A novel technique using magnetic resonance imaging jelly for evaluation of rectovaginal endometriosis

Takeuchi, Hiroyuki; Kuwatsuru, Ryohei; Kitade, Mari; Sakurai, Akihiro; Kikuchi, Iwaho; Shimanuki, Hiroto; Kinoshita, Katsuyuki

doi:10.1016/j.fertnstert.2004.08.021

Cited by 78 publications

(55 citation statements)

References 13 publications

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“…Bazot obtained similar results with a standard MRI protocol; however, his study was potentially biased by the study cohort which comprised only patients with a strongly suspected endometriosis [13]. Takeuchi et al reported results compatible [22,23]. There exists, however, a potential bias in the methodology in their studies as MRI without opacification was not compared with MRI after double opacification.…”

Section: Discussionmentioning

confidence: 90%

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

et al. 2009

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Section: Discussionmentioning

confidence: 90%

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

et al. 2009

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“…Magnetic resonance imaging (MRI) has a high sensitivity (ranging between 77 and 93%) in the diagnosis of bowel endometriosis [11][12][13]. A water enema before MRI can improve the assessment of local extent of colorectal lesions [13,14]; equally, injecting jelly for ultrasonography into the vagina and the rectum before MRI may improve the findings [15]. The effectiveness of MRI could be reduced if the exam is scheduled earlier than day 8 of the menstrual cycle because of the spontaneous T1 hyperintensity of blood after 8 days of bleeding [4].…”

Section: Introductionmentioning

confidence: 99%

Multislice CT enteroclysis in the diagnosis of bowel endometriosis

et al. 2006

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This prospective study aims to evaluate the efficacy of multislice computed tomography combined with colon distension by water enteroclysis (MSCTe) in determining the presence and depth of bowel endometriotic lesions. Ninety-eight women with symptoms suggestive of colorectal endometriosis underwent MSCTe; locations, number of nodule/s, size of the nodule/s and depth of bowel wall infiltration were determined. Independently from the findings of MSCTe, all women underwent laparoscopy. MSCTe findings were compared with surgical and histological results. Abnormal findings suggestive of bowel endometriotic nodules were detected by MSCTe in 75 of the 76 patients with bowel endometriosis. MSCTe identified 110 (94.8%) of the 116 bowel endometriotic nodules removed at surgery; 6 nodules missed at MSCTe were located on the rectum. MSCTe correctly determined the degree of infiltration of the bowel wall in all of the 34 serosal bowel nodules identified at MSCTe. In six nodules reaching the submucosa, the depth of infiltration was underestimated by MSCTe. MSCTe had a sensitivity of 98.7%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 95.7% in identifying women with bowel endometriosis. MSCTe is effective in determining the presence and depth of bowel endometriotic lesions.

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“…Clinical examination alone does not seem to be a good method for detecting peritoneal endometriosis [157]. The sensitivity and specificity of ultrasound and MRI with regard to various forms of peritoneal endometriosis are shown in Table 9 [158][159][160][161][162][163][164][165][166][167]. Results are extremely variable.…”

Section: Endometriosismentioning

confidence: 99%

Imaging in gynecology

Valentin

2006

Best Practice & Research Clinical Obstetrics & Gynaecol

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This chapter summarizes the diagnostic performance (sensitivity, specificity, positive and negative likelihood ratios) of ultrasound, computer tomography, and magnetic resonance imaging in the diagnosis of various gynecological diseases and tumors. Positron emission tomography is not discussed. Imaging in infertility, in the diagnosis of Mullerian duct anomalies and in gynecological oncology (staging of gynecological cancers, diagnosis of recurrence of gynecological cancer, diagnosis of trophoblastic tumors) is not dealt with.Ultrasound is the first line imaging method for discrimination between viable intrauterine pregnancy, miscarriage and tubal pregnancy in women with bleeding and/or pain in early pregnancy, for discrimination between benign and malignant adnexal masses and for making a specific diagnosis in adnexal tumors (e.g., dermoid cyst, endometrioma, hemaorrhagic corpus luteum, ectetera), for diagnosing intracavitary uterine pathology in women with bleeding problems, and for confirming or refuting pelvic pathology in women with pelvic pain. Magnetic resonance imaging may have a role as a secondary test in the diagnosis of adenomyosis, 'deep endometriosis' (e.g., endometriosis in the rectovaginal septum or in the utero-sacral ligaments), and in the diagnosis of extremely rare types of ectopic pregnancy (e.g., in the spleen, liver or retroperitoneum).

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A novel technique using magnetic resonance imaging jelly for evaluation of rectovaginal endometriosis

Cited by 78 publications

References 13 publications

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

Multislice CT enteroclysis in the diagnosis of bowel endometriosis

Imaging in gynecology

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