MRT der Endometriose und Adenomyose
MRI can aid in diagnosing endometriosis and adenomyosis, which present with diverse symptoms and can be challenging to identify, especially beyond easily detectable endometriomas.
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The paper describes the role of magnetic resonance imaging (MRT) in endometriosis and adenomyosis, focusing on how imaging can support diagnosis and preoperative planning when symptoms are diverse. It outlines the high-level anatomical definitions and clinical context, and summarizes a proposed MRT protocol using T1-weighted fat-suppressed sequences to detect chronic blood breakdown products, T2-weighted small-FOV sequences for detailed pelvic assessment, and contrast-enhanced imaging with subtraction for possible solid components in endometriomas. It explicitly notes that etiology and pathogenesis are not fully clarified and that routine MRT is not established for endometriosis compared with transvaginal ultrasound, while invasive confirmation remains the diagnostic gold standard via surgery and histopathology. This paper is centrally about endometriosis and adenomyosis — specifically, it reviews MRT imaging indications and techniques for these conditions, including preoperative evaluation.
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