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Related Concept Videos

Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

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Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Updated: Jan 18, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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ESUR consensus MRI for endometriosis: protocol, lexicon, and compartment-based analysis.

Isabelle Thomassin-Naggara1,2, Miriam Dolciami3, Luciana P Chamie4

  • 1Imageries Radiologiques et Interventionnelles Spécialisées (IRIS), APHP Sorbonne Université Hopital Tenon, Paris, France. Isabelle.thomassin@aphp.fr.

European Radiology
|May 27, 2025
PubMed
Summary

This study updates endometriosis guidelines with a standardized magnetic resonance imaging (MRI) protocol and lexicon. A compartmental analysis approach improves communication and patient management for endometriosis.

Keywords:
ConsensusEndometriosis (Pelvis)Magnetic resonance imaging

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Area of Science:

  • Radiology
  • Gynecology
  • Medical Imaging

Background:

  • Endometriosis management requires accurate imaging.
  • Existing guidelines for endometriosis magnetic resonance imaging (MRI) need updates.
  • Standardized MRI protocols and lexicons are lacking.

Purpose of the Study:

  • To propose updated European Society of Urogenital Radiology (ESUR) endometriosis guidelines.
  • To incorporate advances in MRI techniques and reporting.
  • To establish a standardized MRI protocol and lexicon for endometriosis.

Main Methods:

  • Literature search followed by a Delphi process.
  • Involved 20 expert radiologists and gynecologists.
  • Focused on developing standardized MRI protocols and descriptive lexicons.

Main Results:

  • Recommended pre-imaging preparation including fasting and antiperistaltic agents.
  • A comprehensive MRI protocol includes multiplanar T2W, T1W, and kidney sequences.
  • Detailed lexicon for describing superficial and deep endometriosis, endometriomas, and involvement of specific pelvic compartments and organs.

Conclusions:

  • A standardized MRI protocol and lexicon are crucial for endometriosis.
  • Compartmental analysis improves the description of deep pelvic endometriosis.
  • Enhanced communication and patient management are direct benefits of standardized reporting.