Comparison of Magnetic Resonance Imaging and Transvaginal Ultrasonography in Diagnosing Bladder Endometriosis

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This study compares the effectiveness of MRI and transvaginal ultrasound in diagnosing bladder endometriosis.

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Abstract

Study objectiveTo take recent progress in magnetic resonance imaging (MRI) into account to determine its accuracy compared with that of transvaginal ultrasonography (TVUS) in diagnosing bladder endometriosis.DesignRetrospective analysis (Canadian Task Force classification II-2).SettingUniversity-affiliated hospital.PatientsTwelve women with histologically proved bladder endometriosis.InterventionMagnetic resonance imaging with body and endocavitary coils and TVUS.Measurements and main resultsAlthough TVUS was normal in four patients, MRI enabled endometriotic lesions to be detected in all patients. Magnetic resonance imaging with endocavitary coil established the existence of deep infiltration in three patients when muscularis involvement was not visible with the body coil. In seven women MRI determined how far deep posterior endometriotic lesions extended, whereas with TVUS this was impossible to see. Conclusion. MRI had advantages over TVUS in diagnosing small lesions of associated posterior deep endometriotic lesions. The endocavitary coil gave better results than the phased-array coil for diagnosing deep infiltration. These results are important in that they help guide surgical management.

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Endosonography Magnetic Resonance Imaging Urinary Bladder Urinary Bladder Diseases Adult Endometriosis Female Humans Retrospective Studies Urinary Bladder Urinary Bladder 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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