Featured Research

from universities, journals, and other organizations

MRI Accurately Depicts Deep Endometriosis

Date:
July 7, 2009
Source:
Radiological Society of North America
Summary:
Using magnetic resonance imaging, radiologists may be able to diagnose deep endometriosis and accurately locate lesions prior to surgery, according to a new study.

Using magnetic resonance imaging (MRI), radiologists may be able to diagnose deep endometriosis and accurately locate lesions prior to surgery, according to a new study published in the online edition of Radiology.

"Pelvic MRI at 3 Tesla is a noninvasive technique that allows a complete examination of the pelvis," said the study's lead author, Nathalie Hottat, M.D., from the Department of Radiology at Erasme Hospital and the Universitι Libre de Bruxelles in Brussels, Belgium. "It accurately depicts all locations of deep endometriosis."

Endometriosis is a chronic and painful disease that results when uterine tissue, called endometrium, grows outside the uterus. Endometrium can attach to other organs, such as the ovaries, fallopian tubes, bowels and bladder. Endometriosis is one of the most common health problems affecting women. According to the U.S. Department of Health and Human Services, approximately 5 million American women have endometriosis. Symptoms include chronic pelvic pain, lower back pain, painful sexual intercourse, painful menstrual cramps, fatigue and infertility.

There are two types of endometriosis: superficial and subperitoneal (deep). Deep endometriosis infiltrates areas of the cervix, vagina and/or the colon, and, less frequently, the bladder and ureter. Superficial endometriosis can be treated with laparoscopy, but deep endometriosis sometimes requires complete surgical excision of the lesions.

It is important that the diagnosis and staging of the disease distinguish between the two types in order to guide the surgeon to schedule the most appropriate procedure. Therefore, the researchers set out to determine the accuracy of 3-T pelvic MRI in diagnosing the presence of deep endometriosis and to evaluate colon wall involvement.

The researchers studied 41 women, age 20 – 46, with suspected endometriosis. MRI was performed prior to surgery. MRI accurately diagnosed 26 of 27 cases of deep endometriosis. In addition, MR images accurately depicted specific locations of deep endometrial lesions.

"The 3-T MRI results also demonstrated a high negative predictive value of 93.3 percent," Dr. Hottat said, "meaning that MRI findings accurately ruled out deep endometriosis in patients with superficial endometriosis, allowing the surgeon to perform the less invasive laparoscopic procedure."

Colon wall involvement was present in 32 percent of patients with deep endometriosis. MRI was effective at distinguishing different layers of the affected colon wall and accurately depicted the degree of colon wall invasion.

Collaborating with Dr. Hottat were Caroline Larrousse, M.D., Vincent Anaf, M.D., Ph.D., Jean-Christophe Noλl, M.D., Ph.D., Celso Matos, M.D., Julie Absil, Ph.D., and Thierry Metens, Ph.D.


Story Source:

The above story is based on materials provided by Radiological Society of North America. Note: Materials may be edited for content and length.


Journal Reference:

  1. Endometriosis: Contribution of 3.0-T Pelvic MR Imaging in Preoperative Assessment -- Initial Results. Radiology, (in press)

Cite This Page:

Radiological Society of North America. "MRI Accurately Depicts Deep Endometriosis." ScienceDaily. ScienceDaily, 7 July 2009. <www.sciencedaily.com/releases/2009/07/090707093615.htm>.
Radiological Society of North America. (2009, July 7). MRI Accurately Depicts Deep Endometriosis. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2009/07/090707093615.htm
Radiological Society of North America. "MRI Accurately Depicts Deep Endometriosis." ScienceDaily. www.sciencedaily.com/releases/2009/07/090707093615.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Costs Keep Mounting

Ebola Costs Keep Mounting

Reuters - Business Video Online (Sep. 23, 2014) — The WHO has warned up to 20,000 people could be infected with Ebola over the next few weeks. As Sonia Legg reports, the implications for the West African countries suffering from the disease are huge. Video provided by Reuters
Powered by NewsLook.com
Liberia Pleads for Help to Fight Ebola

Liberia Pleads for Help to Fight Ebola

AP (Sep. 22, 2014) — Liberia's finance minister is urging the international community to quickly follow through on pledges of cash to battle Ebola. Bodies are piling up in the capital Monrovia as the nation awaits more help. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Ebola Doctor Says Border Controls Critical

Ebola Doctor Says Border Controls Critical

AP (Sep. 22, 2014) — A Florida doctor who helped fight the expanding Ebola outbreak in West Africa says the disease can be stopped, but only if nations quickly step up their response and make border control a priority. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Global Ebola Aid Increasing But Critics Say It's Late

Global Ebola Aid Increasing But Critics Say It's Late

Newsy (Sep. 21, 2014) — More than 100 tons of medical supplies were sent to West Africa on Saturday, but aid workers say the global response is still sluggish. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins