CAPABILITIES OF MAGNETIC RESONANCE IMAGING TO DIAGNOSE INFILTRATING PELVIC ENDOMETRIOSIS

E. N. Puchkova, Е. А. Мершина, В. Е. Синицын
In: Вестник рентгенологии и радиологии, Vol 0, Iss 3, Pp 24-34 (2016) · 2016 · doi:10.20862/0042-4676-2014-0-3-24-34 · W2503505181
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

MRI accurately diagnoses pelvic endometriosis by visualizing most implants, but transvaginal ultrasound is superior for detecting bowel involvement.

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

This paper evaluated how well magnetic resonance imaging (MRI) can diagnose infiltrating (deep infiltrating) pelvic endometriosis in reproductive-aged women, with the aim of determining diagnostic capabilities and developing an optimal scanning protocol. It reports that small pelvic MRI has high diagnostic accuracy and can visualize most endometrioid implants, including those under adhesions and in subperitoneal regions. The authors also explicitly note a major limitation: MRI has low informative value for identifying bowel endometriosis, and therefore they state that deep infiltrating endometriosis diagnosis should be complemented with transvaginal ultrasonography for bowel wall implants. This paper is centrally about endometriosis — specifically the diagnostic capabilities and imaging protocol for MRI in detecting deep infiltrating pelvic endometriosis, while highlighting MRI’s limits for bowel disease.

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Abstract

Deep infiltrating endometriosis is a disease in reproductiveaged women, resulting in varying chronic pelvic pains and infertility, which requires surgical treatment.Objective – to determine the capabilities of magnetic resonance imaging (MRI) to diagnose pelvic endometriosis and to elaborate an optimal scanning protocol if this disease is suspected.Small pelvic MRI has a high accuracy in the diagnosis of endometriosis and can visualize most endometrioid implants, including those that are located under adhesions and in the subperitoneal regions. Just the same, a radiodiagnostician should not forget that MRI is of low informative value in identifying bowel endometriosis. Hence, when diagnosing deep infiltrating endometriosis, MRI should be complemented with transvaginal ultrasonography to detect endometrioid implants on the bowel walls as the informative value in this aspect is above.
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Вестник рентгенологии и радиологии (Feb 2016) CAPABILITIES OF MAGNETIC RESONANCE IMAGING TO DIAGNOSE INFILTRATING PELVIC ENDOMETRIOSIS Abstract Deep infiltrating endometriosis is a disease in reproductiveaged women, resulting in varying chronic pelvic pains and infertility, which requires surgical treatment.Objective – to determine the capabilities of magnetic resonance imaging (MRI) to diagnose pelvic endometriosis and to elaborate an optimal scanning protocol if this disease is suspected.Small pelvic MRI has a high accuracy in the diagnosis of endometriosis and can visualize most endometrioid implants, including those that are located under adhesions and in the subperitoneal regions. Just the same, a radiodiagnostician should not forget that MRI is of low informative value in identifying bowel endometriosis. Hence, when diagnosing deep infiltrating endometriosis, MRI should be complemented with transvaginal ultrasonography to detect endometrioid implants on the bowel walls as the informative value in this aspect is above. Keywords

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endometriosisdie_deep_infiltratingbowel_endometriosisinfertility

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