To show themainMRIfindingsofdeependometriosisinvolving therectosigmoidregion.
- Endometriosis is a chronic disorder characterized by thepresence of ectopic endometrial tissue - Usually,
it affects women during their reproductive years - Endometriosis is a multi-factorial disease with an unclear aetiologyand pathogenesis - It is distinguished in superficial and deep endometriosis - Deependometriosis is defined as the presence ofan infiltrating lesion into an organ wall or thesubperitonealspace for more than 5 mm in depth - The posterior pelvic compartment is the most...
Findings and procedure details
Our MRI protocol for patients suspected to have pelvic endometriosis consists of : - axial,
sagittal and coronal T2w TSE images - axial T2w SPAIR images - axial T1w TSE images - axial and sagittal T1w SPAIR images after intravenous contrastmedium injection (if necessary) Slice thickness: 3-4 mm - Vaginal and rectal cavities fluid distension is recommendable for a better depiction of small parietal lesions,
improving sensitivity andspecificy(Fig.1) - Contrast medium injection is not mandatory;...
Radiologist should be aware of the main MRI features and localizations of deep rectosigmoid endometriosis to recognize the disease and to allow a correct presurgical and tailored clinical management
Carmelo Sofia M.D. Division of Oncologic Radiology Policlinico Universitario "Gaetano Martino", Via Consolare Valeria 1, 98125 Messina ,
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A novel technique using magnetic resonance imaging jelly for...