Diagnosis of pelvic endometriosis: fat-suppressed T1-weighted vs conventional MR images.
article
OA: closed
CC0
⤵ 65 in-corpus citations
AI-generated summary
Fat-suppressed MRI showed higher diagnostic accuracy and sensitivity for detecting peritoneal implants in pelvic endometriosis compared to conventional MRI, and aids in predicting disease severity.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
OBJECTIVE: The purpose of this study was to compare fat-suppressed T1-weighted with conventional MR images for the diagnosis of endometriosis, focusing on the detectability of peritoneal implants, and to evaluate the usefulness of MR imaging in predicting the severity of disease. SUBJECTS AND METHODS: We analyzed the MR images of 31 patients with clinically suspected endometriosis. Laparoscopy confirmed no evidence of disease in two and endometriosis in 29. Conventional T1- and T2-weighted images and supplementary axial fat-suppressed images were obtained in all patients. In both groups, detection of endometriotic lesions with MR imaging was compared with detection at laparoscopy. Only the findings on fat-suppressed images were used to evaluate the usefulness of MR imaging in predicting the severity of disease. Early stages of disease included stages I and II; advanced stages of disease included stages III and IV. RESULTS: Diagnostic accuracy was higher with fat-suppressed imaging (77%) than with conventional imaging (55%) (p = .06). The overall sensitivity in detecting peritoneal implants was significantly higher with fat-suppressed imaging (61%) than with conventional imaging (27%) (p < .01). The disease was likely to be at an early stage when MR images showed peritoneal implants that were 5 mm or less in maximum diameter. The disease was likely to be at an advanced stage when MR images showed an endometrial cyst that was larger than 1.5 cm. CONCLUSION: Our results show that fat-suppressed MR imaging is more accurate in the diagnosis of pelvic endometriosis and is better for predicting the severity of disease than conventional MR imaging is.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood (2-hop)
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]
Cited by (50)
- Educational Case: Endometriosis 2025
- Chronic Pelvic Puzzle: Navigating Deep Endometriosis with Renal Complications 2023
- Magnetic resonance imaging in the evaluation of pelvic endometriosis 2021
- Bladder Endometriosis Masquerading as Bladder Tumor: The Role of Magnetic Resonance Imaging in Diagnosis 2021
- Protocolo de ressonância magnética na avaliação pré-operatória da endometriose profunda 2021
- Comparison of physical examination, ultrasound techniques and magnetic resonance imaging for the diagnosis of deep infiltrating endometriosis: A systematic review and meta‑analysis of diagnostic accuracy studies 2020
- Endometriotic lesions 2019
- Recommandations de la Société européenne d’imagerie génito-urinaire : IRM de l’endométriose pelvienne 2017
- Magnet Resonance Imaging in Preoperative Endometriosis: Incidence of High-Signal-Intensity Spots on Fat-Suppressed T1-Weighted and T2-Weighted Images 2017
- Coexistence of mature cystic Teratoma and endometrioma in an ovarian cyst 2017
- Endometriosis 2017
- Ureteral stenosis due to DIE (deep infiltrating endometriosis) with difficulty in treatment: Case report and brief literature review 2017
- The Clinical Diagnosis of Pelvic Endometriosis in Adolescents 2017
- Current methods for the management of endometriosis in adolescent patients 2016
- European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis 2016
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- ACR Appropriateness Criteria® Infertility 2015
- Endometriosis diagnosis and staging by operating surgeon and expert review using multiple diagnostic tools: an inter‐rater agreement study 2015
- MRI technique for the preoperative evaluation of deep infiltrating endometriosis: current status and protocol recommendation 2015
- Bladder endometriosis: characterization by magnetic resonance imaging and the value of documenting ureteral involvement 2014
- MR Imaging of Endometriosis 2014
- Secondary Mullerian System 2013
- Location-dependent value of pelvic MRI in the preoperative diagnosis of endometriosis 2013
- Omental Endometriosis: A Rare Site and an Unusual Association with Ovarian Fibroma and Haemorrhagic Ascites. A Case Report And Review of The Imaging Techniques 2012
- Diagnosis of Endometriosis: Imaging 2011
- Malignant Tumors of the Female Pelvic Floor: Imaging Features That Determine Therapy: <i>Pictorial Review</i> 2011
- Endometriosis 2011
- Anterior pelvic endometriosis: MRI features 2010
- ENDOMETRIOSIS: EVALUACIÓN POR RESONANCIA MAGNÉTICA 2010
- Agreement and reproducibility in identification of endometriosis using magnetic resonance imaging 2010
- Imagerie de L'endométriose Pelvienne 2010
- Endometriosis 2009
- Pelvic protocol for endometriosis (MRI) 2009
- Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis 2009
- Deep endometriosis: a review 2009
- Endometriosis infiltrante: revisión de tema Deep endometriosis: a review 2009
- Endometriose pélvica: comparação entre imagens por ressonância magnética de baixo campo (0,2 T) e alto campo (1,5 T) 2008
- Endometriose pélvica: aspectos à ressonância magnética e correlação com laparoscopia e anatomia patológica 2008
- Can symptomatology help in the diagnosis of endometriosis? Findings from a national case–control study—Part 1 2008
- Imaging in endometriosis 2007
- Endometriosis infiltrativa profunda 2007
- Imagerie de l'endométriose 2006
- MR Imaging Evaluation of the Adnexa 2006
- Failure of Laparoscopy to Relieve Ureteral Obstruction Secondary to Endometriosis 2006
- Posterior Cul-de-Sac Obliteration Associated with Endometriosis: MR Imaging Evaluation 2005
- Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease 2004
- Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease 2004
- Imagerie de l'endométriose 2004
- Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society 2003
- MR Imaging of Disorders Associated with Female Infertility: Use in Diagnosis, Treatment, and Management 2003
Source provenance
- europepmc
- last seen: 2026-08-24T06:08:07.662257+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:11:24.284338+00:00
License: CC0
· commercial use OK