CAPABILITIES OF MAGNETIC RESONANCE IMAGING TO DIAGNOSE INFILTRATING PELVIC ENDOMETRIOSIS
https://doi.org/10.20862/0042-4676-2014-0-3-24-34
Abstract
Deep infiltrating endometriosis is a disease in reproductiveaged women, resulting in varying chronic pelvic pains and infertility, which requires surgical treatment.
Objective – to determine the capabilities of magnetic resonance imaging (MRI) to diagnose pelvic endometriosis and to elaborate an optimal scanning protocol if this disease is suspected.
Small pelvic MRI has a high accuracy in the diagnosis of endometriosis and can visualize most endometrioid implants, including those that are located under adhesions and in the subperitoneal regions. Just the same, a radiodiagnostician should not forget that MRI is of low informative value in identifying bowel endometriosis. Hence, when diagnosing deep infiltrating endometriosis, MRI should be complemented with transvaginal ultrasonography to detect endometrioid implants on the bowel walls as the informative value in this aspect is above.
About the Authors
E. N. Puchkova
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Radiologist
Ivan’kovskoe shosse, 3, Moscow, 125367
E. A. Mershina
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Head of Department of Tomography
Ivan’kovskoe shosse, 3, Moscow, 125367
V. E. Sinitsyn
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Director of Center of Radiology of Federal Center of Treatment and Rehabilitation
Ivan’kovskoe shosse, 3, Moscow, 125367
References
1. Choudhary S., Fasih N., Paradatos D., Surabhi V.R. Unusual imaging appearances of endometriosis. Am. J. Roentgenol. 2009; 192 (6): 1632–44.
2. Woodward P.J., Sohaey R., Mezzetti T.P. Jr. Endometriosis: radiologic-pathologic correlation. RadioGraphics. 2001; 21 (1): 193–216.
3. Труфанов Г.Е., Панов В.О. (ред.) Руководство по лучевой диагностике в гинекологии. СПб.: ЭЛБИ-СПб; 2008. Trufanov G.E., Panov V.O. (eds). Radiologic guidelines in gynaecology. St. Petersburg: ELBI-SPb; 2008 (in Russian).
4. Practice bulletin no.114: management of endometriosis. Obstet. Gynecol. 2010; 116 (1): 223–36.
5. Giudice L.C., Kao L.C. Endometriosis. Lancet. 2004; 364 (9447): 1789–99.
6. Адамян Л.В., Кулаков В.И., Андреева Е.Н. Эндометриозы (Руководство для врачей). М.: Медицина; 2006. Adamyan L.V., Kulakov V.I., Andreeva E.N. Endometriosis (Guidelines for radiologist). Moscow: Meditsina; 2006 (in Russian).
7. Matalliotakis I.M., Arici A., Cakmak H., Goumenou A.G., Koumantakis G., Mahutte N.G. Familial aggregation of endometriosis in the Yale Series. Arch. Gynecol. Obstet. 2008; 278 (6): 507–11.
8. Redwine D.B., Wright J.T. Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection. Fertil. Steril. 2001; 76 (2): 358–65.
9. Bulun S.E. Endometriosis. N. Engl. J. Med. 2009; 360 (3): 268–79.
10. Del Frate C., Girometti R., Pittino M., Del Frate G., Bazzocchi M., Zuiani C. Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. RadioGraphics. 2006; 26 (6): 1705–18.
11. Chapron C., Dubuisson J.B., Pancini V. et al. Routine clinical examination is not sufficient for diagnosing and locating deeply infiltrating endometriosis. J. Am. Assoc. Gynecol. Laparosc. 2002; 9 (2): 115–9.
12. Kirkpatrick A., Reed C.M., BuiMansfield L.T., Russell M.J., Whitford W. Radiologic-pathologic correlation of Brooke Army Medical Center: endometriosis of the canal of Nuch. Am. J. Roentgenol. 2006; 186 (1): 56–7.
13. Zhu L., Lang J., Wong F., Guo L. Perineal endometriosis without perineal trauma: a case report. Chin. Med. J. (Engl.). 2003; 116 (4): 639–40.
14. Clement P.B. The pathology of endometriosis: a survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv. Anal. Pathol. 2007; 14 (4): 241–60.
15. Bazot M., Lafont C., Rouzier R., Roseau G., Thomassin-Naggara I., Daraї E. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009; 92 (6): 1825–33.
16. Abrão M.S., Gonçalves M.O., Dias J.A. Jr, Podgaec S., Chamié L.P., Blasbalg R. Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis. Hum. Reprod. 2007; 22 (12): 3092–97.
