Decoding the role of MRI in evaluation of endometriosis and its mimics

T. Singh, Shibani Mehra, Rahul Middha
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2024 · vol. 13(9) , pp. 2324–2329 · doi:10.18203/2320-1770.ijrcog20242476 · W4402069651
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This study evaluated the role of MRI in characterizing endometriosis and differentiating it from other mimicking pathologies by analyzing radiological features in 30 patients.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper evaluated the role of MRI in characterizing suspected endometriosis and differentiating it from imaging mimics in 30 patients with pelvic pain and dysmenorrhea, using a Siemens 3T MRI protocol alongside ultrasound over January 2022 to January 2023. Radiological characteristics of a range of conditions were assessed with descriptive and inferential statistical analysis. The authors report that MRI was sensitive for detecting endometriosis and for differentiating it from its mimics, emphasizing MRI’s non-invasive nature and usefulness when combined with clinical history. A key limitation is that the study’s sample is small and the abstract does not describe a diagnostic reference standard (e.g., histopathology) to quantify accuracy. This paper is centrally about endometriosis — it assesses MRI features for detecting endometriosis and distinguishing it from endometriosis mimics.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Endometriosis is presence of endometrial tissue at a site outside the uterus. Endometriosis is a common and important entity affecting women of reproductive age group. Diagnosis of endometriosis is a combination of clinical history combined with non-invasive and invasive imaging. Its differentiation with other mimicking pathologies becomes crucial in proper diagnosis and management of the patients with overlapping symptoms. Aim was to assess the role of MRI in characterising endometriosis and differentiating it from its various mimics. Methods: The study was performed on 30 patients with complaints of pelvic pain, dysmenorrhea and patients suspected of endometriosis in Dr. Ram Manohar Lohia Hospital, New Delhi from January 2022 to January 2023 under ultrasound and MRI SEIMENS 3T machine. Radiological characteristics were studied and evaluated. Descriptive and inferential statistical analysis was made. Results: Wide spectrum of cases were studied and characteristic imaging features of each mimic was evaluated. Conclusions: MRI is sensitive in detecting endometriosis and differentiating it from its various mimics. MRI being non-invasive can be easily done and therefore plays a crucial role in making correct diagnosis combined with clinical history.
Full text 4,347 characters · extracted from oa-doi-fallback · 5 sections · click to expand

Background

Endometriosis is presence of endometrial tissue at a site outside the uterus. Endometriosis is a common and important entity affecting women of reproductive age group. Diagnosis of endometriosis is a combination of clinical history combined with non-invasive and invasive imaging. Its differentiation with other mimicking pathologies becomes crucial in proper diagnosis and management of the patients with overlapping symptoms. Aim was to assess the role of MRI in characterising endometriosis and differentiating it from its various mimics.

Methods

The study was performed on 30 patients with complaints of pelvic pain, dysmenorrhea and patients suspected of endometriosis in Dr. Ram Manohar Lohia Hospital, New Delhi from January 2022 to January 2023 under ultrasound and MRI SEIMENS 3T machine. Radiological characteristics were studied and evaluated. Descriptive and inferential statistical analysis was made.

Results

Wide spectrum of cases were studied and characteristic imaging features of each mimic was evaluated.

Conclusions

MRI is sensitive in detecting endometriosis and differentiating it from its various mimics. MRI being non-invasive can be easily done and therefore plays a crucial role in making correct diagnosis combined with clinical history. Metrics

References

Coccia ME, Rizzello F. Ultrasonographic staging: a new staging system for deep endometriosis. Ann N Y Acad Sci. 2011;1221:61-9. Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75. Bulun SE. Endometriosis. N Engl J Med. 2009;360(3):268-79. Brosens I, Puttemzz ans P, Campo R, Gordts S, Kinkel K. Diagnosis of endometriosis: pelvic endoscopy and imaging techniques. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):285-303. Ascher SM, Agrawal R, Bis KG, Brown ED, Maximovich A, Markham SM, et al. Endometriosis: appearance and detection with conventional and contrast-enhanced fat-suppressed spin-echo techniques. J Magn Reson Imag. 1995;5(3):251-7. Outwater E, Schiebler ML, Owen RS, Schnall MD. Characterization of hemorrhagic adnexal lesions with MR imaging: blinded reader study. Radiology. 1993;186(2):489-94. Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75. Stratton P, Winkel C, Premkumar A, Chow C, Wilson J, Hearns-Stokes R, et al. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis. Fertil Steril. 2003;79(5):1078-85. Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D'hooghe T, De Bie B, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400-12. de Ziegler D, Borghese B, Chapron C. Endometriosis and infertility: pathophysiology and management. Lancet. 2010;376(9742):730-8. Piketty M, Chopin N, Dousset B, Millischer-Bellaische AE, Roseau G, Leconte M, et al. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2009;24:602-7. Piketty M, Chopin N, Dousset B, Millischer-Bellaische AE, Roseau G, Leconte M, et al. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2009;24:602-7. Zuber M, Shoaib M, Kumari S. Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity. Pol J Radiol. 2022;87:e448-61. Kido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the diagnosis of endometriosis and related diseases. Korean J Radiol. 2022;23(4):426-45. Togashi K, Nishimura K, Kimura I, Tsuda Y, Yamashita K, Shibata T, et al. Endometrial cysts: diagnosis with MR imaging. Radiology. 1991;180(1):73-8. Zuber M, Shoaib M, Kumari S. Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity. Pol J Radiol. 2022;87:e448-61.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrhea

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (12)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK