MR Imaging of Endometriosis of the Adnexa
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This paper reviews MR imaging findings of endometriosis affecting the adnexa, focusing on diagnostic criteria and typical appearances.
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Abstract
Endometriosis is the presence of ectopic endometrial glands outside of the uterus. MR imaging is particularly useful for characterizing deep infiltrating endometriosis but can also be useful in characterizing endometriomas and hematosalpinges, characterizing broad ligament deposits, assessing for endometriosis-associated malignancy, and differentiating malignancy from decidualized endometriomas. Masses and cysts with hemorrhagic or proteinaceous contents can sometimes be difficult to distinguish from endometriomas. Imaging protocols should include pre-contrast T1-weighted imaging with fat saturation, T2-weighted imaging without fat saturation, opposed- and in-phase or Dixon imaging, administration of contrast media, and subtraction imaging.
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Cited by (7)
- Endometriosis: imaging spectrum of unusual locations and atypical presentations 2026
- Endometriosis 2026
- Comprehensive Review of Endometriosis Based on Imaging Findings: What Radiologists Need to Know 2025
- Endometrioma: A Comprehensive Review of Its Varied Presentations, Complications, and Impact on Patient Management 2025
- Head to toe: expand your diagnosis on routine imaging to include endometriosis 2025
- Endometriosis 2025
- Adolescent endometriosis: clinical insights and imaging considerations 2025
Source provenance
- europepmc
- last seen: 2026-07-25T06:15:30.875455+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-07-25T06:14:55.723951+00:00
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