Decoding the role of MRI in evaluation of endometriosis and its mimics
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20242476Keywords:
Endometriosis, Teratoma, Laparoscopy, MRIAbstract
Background: Endometriosis is presence of endometrial tissue at a site outside the uterus. Endometriosis is a common and important entity affecting women of reproductive age group. Diagnosis of endometriosis is a combination of clinical history combined with non-invasive and invasive imaging. Its differentiation with other mimicking pathologies becomes crucial in proper diagnosis and management of the patients with overlapping symptoms. Aim was to assess the role of MRI in characterising endometriosis and differentiating it from its various mimics.
Methods: The study was performed on 30 patients with complaints of pelvic pain, dysmenorrhea and patients suspected of endometriosis in Dr. Ram Manohar Lohia Hospital, New Delhi from January 2022 to January 2023 under ultrasound and MRI SEIMENS 3T machine. Radiological characteristics were studied and evaluated. Descriptive and inferential statistical analysis was made.
Results: Wide spectrum of cases were studied and characteristic imaging features of each mimic was evaluated.
Conclusions: MRI is sensitive in detecting endometriosis and differentiating it from its various mimics. MRI being non-invasive can be easily done and therefore plays a crucial role in making correct diagnosis combined with clinical history.
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References
Coccia ME, Rizzello F. Ultrasonographic staging: a new staging system for deep endometriosis. Ann N Y Acad Sci. 2011;1221:61-9.
Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75.
Bulun SE. Endometriosis. N Engl J Med. 2009;360(3):268-79.
Brosens I, Puttemzz ans P, Campo R, Gordts S, Kinkel K. Diagnosis of endometriosis: pelvic endoscopy and imaging techniques. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):285-303.
Ascher SM, Agrawal R, Bis KG, Brown ED, Maximovich A, Markham SM, et al. Endometriosis: appearance and detection with conventional and contrast-enhanced fat-suppressed spin-echo techniques. J Magn Reson Imag. 1995;5(3):251-7.
Outwater E, Schiebler ML, Owen RS, Schnall MD. Characterization of hemorrhagic adnexal lesions with MR imaging: blinded reader study. Radiology. 1993;186(2):489-94.
Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75.
Stratton P, Winkel C, Premkumar A, Chow C, Wilson J, Hearns-Stokes R, et al. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis. Fertil Steril. 2003;79(5):1078-85.
Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D'hooghe T, De Bie B, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400-12.
de Ziegler D, Borghese B, Chapron C. Endometriosis and infertility: pathophysiology and management. Lancet. 2010;376(9742):730-8.
Piketty M, Chopin N, Dousset B, Millischer-Bellaische AE, Roseau G, Leconte M, et al. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2009;24:602-7.
Piketty M, Chopin N, Dousset B, Millischer-Bellaische AE, Roseau G, Leconte M, et al. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2009;24:602-7.
Zuber M, Shoaib M, Kumari S. Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity. Pol J Radiol. 2022;87:e448-61.
Kido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the diagnosis of endometriosis and related diseases. Korean J Radiol. 2022;23(4):426-45.
Togashi K, Nishimura K, Kimura I, Tsuda Y, Yamashita K, Shibata T, et al. Endometrial cysts: diagnosis with MR imaging. Radiology. 1991;180(1):73-8.
Zuber M, Shoaib M, Kumari S. Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity. Pol J Radiol. 2022;87:e448-61.
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