Pelvic endometriosis: MR imaging
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⤵ 73 in-corpus citations
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MR imaging at 0.35 T showed limited sensitivity and specificity in detecting pelvic endometriosis, accurately identifying endometriomas but underestimating adhesions and implants, thus failing to stage the disease effectively.
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Abstract
The value of magnetic resonance (MR) imaging at 0.35 T in detecting, characterizing, and staging pelvic endometriosis was prospectively investigated in 30 consecutive women in whom this disease was clinically suspected. MR findings were correlated with the results of laparoscopy (13 women) and laparotomy (17 women). Surgical examination revealed a normal pelvis in five patients and endometriosis in 25. Three of the five normal cases and 16 of the 25 cases of endometriosis were correctly identified with MR imaging (sensitivity, 64%; specificity, 60%; accuracy, 63%). MR imaging demonstrated seven of eight endometriomas but only 14 of 29 adhesions and only six of 45 endometrial implants. While MR imaging demonstrated endometriomas, ovarian adhesions, and extraperitoneal endometrial implants, it could not accurately depict extraovarian endometrial adhesions and intraperitoneal endometrial implants. In addition, MR imaging findings did not correlate with the surgically determined severity of the disease. These limitations indicate that MR imaging cannot be used as the primary modality in the detection, characterization, and staging of endometriosis; laparoscopy remains the procedure of choice.
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- Diagnosis and Management of Bladder Endometriosis 2009
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- Female infertility: a systematic approach to radiologic imaging and diagnosis 2009
- Endometriose pélvica: aspectos à ressonância magnética e correlação com laparoscopia e anatomia patológica 2008
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- Accuracy of magnetic resonance imaging and rectal endoscopic sonography for the prediction of location of deep pelvic endometriosis 2007
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- Pathologie organique de l'ovaire 2006
- "Endometriose do trato gastrointestinal: correlações clínicas e laparoscópicas; papel da corrida dos órgãos peritoneais na endometriose (COPE)" 2005
- Posterior cul-de-sac obliteration associated with endometriosis: MR imaging evaluation 2005
- Abdominal wall endometriosis: comparative imaging on power Doppler ultrasound and MRI 2004
- Diagnosis of endometriosis: pelvic endoscopy and imaging techniques 2004
- Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society 2003
- Noninvasive diagnosis of endometriosis: the role of imaging and markers 2003
- An evidence-based evaluation of endometriosis-associated infertility 2003
- Pictorial review Imaging features of pelvic endometriosis 2001
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- Imaging features of pelvic endometriosis 2001
- Endometriosis: radiologic-pathologic correlation 2001
- Diagnostic value of radiological tests in chronic pelvic pain 2000
- Magnetic resonance imaging characteristics of deep endometriosis 1999
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