MRI in the Diagnosis of Endometriosis and Related Diseases

Kido, Aki; Himoto, Yuki; Moribata, Yusaku; Kurata, Yasuhisa; Nakamoto, Yuji

doi:10.3348/kjr.2021.0405

Cited by 20 publications

(7 citation statements)

References 98 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dodatkowo MRI pozwala na wczesne i dokładniejsze wykrycie torbieli endometrialnych jajnika i DIE oraz odgrywa rolę w określeniu stopnia zaawansowania co pozwala na wybór odpowiedniego . i postępowania przedoperacyjnego wykluczając konieczność przeprowadzeni inwazyjnych badań, które zmniejszają rezerwę jajnikową u chorych kobiet [19]. Nadal złotym standardem w diagnostyce endometriozy pozostaje laparoskopia, która w połączeniu z biopsją tkanki do badania histopatologicznego daje możliwość oceny zaawansowania, stopnia złośliwości zmian z jednoczesnym przeprowadzeniem wstępnego leczenia [6].…”

Section: B Diagnostykaunclassified

Endometriosis - Pathogenesis, diagnosis and treatment

KWIATKOWSKI

Gładysz

SZYDŁOWSKA

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

Introduction: Endometriosis is defined as a chronic gynecological disease characterized by endometrial tissue outside the uterus. The condition affects 5-10% of women of reproductive age worldwide and is associated with pelvic pain and infertility. Despite its prevalence, diagnosis is usually delayed for many years which postpones the introduction of appropriate treatment. Aim of the study: Summary of the current state of knowledge on endometriosis, analyzing the pathogenesis, the current diagnostic approach, highlighting the problem of fertility in this disease entity and presenting treatment options. Methods and materials: A review of the literaturę available in the PubMed database and GoogleScholar from the last 5years was conducted,using the following keywords: endometriosis”, „endometriosis pathogenesis”, „endometriosis diagnosis”, „infertility in endometriosis”, „endometriosis treatment” Results: Among the etiological factors mentioned are congenital, environmental, epigenetic, autoimmune and allergic factors. The main theory for the formation of the condition is retrograde menstruation through the fallopian tubes into the peritoneal cavity and implantation of endometrial cells. Laparoscopy is nowadays the gold standard for diagnosis, but less invasive methods that can shorten the time to diagnosis are being sought. Current treatment is limited to surgery, hormonal treatment and analgesics which are associated with many side effects. Conclusion: Endometriosis is the cause of infertility, chronic pain and reduced quality of life in many women. Non-invasive diagnostic tests such as imaging studies, genetic tests, biomarkers or miRNAs have diagnostic potential but more analysis is needed to be applied in daily clinical work. Future research should focus on learning and understanding the pathogenesis, identifying subtypes of the disease, and a modern approach to diagnosis and comprehensive treatment taking into account concomitant general symptoms.

show abstract

Section: B Diagnostykaunclassified

Endometriosis - Pathogenesis, diagnosis and treatment

KWIATKOWSKI

Gładysz

SZYDŁOWSKA

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

show abstract

“…Generally, they appear hyperintense on fat-suppressed T1WI and T1WI (Figures 7 and 8). The hyperintensity on fat-suppressed T1WI helps differentiate endometriomas from dermoid cyst and teratoma, which usually contain fat [51]. On T2WI, a variable signal can be obtained: a hypointense signal can affect variable portions of the cyst, sometimes also presenting a stratification, until a complete loss of the signal.…”

Section: Ovarian Endometriomamentioning

confidence: 99%

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Piccolo,

Cea,

Sbarra

et al. 2023

Applied Sciences

View full text Add to dashboard Cite

Endometriosis is a chronic condition characterized by the presence of abnormal endometrial tissue outside the uterus. These misplaced cells are responsible for inflammation, symptoms, scar tissue and adhesions. Endometriosis manifests mainly in three patterns: superficial peritoneal lesions (SUP), ovarian endometriomas (OMA) and deep infiltrating endometriosis (DIE). It also exhibits atypical and extremely rare localization. The updated 2022 guidelines of the ESHRE recommend using both ultrasound and magnetic resonance imaging (MRI) as first-line diagnostic tests. Currently, MRI provides a more complete view of the pelvis anatomy. The aim of our review is to provide radiologists with a “map” that can help them in reporting pelvic MRI scans in patients with endometriosis. We will illustrate the usual and unusual localizations of endometriosis (categorized into compartments) using post-operative imaging, and we will focus on the role of MRI, the main sequences and the use of contrast agents.

show abstract

“…МРТ является достаточно точной методикой для поиска эндометриоза [35][36][37][38][39]. Исследователи, оценивающие роль МРТ в диагностике глубокого эндометриоза малого таза, сообщили об общей средней специфичности 77% (95% ДИ: 44-100%) и средней чувствительности 94% (95% ДИ: 90-97%) вне зависимости от использования томографа напряженностью 1,5 Тл или 3,0 Тл [16].…”

Section: № 1 (56) 2023unclassified

Disputable issues of non–invasive diagnosis of small forms of endometriosis

Efimova,

Sergienya,

Maschenko

et al. 2023

WHAR

View full text Add to dashboard Cite

Objective of the Review: To discuss the significance and possibility of non–invasive diagnosis of small forms of endometriosis, consider the features, advantages and disadvantages of transvaginal ultrasound (TV–ultrasound) and magnetic resonance imaging (MRI). Key points. Endometriosis in women of reproductive age can cause both pain and infertility. Currently there is no single and generally accepted classification of endometriosis. Laparoscopy with histological examination is no longer the “gold standard” for diagnosing this disease, which leads to an urgent need to find alternative non–surgical methods. The only presently proven possibility of non–invasive verification of endometriosis is the use of radiation diagnostic methods. TV ultrasound is a first–line imaging modality, but it has limitations in terms of field of view and dependency on the skill and experience of the operator. MRI, used as a method for verifying endometriosis foci, has some limitations in visualizing small endometriotic implants and adhesions, but at the same time, it allows characterizing lesions, studying extraperitoneal localizations and the contents of formations located in the pelvic cavity. Conclusion. The lack of a single generally accepted classification creates difficulties both in the diagnosis of endometriosis and in the selection of the correct treatment for the condition. For the diagnosis of deep endometriotic foci, the specificity and sensitivity are quite high for TV–ultrasound (87–94% and 79–92%), and medium for MRI (77 and 94%), however, for verification of superficial foci, neither MRI nor TV–ultrasound at this moment have superior diagnostic accuracy compared to laparoscopy. Both methods are the most promising, but require improving the quality of diagnostics, which largely depends on the experience of specialists and improving the power of the instruments used. Proper staging of the disease, in turn, will greatly help in choosing the tactics of infertility treatment. Keywords: external genital endometriosis, MRI, ultrasound, "small" forms of endometriosis, non–invasive diagnostics of endometriosis.

show abstract

MRI in the Diagnosis of Endometriosis and Related Diseases

Cited by 20 publications

References 98 publications

Endometriosis - Pathogenesis, diagnosis and treatment

Endometriosis - Pathogenesis, diagnosis and treatment

Magnetic Resonance Roadmap in Detecting and Staging Endometriosis: Usual and Unusual Localizations

Disputable issues of non–invasive diagnosis of small forms of endometriosis

Contact Info

Product

Resources

About