ABDOMEN BECKEN – CT- und MR-Enterografie zur Detektion von Endometrioseherden im Darm

Stephanie Gräwert
In: RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren · 2025 · vol. 197(01) , pp. 16 · doi:10.1055/a-2444-8704 · W4406004110
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This study investigated whether CT- and MR-enterography can better detect deep infiltrating endometriosis lesions in the right colon.

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This study investigates the comparative efficacy of CT and MR enterography for detecting deep infiltrating endometriosis lesions within the right-sided segments of the intestine, specifically targeting the appendix, cecum, and distal ileum. While rectal involvement is common, these right-sided locations present significant diagnostic challenges due to difficulties in visualization via standard magnetic resonance imaging techniques. The research aims to determine whether advanced enterographic imaging modalities provide superior detection rates for these hard-to-see lesions compared to conventional methods. Relevance to endometriosis: This paper is centrally about endometriosis — specifically focusing on the radiological detection of deep infiltrating disease in the intestinal tract.

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Abstract

Die tief infiltrierende Endometriose kann alle Bauch- und Beckenorgane betreffen. Am häufigsten finden sich die Endometrioseherde im Rektum, jedoch eher selten in Appendix, Coecum oder distalem Ileum. Doch gerade dort sind sie im MRT schwierig zu detektieren. Ziel der vorliegenden Studie war es, herauszufinden, ob sich Endometrioseherde in den rechtsseitigen Darmanteilen mit der CT- bzw. MR-Enterografie besser darstellen lassen.
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Rofo 2025; 197(01): 16 DOI: 10.1055/a-2444-8704 DOI: 10.1055/a-2444-8704 Brennpunkt ABDOMEN BECKEN – CT- und MR-Enterografie zur Detektion von Endometrioseherden im Darm Authors Die tief infiltrierende Endometriose kann alle Bauch- und Beckenorgane betreffen. Am häufigsten finden sich die Endometrioseherde im Rektum, jedoch eher selten in Appendix, Coecum oder distalem Ileum. Doch gerade dort sind sie im MRT schwierig zu detektieren. Ziel der vorliegenden Studie war es, herauszufinden, ob sich Endometrioseherde in den rechtsseitigen Darmanteilen mit der CT- bzw. MR-Enterografie besser darstellen lassen. Publication History Article published online: 02 January 2025 © 2025. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

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