Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a recommended second-line technique for preoperative assessment of deep endometriosis, offering high sensitivity and specificity for diagnosing bowel involvement.
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This paper reviews how pelvic MRI is used in the diagnosis and preoperative assessment of deep infiltrating endometriosis, with emphasis on bowel endometriosis as the most common extragenital site. It describes high-level evidence that MRI (including MR enterography and fusion imaging techniques) can map bowel lesion location, number (unique vs multifocal/multicentric), and size, with reported sensitivity and specificity for intestinal involvement of about 95% and 100%. The chapter explicitly frames MRI mainly as a second-line technique in the preoperative workup, noting that clinical exam and laparoscopy remain diagnostic references for extent in some contexts. This paper is centrally about endometriosis — specifically the role and diagnostic performance of magnetic resonance imaging for bowel and deep infiltrating disease planning.
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References (43)
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