Cited by 219Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

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Findings of Pelvic Endometriosis at Transvaginal US, MR Imaging, and Laparoscopy

Chamié, Luciana Pardini, Blasbalg, Roberto, Pereira, Ricardo Mendes Alves, Warmbrand, Gisele, Serafini, Paulo Cesar·2011·RadioGraphics

DOI 10.1148/rg.314105193

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Abstract

Endometriosis is a common multifocal gynecologic disease that manifests during the reproductive years, often causing chronic pelvic pain and infertility. It may occur as invasive peritoneal fibrotic nodules and adhesions or as ovarian cysts with hemorrhagic content. Although findings at physical examination may be suggestive, imaging is necessary for definitive diagnosis, patient counseling, and treatment planning. The imaging techniques that are most useful for preoperative disease mapping are transvaginal ultrasonography (US) after bowel preparation, and magnetic resonance (MR) imaging. Initial transvaginal US is a reliable technique for detecting rectosigmoid endometriotic lesions. MR imaging is indicated as a complementary examination in complex cases of endometriosis with extensive adhesions and ureteral involvement. Peritoneal endometriotic implants are typically hypoechoic on transvaginal US images and demonstrate low signal intensity on T2-weighted MR images. Endometriotic implants most commonly are found in retrocervical and rectosigmoid sites, followed by the vagina, bladder, and ureters. Cysts with low-level internal echoes and echogenic peripheral foci at transvaginal US are suggestive of endometriomas. MR imaging has high specificity for identifying endometriomas, which are characterized by high signal intensity on T1-weighted images and low signal intensity on T2-weighted images. Correlation of the radiologic imaging features of endometriotic lesions with their laparoscopic appearances may help improve individual proficiency in the radiologic diagnosis of endometriosis.

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Authors: Chamié, L. P., Blasbalg, R., Pereira, R. M. A., Warmbrand, G., & Serafini, P. C.
Affiliations: Fleury S.A. (Brazil) (BR)
Universidade de São Paulo (BR)
ORCID: Chamié, Luciana Pardini
Blasbalg, Roberto
Pereira, Ricardo Mendes Alves
Warmbrand, Gisele
Serafini, Paulo Cesar
Venue: RadioGraphics
Publisher: Radiological Society of North America (RSNA)
Published: 2011-07
Volume: 31
Issue: 4
Pages: E77-E100
ISSN: 0271-5333 (ISSN-L)
1527-1323
DOI: 10.1148/rg.314105193
OpenAlex: W2109580987
Cited by: 219
References: 44
Citations by year: 2026: 4 · 2025: 12 · 2024: 16 · 2023: 11 · 2022: 12 · 2021: 20 · 2020: 14 · 2019: 23 · 2018: 25 · 2017: 13 · 2016: 9 · 2015: 11 · 2014: 18 · 2013: 18 · 2012: 12
FWCI: 17.51
Type: journal article
Language: en
Open access: closed
Locations: Radiographics (publishedVersion)
PubMed (publishedVersion)
Scientific Electronic Library Online (São Paulo Research Foundation, Latin American and Caribbean Center on Health Sciences Information, Conselho Nacional de Desenvolvimento Científico e Tecnológico) (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Ectopic Pregnancy Diagnosis and Management
Keywords: pelvic endometriosis, transvaginal ultrasound, magnetic resonance imaging, laparoscopy, endometrioma, rectosigmoid endometriosis, bowel preparation, adhesion, ureteral involvement, radiographic diagnosis, T2-weighted signal intensity
MeSH terms: Endometriosis, Female, Humans, Magnetic Resonance Imaging, Pelvis, Laparoscopy, Ultrasonography, Vagina

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Findings of Pelvic Endometriosis at Transvaginal US, MR Imaging, and Laparoscopy

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