MR imaging of posterior deep infiltrating endometriosis with laparoscopic surgery correlation

VernacularTitle:后盆腔深部浸润型子宫内膜异位症MR I表现及与腹腔镜手术对照
Author: Jingshan GONG ; Jian TANG ; Minge LI ; Jianmin XU
Publication Type:Journal Article
Keywords: posterior deep infiltrating endometriosis; magnetic resonance imaging
From: Journal of Practical Radiology 2014;(10):1695-1698
CountryChina
Language:Chinese
Abstract: Objective To investigate the value of MRI in diagnosis and assessing anatomical distributions of posterior deep infil-trating endometriosis (PDIE)using laparoscopic surgical findings as reference standard.Methods MR images of 36 patients with laparoscopic operation and pathology confirmed PDIE were retrospective analysis,and results were compared with laparoscopic sur-gical findings.Results Among the 36 patients,PDIE was identified in 34 patients at MR imaging with a sensitivity of 94.4%.Re-garding different anatomy location,the accuracy of MR imaging in diagnosis of endometriosis in uterosacral ligament (USL),re-ctosigmoid bowel,rectovaginal septum and vagina was 83.3%,91.7%,80.6% and 91.7% ,respectively.MR imaging findings were well correlated with laparoscopic surgical findings.Conclusion MR imaging can diagnose and assess the anatomical distribu-tions of PDIE with high accuracy preoperatively,which provides useful information for therapy plan making.