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Title: Endometriosis: A multimodal imaging review.
Austin Authors: Quesada, Juan;Härmä, Kirsi;Reid, Shannon;Rao, Tanushree;Lo, Glen;Yang, Natalie ;Karia, Sonal;Lee, Emmeline;Borok, Nira
Affiliation: The Western Ultrasound for Women, Perth, WA 6007, Australia.
Department of Obstetrics & Gynecology, Campbelltown Hospital (South-Western Sydney Local Health District),Terry Rd, Campbelltown, NSW 2560, Australia.
Western Sydney University, Faculty of Medicine, Western Sydney University, NSW 2751, Australia
Sonacare Women's Health and Ultrasound, Harrington, NSW 2567, Australia.
Department of Radiology, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, WA 6009, Australia
Department of Diagnostic, Interventional and Pediatric Radiology - University Hospital of Bern, Inselspital, University of Bern, Freiburgstrasse, CH-3010 Bern, Switzerland.
Department of Obstetrics & Gynecology at Liverpool Hospital, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW 1871, Australia.
Department of Radiology, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW 1871, Australia.
Issue Date: Jan-2023
Date: 2022
Publication information: European Journal of Radiology 2023
Abstract: Endometriosis is a chronic inflammatory disorder characterized endometrial-like tissue present outside of the uterus, affecting approximately 10% of reproductive age women. It is associated with abdomino-pelvic pain, infertility and other non - gynecologic symptoms, making it a challenging diagnosis. Several guidelines have been developed by different international societies to diagnose and classify endometriosis, yet areas of controversy and uncertainty remains. Transvaginal ultrasound (TV-US) is the first-line imaging modality used to identify endometriosis due to its accessibility and cost-efficacy. Enhanced sonographic techniques are emerging as a dedicated technique to evaluate deep infiltrating endometriosis (DIE), depending on the expertise of the sonographer as well as the location of the lesions. MRI is an ideal complementary modality to ultrasonography for pre-operative planning as it allows for a larger field-of-view when required and it has high levels of reproducibility and tolerability. Typically, endometriotic lesions appear hypoechoic on ultrasonography. On MRI, classical features include DIE T2 hypointensity, endometrioma T2 hypointensity and T1 hyperintensity, while superficial peritoneal endometriosis (SPE) is described as a small focus of T1 hyperintensity. Imaging has become a critical tool in the diagnosis, surveillance and surgical planning of endometriosis. This literature review is based mostly on studies from the last two decades and aims to provide a detailed overview of the imaging features of endometriosis as well as the advances and usefulness of different imaging modalities for this condition.
DOI: 10.1016/j.ejrad.2022.110610
Journal: European Journal of Radiology
Start page: 110610
PubMed URL: 36502625
ISSN: 1872-7727
Type: Journal Article
Subjects: Deep infiltrating endometriosis
Endometriosis imaging features, superficial peritoneal endometriosis
Rectosigmoid endometriosis
Endometriosis/diagnostic imaging
Pelvis/diagnostic imaging
Appears in Collections:Journal articles

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