Value of MRI for the diagnosis of deep pelvic endometriosis
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This review details MRI techniques and diagnostic criteria for deep pelvic endometriosis, assessing its accuracy compared to other noninvasive methods for various locations.
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Abstract
Deep infiltrating (or pelvic) endometriosis may involve the uterosacral ligaments, the rectum, the vagina and rectovaginal septum, the pouch of Douglas and, occasionally, the bladder. Assessment by physical examination is difficult, and MRI is the best technique to evaluate the location and extent of deep infiltrating endometriosis. In this review, we describe the MRI techniques used in this setting, recall MRI criteria for the diagnosis of deep infiltrating endometriosis, and assess the relevance and accuracy of MRI by comparison with other noninvasive imaging techniques for diagnosing specific locations of deep infiltrating endometriosis.
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