Imaging of Endometriosis

In: Journal of the Belgian Society of Radiology · 2019 · vol. 103(1) · doi:10.5334/jbsr.1928 · W2974209612
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Magnetic resonance imaging is a valuable tool for preoperative planning in endometriosis management, complementing diagnostic laparoscopy.

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This paper is an article titled “Imaging of Endometriosis” and presents an overview of how endometriosis is visualized using imaging approaches, drawing together radiology perspectives across the imaging spectrum. It is presented as a review article, so it synthesizes previously reported imaging findings and techniques rather than reporting new experimental results. A key limitation inherent to a review format is that it does not provide a single study cohort, standardized imaging protocol, or quantitative outcomes, and the conclusions depend on the included literature. This paper is centrally about endometriosis — it focuses specifically on imaging methods for detecting and characterizing endometriosis.

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Abstract

Endometriosis is a common cause of chronic pelvic pain, dysmenorrhea and infertility. Although 6–10% of women of child bearing age are affected by the disease, and even more in the group of patients with fertility problems, diagnosis is often delayed and treatment can be challenging. Depending on the complaints, extent of disease and the goals of treatment (fertility treatment, pain reduction, …), both medical and surgical options are available for the management of this pathology and often a multidisciplinary approach will be necessary. Although diagnostic laparoscopy with histologic confirmation remains the golden standard for diagnosis, several imaging techniques can aid in the preoperative surgery planning. This presentation will focus mainly on the use of magnetic resonance imaging in the work-up of endometriosis.
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Condition tags

endometriosischronic_pelvic_paindysmenorrheainfertility

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