Cine MR imaging of uterine peristalsis in patients with endometriosis

Kido, Aki; Togashi, Kaori; Nishino, Mizuki; Miyake, Kanae; Koyama, Takashi; Fujimoto, Ryota; Iwasaku, Kazuhiro; Fujii, Shingo; Hayakawa, Katsumi

doi:10.1007/s00330-006-0494-9

Cited by 63 publications

(67 citation statements)

References 23 publications

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“…They went on to suggest that MRI should be avoided in the menstrual phase [35]. In addition, these authors reported that the evaluation of uterine peristalsis is optimal during the peri-ovulatory phase [36]. Solak et al reported no significant difference in size of lesions in the early days of menstruation compared to the mid-menstrual period for abdominal wall endometriosis [37].…”

Section: Resultsmentioning

confidence: 99%

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European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

et al. 2016

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Endometriosis is a common gynaecological condition of unknown aetiology that primarily affects women of reproductive age. The accepted first-line imaging modality is pelvic ultrasound. However, magnetic resonance imaging (MRI) is increasingly performed as an additional investigation in complex cases and for surgical planning. There is currently no international consensus regarding patient preparation, MRI protocols or reporting criteria. Our aim was to develop clinical guidelines for MRI evaluation of pelvic endometriosis based on literature evidence and consensus expert opinion. This work was performed by a group of radiologists from the European Society of Urogenital Radiology (ESUR), experts in gynaecological imaging and a gynaecologist expert in methodology. The group discussed indications for MRI, technical requirements, patient preparation, MRI protocols and criteria for the diagnosis of pelvic endometriosis on MRI. The expert panel proposed a final recommendation for each criterion using Oxford Centre for Evidence Based Medicine (OCEBM) 2011 levels of evidence.Key Points• This report provides guidelines for MRI in endometriosis.• Minimal and optimal MRI acquisition protocols are provided.• Recommendations are proposed for patient preparation, best MRI sequences and reporting criteria.Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-016-4673-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…During the peri-ovulatory phase, uterine peristalsis is significantly reduced in subjects with endometriosis when compared to normal controls that may be due to increased, sustained contractions in endometriosis patients (LE4) [36, 78]. This abnormal uterine peristalsis in endometriosis patients could interfere with fertility [79].…”

Section: Resultsmentioning

confidence: 99%

European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

et al. 2016

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“…Interestingly, studying 41 subjects with endometriosis, they detected signs of adenomyosis in 85% of them; this has been taken as an indication that infertility in at least some cases with endometriosis may be explained by the contemporary presence of adenomyotic foci. In this regard, Kido et al (2007), using cine-MRI, have shown that uterine peristalsis appears to be suppressed during the periovulatory phase also in patients with endometriosis.…”

Section: Altered Uterine Peristaltic Activitymentioning

confidence: 97%

Adenomyosis and infertility

Campo

Benagiano

2012

Reproductive BioMedicine Online

138

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“…The uterine junctional zone was defined as the inner third of the myometrium [24]. All samples containing endometrium and junctional zone were collected from the mid-fundal and isthmic areas of the uterine anterior wall.…”

Section: Methodsmentioning

confidence: 99%

The abnormal expression of oxytocin receptors in the uterine junctional zone in women with endometriosis

Huang

Guo

et al. 2017

Reprod Biol Endocrinol

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BackgroundThe junctional zone (JZ), also called as the endometrial-myometrial junction, is related to peristaltic-like movements in the non-pregnant uterus. Hyperperistalsis and dysperistalsis of uterus constructions might underlie many important disorders such as dysmenorrhea, infertility, endometriosis, implantation failure. The major proteins for uterine contraction of the non-pregnant uterus may be Oxytocin (OT) and oxytocin receptor (OTR). The objective of this study was to inspect the expression of OTR in isthmic and mid-fundal parts of the uterine junctional zone at different stages of the follicular cycle in patients with and without endometriosis.MethodsUterine biopsies containing endometrium and junctional zone were collected from the isthmic and mid-fundal parts of the anterior wall after hysterectomy. The OTR expression was evaluated by immunohistochemistry.ResultsIn the control uterus, OTR expression in the isthmic region was significantly higher than in the fundal region in the proliferative phase (p < 0.05) but significantly lower in the secretory phase (p < 0.05). And the expression of OTR in the proliferative phase was significantly higher than that in the secretory phase in both isthmic and fundal regions (p = 0.000 and 0.049, respectively). However, in endometriosis uteri, OTR expression in the isthmic region showed no significant difference with that in the fundal region in both proliferative and secretory phases (p = 0.597 and 0.736, respectively). In both isthmic and fundal regions, OTR expression was not significantly different between the proliferative phase and secretory phase (p = 0.084 and 0.222, respectively). OTR expression in fundal regions of revised ASRM I and II endometriosis were lower than that of revised ASRM III and IV (p = 0.049). In the fundal region of JZ, the expression of OTR in ovarian endometriosis was significantly lower than that in deep infiltrating endometriosis (p = 0.046). The expression level of OTR in the funds region is positively associated with the severity of dysmenorrhea in endometriosis group (r = 0.870, p < 0.05). Comparing to normal uteri, the expression of OTR in the secretory phase was significantly higher in the endometriosis uteri (p < 0.05). In the fundus of endometriosis uteri, OTR expression was significantly higher in both the proliferative and secretory phases (p = 0.045 and 0.028, respectively).ConclusionOTR expression in the JZ of women with endometriosis changes significantly, which may result in abnormal uterine contractile activity, reducing the endometriosis-related fertility and dysmenorrhea.

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Cine MR imaging of uterine peristalsis in patients with endometriosis

Cited by 63 publications

References 23 publications

European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

Adenomyosis and infertility

The abnormal expression of oxytocin receptors in the uterine junctional zone in women with endometriosis

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