Endometriosis

In: Medical Radiology · 2017 · pp. 325–341 · doi:10.1007/174_2017_26 · W4244923079
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Magnetic resonance imaging (MRI) is gaining popularity as a noninvasive diagnostic option for endometriosis, with specific protocols and checklists improving lesion localization and interpretation.

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This chapter discusses endometriosis and evaluates noninvasive diagnostic imaging, focusing on how ultrasound and MRI can identify local manifestations and how to optimize MRI mapping through patient preparation, lesion localization protocols, and a checklist-based interpretation using typical MRI signal changes and common lesion locations. It emphasizes that laparoscopy remains the gold standard and notes diagnostic delay and difficulty, with a major caveat that the chapter is not an original study but rather provides guidance on exploiting MRI diagnostic potential. The main finding is the practical framework for improving the diagnostic yield of MRI for endometriotic lesion detection and localization. This paper is centrally about endometriosis — it focuses on imaging approaches (especially MRI mapping protocols and interpretation checklists) for localizing endometriotic lesions.

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Abstract

While endometriosis is a benign disease of the female pelvis, it can be a very aggressive, invasive condition. The diagnosis is often delayed and difficult, and laparoscopy remains the gold standard. Among noninvasive diagnostic options, ultrasound has a role in diagnosing local manifestations of endometriosis, while magnetic resonance imaging (MRI) is gaining popularity. Patient preparation and selection of an adequate imaging protocol will help to fully exploit the diagnostic potential of MRI mapping of endometriotic lesion localization. The interpretation of MR images should use a checklist to search for lesions based on the most common locations of endometriosis and typical changes in MRI signal intensity. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Fertil Steril 72:961–969 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2017 Springer International Publishing AG About this chapter Cite this chapter Schreiter, V., Kinkel, K. (2017). Endometriosis. In: Forstner, R., Cunha, T.M., Hamm, B. (eds) MRI and CT of the Female Pelvis. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_26 Download citation DOI: https://doi.org/10.1007/174_2017_26 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-42573-3 Online ISBN: 978-3-319-42575-7 eBook Packages: MedicineMedicine (R0)

Keywords

- Endometriotic Lesions - Bladder Endometriosis - ESUR Guidelines - Uterosacral Ligaments - Ovarian Manifestations These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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