MR diagnosis of diaphragmatic endometriosis

Pascal Rousset, Jules Grégory, Jules Gregory, Christine Rousset-Jablonski, Christine Rousset‐Jablonski, Justine Hugon‐Rodin, Justine Hugon-Rodin, Jean-François Regnard, Jean‐François Régnard, Charles Chapron, Jöel Coste, Joël Coste, François Golfier, Marie-Pierre Revel, Marie‐Pierre Revel
European radiology · 2016 · vol. 26(11) , pp. 3968–3977 · doi:10.1007/s00330-016-4226-5 · PMID:26868500 · W2281430586
article OA: closed CC0 ⤵ 44 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Magnetic resonance imaging (MRI) demonstrates 78% to 83% sensitivity in diagnosing diaphragmatic endometriosis, with excellent interobserver agreement for lesion detection.

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

The paper retrospectively reviewed all diaphragmatic MRI studies performed in the context of diaphragmatic endometriosis over a 2-year period, with two independent readers assessing fat-suppressed axial and coronal T1- and T2-weighted sequences for specific lesion patterns (nodules, plaque lesions, micronodule clustering, and focal liver herniation). MRI findings were correlated with surgical findings in surgically treated women, and interobserver agreement was quantified with kappa statistics. MRI sensitivity was 78–83% depending on reader (83% for reader 1; 78% for reader 2) with excellent interobserver agreement (kappa 0.86), and lesions were mostly right-sided posterior nodules hyperintense on T1; MRI was negative in two surgically treated patients with small nodules or isolated diaphragmatic holes. The limitation is that the dataset was relatively small and includes cases with diagnostic confirmation either by surgery or by symptom relief on hormonal treatment rather than uniform surgical verification. This paper is centrally about endometriosis — it evaluates MRI diagnostic performance for diaphragmatic endometriosis.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Diaphragm Endometriosis Muscular Diseases Adult Endometriosis Female Hernia, Diaphragmatic Hernia, Diaphragmatic Humans Liver Diseases Liver Diseases Magnetic Resonance Imaging Magnetic Resonance Imaging Middle Aged Muscular Diseases Patient Positioning Retrospective Studies Young Adult

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