Endometriosis and Imaging
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Transvaginal ultrasound is the first-line imaging approach for endometriosis, with MRI reserved for cases not diagnosed by ultrasound or requiring renal evaluation.
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Abstract
Endometriosis is a condition with variable location, size, and lesion composition which poses a diagnostic imaging challenge for the practicing gynecologist. Transvaginal ultrasound and magnetic resonance imaging are the most frequent imaging techniques used for its evaluation, but transvaginal ultrasound should be the first-line approach, as it is often sufficient, followed by modified ultrasound techniques. Magnetic resonance imaging should be considered when a diagnosis has not been achieved by sonographic means or when the renal system needs to be concurrently evaluated. Computed tomography has no role in the routine evaluation of endometriosis except in very few particular scenarios.
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Cited by (14)
- Modern use of radiological diagnostic methods in patients with deep infiltrating endometriosis 2025
- Gynecological prerequisites for the development of chronic pelvic pain syndrome – diagnosis and treatment (Literature review) 2023
- Pathogenesis of Endometriosis: Focus on Adenogenesis-related Factors 2023
- Evaluation and comparison of the accuracy of transvaginal ultrasound and <scp>MRI</scp> for the diagnosis of deep rectal endometriosis: A cross‐sectional study 2022
- Are There Predictors of Early Diagnosis of Endometriosis Based on Clinical Profile? A Retrospective Study 2022
- Diagnosis of Endometriosis at Laparoscopy: A Validation Study Comparing Surgeon Visualization with Histologic Findings 2021
- Surgical Management of Endometriosis 2020
- Updated Role of Magnetic Resonance Imaging in Assessment of Endometriosis 2019
- Gynecological associated disorders and management 2019
- Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment 2019
- Pelvic MRI in the diagnosis and staging of pelvic endometriosis: added value of structured reporting and expertise 2019
- Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis: knocking down the enigma 2018
- Modified Ultrasonographic Techniques 2018
- Imaging techniques in endometriosis 2018
Source provenance
- europepmc
- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:20:19.560968+00:00
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