Endometriosis unveiled: MRI insights into common and rare locations

Abdomen, Genital / Reproductive system female, Pelvis, CT, MR, Observer performance, Education and training Authors: A. Omaç Birinci, F. Köse, M. Söyleyici, T. Banaz, N. Dogan Selcuk DOI: 10.26044/ecr2025/C-13259 Learning objectives This examination aims to assist in identifying the rare and diverse cases of endometriosis that might arise, emphasizing the significance of imaging modalities in the early detection and management of this condition. Endometriosis is a common yet complex gynecological disorder that can lead to a myriad of symptoms, often making diagnosis and treatment challenging. The advent of magnetic resonance imaging (MRI) has revolutionized the ability to diagnose endometriosis accurately, even in cases that deviate from the more typical presentations. MRI is known for its ability...

Endometriosis is a chronic and often debilitating condition in which tissue similar to the uterine lining (endometrium) grows outside of the uterus. The lesions can develop on the ovaries, fallopian tubes, outer surface of the uterus, and even in extra-abdominal areas, such as the intestines, bladder, and diaphragm. The disorder is primarily characterized by the presence of functional endometrial glands and stroma-like lesions, which behave in a similar manner to the normal endometrial tissue. This means they thicken, break down, and shed during the menstrual... Findings and procedure details Magnetic resonance imaging (MRI) has emerged as one of the most effective imaging tools for diagnosing endometriosis, especially when compared to other modalities like ultrasound or CT. MRI’s ability to differentiate between soft tissues, its high contrast resolution, and its non-invasive nature make it particularly useful in evaluating the different stages and locations of endometriosis. The typical MRI findings in endometriosis depend on the type and location of the lesions. On T1-weighted images, endometriotic lesions often appear with low to intermediate signal intensity, while on...

Endometriosis, particularly deep pelvic infiltrating endometriosis, presents significant clinical challenges, especially for premenopausal women, often leading to debilitating pelvic pain and infertility. The condition is notoriously difficult to diagnose due to its wide range of symptoms, which may overlap with other gynecological or gastrointestinal disorders. Early and accurate diagnosis of endometriosis is crucial in order to provide patients with appropriate treatment options that can help alleviate symptoms and improve quality of life.Magnetic resonance imaging has become a cornerstone of non-invasive diagnostic strategies in endometriosis. Its... Personal information and conflict of interest A. Omaç Birinci: Nothing to disclose F. Köse: Nothing to disclose M. Söyleyici: Nothing to disclose T. Banaz: Nothing to disclose N. Dogan Selcuk: Nothing to disclose

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