MRI for endometriosis in adolescent patients

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This review covers MRI manifestations of endometriosis in adolescents, emphasizing its utility and potential differences from adult presentations for pediatric radiologists.

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This paper describes how magnetic resonance imaging can be used for the evaluation of pelvic endometriosis in adolescent patients, with attention to what MRI findings represent and how pediatric imaging manifestations may differ from those reported in adults. It outlines the rationale for MRI given that laparoscopy with pathologic correlation is the reference standard, while emphasizing that imaging can support a more clinical diagnostic approach and is well tolerated in adolescents. A stated limitation is that familiarity with adolescent MRI appearances for pediatric radiologists is needed because adult-based descriptions may not fully apply. This paper is centrally about endometriosis — it focuses on MRI evaluation of endometriosis in adolescent patients and differences from adult imaging findings.

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Abstract

Endometriosis, a chronic condition that often starts in adolescence, can have a significant impact on quality of life due to symptoms of dysmenorrhea and pelvic pain. Although laparoscopy with direct visualization and pathologic correlation is the reference standard for the diagnosis of endometriosis, some authors have called for a greater emphasis on clinical diagnosis - including imaging. Magnetic resonance imaging (MRI) provides highly reproducible, large field of view, multiplanar, and multiparametric imaging of pelvic endometriosis and is well tolerated in adolescent patients. As such, pediatric radiologists need to be familiar with the manifestations of endometriosis on MRI and how these findings may differ from those seen in adult populations.
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Abstract

Endometriosis, a chronic condition that often starts in adolescence, can have a significant impact on quality of life due to symptoms of dysmenorrhea and pelvic pain. Although laparoscopy with direct visualization and pathologic correlation is the reference standard for the diagnosis of endometriosis, some authors have called for a greater emphasis on clinical diagnosis – including imaging. Magnetic resonance imaging (MRI) provides highly reproducible, large field of view, multiplanar, and multiparametric imaging of pelvic endometriosis and is well tolerated in adolescent patients. As such, pediatric radiologists need to be familiar with the manifestations of endometriosis on MRI and how these findings may differ from those seen in adult populations. Graphical Abstract Similar content being viewed by others

References

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Fertil Steril 114:1049–1057 Zhang W, Sun H, Luo F (2017) The efficiency of sonography in diagnosing volvulus in neonates with suspected intestinal malrotation. Medicine (Baltimore) 96:e8287 Peyron N, Jacquemier E, Charlot M et al (2019) Accessory cavitated uterine mass: MRI features and surgical correlations of a rare but under-recognised entity. Eur Radiol 29:1144–1152 Author information Authors and Affiliations Contributions All authors contributions are outlined below: AME: manuscript creation, review, and figure creation. AT: manuscript review. PS: illustration creation, manuscript review. SL: manuscript review. Corresponding author Ethics declarations Conflicts of interest The authors deny any conflicts of interest. Angela Tong received honorarium for speaking at a conference for Siemens Healthineers. Shailee V. Lala is the Assistant Editor of the journal Pediatric Radiology. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Supplementary Information Below is the link to the electronic supplementary material. Rights and permissions Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. About this article Cite this article El-Ali, A.M., Tong, A., Smereka, P. et al. MRI for endometriosis in adolescent patients. Pediatr Radiol 55, 24–35 (2025). https://doi.org/10.1007/s00247-024-06050-z Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00247-024-06050-z

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endometriosisdysmenorrhea

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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