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MRI Accurately Depicts Deep Endometriosis
Date:7/7/2009

dure. 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.

"Endometriosis: Contribution of 3.0-T Pelvic MR Imaging in Preoperative Assessment--Initial Results." Collaborating with Dr. Hottat were Caroline Larrousse, M.D., Vincent Anaf, M.D., Ph.D., Jean-Christophe Noël, M.D., Ph.D., Celso Matos, M.D., Julie Absil, Ph.D., and Thierry Metens, Ph.D.

Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. (http://radiology.rsnajnls.org/)

RSNA is an association of more than 43,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. (RSNA.org)

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