Endometriosis

Simona Mautone, Salvatore Belluardo, Valerio Di Paola, Luigi Romano, Giovanni Foti, Riccardo Manfredi, Roberto Pozzi Mucelli
In: MRI of the Female and Male Pelvis · 2014 · pp. 69–95 · doi:10.1007/978-3-319-09659-9_4 · W4233290851
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Magnetic resonance (MR) imaging is a reproducible and accurate method for diagnosing ovarian endometriosis and deep pelvic endometriosis, surpassing ultrasound in evaluating deep lesions.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews endometriosis and its diagnosis, focusing on how to anatomically subdivide pelvic disease and how imaging performs for different locations. It describes endometriosis as endometrial glands/stroma outside the uterus and discusses key diagnostic approaches, noting that laparoscopy with histologic confirmation is a reference standard but can miss deep lesions hidden by adhesions or in the subperitoneal space, and that physical examination and laparoscopy are often difficult for accurate staging; the paper highlights that transabdominal/transvaginal ultrasound is commonly first-line but has poor accuracy for deep pelvic endometriosis. The authors emphasize magnetic resonance imaging as a high reproducibility method with high accuracy for ovarian endometriosis and also for deep pelvic endometriosis, enabling evaluation of both anterior and posterior pelvic compartments with high spatial resolution and tissue characterization. This paper is centrally about endometriosis — it provides an overview of endometriosis classification and diagnostic performance of imaging modalities, especially the role of MR imaging for deep pelvic lesions.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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