Deep infiltrating endometriosis MR imaging with surgical correlation.

Area of Science:

• Radiology
• Gynecologic Imaging

Background:

• Deep infiltrating endometriosis (DIE) is a debilitating gynecologic condition.
• Accurate diagnosis and staging are crucial for effective management.

Purpose of the Study:

• To illustrate the MR imaging findings of DIE.
• To correlate imaging findings with surgical outcomes.

Main Methods:

• Pictorial review of MR imaging in DIE.
• Correlation of imaging features with surgical findings.

Main Results:

• DIE appears as nodules/plaques with muscle-like signal intensity on T1/T2WI.
• Hemorrhage, diffusion restriction, fibrosis, and adhesions are common findings.
• MR imaging accurately depicts DIE extent and correlates well with surgical findings.

Conclusions:

• MR imaging is highly accurate for diagnosing and assessing DIE extension.
• Imaging findings facilitate surgical decision-making and patient communication.