middle Aged Prospective Studies

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
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