17. Chamié L.P., Blasbalg R., Gonçalves M.O., Carvalho F.M., Abrão M.S., de Oliveira I.S. Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis. Int. J. Gynaecol. Obstet. 2009; 106 (3): 198–201.
18. Coutinho A. Jr, Bittencourt L.K., Pires C.E., Junqueira F. et al. MR imaging in deep pelvic endometriosis: a pictorial essay. RadioGraphics. 2011; 31 (2): 549–67.
19. Демидов В.Н., Зыкин Б.И. Ультразвуковая диагностика в гинекологии. М.: Медицина; 1990. Demidov V.N., Zykin B.I. Ultrasonography in gynaecology. Moscow: Meditsina; 1990 (in Russian).
20. Roseau G., Dumontier I., Palazzo L. et al. Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications. Endoscopy. 2000; 32 (7): 525–30.
21. Balleyguier C., Chapron C., Dubuisson J.B. et al. Comparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosing bladder endometriosis. J. Am. Assoc. Gynecol. Laparosc. 2002; 9 (1): 15–23.
22. Anaf V., Simon P., Fayt I., Noel J. Smooth muscles are frequent components of endometriotic lesions. Hum. Reprod. 2000; 15 (4): 767–71.
23. Siegelman E.S., Outwater E.K. Tissue characterization in the female pelvis by means of MR imaging. Radiology. 1999; 212 (1): 5–18.
24. Abrão M.S., Podgaec S., Dias J.A. Jr et al. Deeply infiltrating endometriosis affecting the rectum and lymph nodes. Fertil. Steril. 2006; 86 (3): 543–7.
25. Westney O.L., Amundsen C.L., McGuire E.J. Bladder endometriosis: conservative management. J. Urol. 2000; 163 (6): 1814–7.
26. Pérez-Utrilla Pérez M., Aguilera Bazán A., Alonso Dorrego J.M. et al. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology. 2009; 73 (1): 47–51.
27. Balleyguier C., Roupret M., Nguyen T., Kinkel K., Helenon O., Chapron C. Ureteral endometriosis: the role of magnetic resonance imaging. J. Am. Assoc. Gynecol. Laparosc. 2004; 11 (4): 530–6.
28. Seracchioli R., Mabrouk M., Manuzzi L. et al. Importance of retroperitoneal ureteric evaluation in cases of deep infiltrating endometriosis. J. Minim. Invasive Gynecol. 2008; 15 (4): 435–9.
29. Umaria N., Olliff J.F. Imaging features of pelvic endometriosis. Br. J. Radiol. 2001; 74 (882): 556–62.
30. Сидорова И.С., Коган Е.А., Унанян А.Л., Гуриев Т.Д. Клинико-морфологические особенности эндометриоза яичников. Акушерство и гинекология. 2005; 6. Sidorova I.S., Kogan E.A., Unanyan A.L., Guriev T.D. Clinical and morphological features of ovarian endometriosis. Akusherstvo i ginekologiya. 2005; 6 (in Russian).
31. Chamié L.P., Blasbalg R., Pereira R.M., Warmbrand G., Serafini P.C. Findings of pelvic endometriosis at transvaginal ultrasound, magnetic resonance imaging, and laparoscopy. RadioGraphics. 2011; 31 (4): 77–100.
32. Chapron C., Pietin-Vialle C., Borghese B., Davy C., Foulot H., Chopin N. Associated ovarian endometrioma is a marker for greater severity of deeply infiltrating endometriosis. Fertil. Steril. 2009; 92 (2): 453–7.
33. Guerriero S., Ajossa S., Garau N., Alkazar J.L., Mais V., Melis G.B. Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography. Fertil. Steril. 2010; 94 (2): 742–6.
34. Kataoka M.L., Togashi K., Yamaoka T. et al. Posterior cul-de-sac obliteration associated with endometriosis: MR imaging evaluation. Radiology. 2005; 234 (3): 815–23.
35. Chamié L.P., Pereira R.M., Zanatta A., Serafini P.C. Transvaginal US after bowel preparation for deeply infiltrating endometriosis: protocol, imaging appearances, and laparoscopic correlation. RadioGraphics. 2010; 30 (5): 1235–49
36. Piketti M., Chopin N., Dousset B. 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 (3): 602–7.
Review
For citations:
Puchkova E.N., Mershina E.A., Sinitsyn V.E. CAPABILITIES OF MAGNETIC RESONANCE IMAGING TO DIAGNOSE INFILTRATING PELVIC ENDOMETRIOSIS. Journal of radiology and nuclear medicine. 2014;(3):24-34. (In Russ.) https://doi.org/10.20862/0042-4676-2014-0-3-24-34
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