肠子子宫内膜异位症:使用US和MRI诊断的系统方法
Haatal B Dave1, Luciana P Chamié1, Scott W Young1
1From the Department of Radiology, David Geffen School of Medicine, University of California Los Angeles, 757 Westwood Plaza, Los Angeles, CA 90095 (H.B.D.); Department of Radiology, Chamié Imagem da Mulher, São Paulo, Brazil (L.P.C.); Department of Radiology, Mayo Clinic Arizona, Phoenix, Ariz (S.W.Y.); Department of Radiology, University of Michigan, Ann Arbor, Mich (M.D.S.); Department of Radiology, Mayo Clinic, Rochester, Minn (W.M.V.); Department of Radiology, Stanford University School of Medicine, Stanford, Calif (P.J., L.S.); Department of Radiology, Emory University, Atlanta, Ga (M.P.); Department of Obstetrics and Gynecology, Newton-Wellesley Hospital, Newton, Mass (P.M.); Department of Radiology, Columbia University, New York, NY (S.L.N.); Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (P.G.); and Department of Radiology, Massachusetts General Hospital, Boston, Mass (A.S.S.B.).
肠子内膜异位症 (BE) 影响高达37%的患有深度内膜异位症的患者. 这项研究详细介绍了像超声波和MRI这样的成像技术,用于诊断BE,改善手术结果.
科学领域:
- 胃肠病学 胃肠病学
- 妇科 妇科 妇科 妇科
- 放射学 放射学是一门学科.
背景情况:
- 肠子内膜异位症 (BE) 是一种严重的子宫内膜异位症形式,肠道是外阴疾病最常见的部位.
- BE涉及肠道肌肉本身的子宫内膜浸透,影响高达37%的患有深度子宫内膜异位症的患者.
- 直腰结肠和远端小肠是最常见的受影响的部分.
研究的目的:
- 提供一种系统的方法来使用成像方式诊断肠子子宫内膜异位症.
- 详细介绍成像协议和技术,以优化肠道在子宫内膜异位症的可视化.
- 为了说明不同程度的肠壁干扰和手术规划的关键成像特征.
主要方法:
- 使用超声波 (US) 和磁共振成像 (MRI),包括MR肠道.
- 实施特定的子宫内膜异位症协议,用于通过阴道的US与肠道准备和MRI.
- 在US和MRI上描述正常的肠壁解剖学和子宫内膜异位症透模式.
主要成果:
- 详细描述成像特征,表明子宫内膜异位症透到肠道肌肉本身.
- 确定关键发现,对外科同事来说至关重要,以优化治疗和减少并发症.
- 优化成像协议,以提高BE的可视化.
结论:
- 通过标准化的美国和MRI协议精确诊断BE是必不可少的.
- 详细的成像发现有助于改善手术规划和患者的治疗结果.
- 这种系统的方法提高了肠子子宫内膜异位症患者的管理.
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