Abstract
Pre-Treatment Imaging in the Surgical Management of Endometriosis
Highlights
Preoperative imaging assessment is essential to draw an accurate map of endometriotic lesions
The IDEEA Group created a protocol for ultrasound evaluation that brings multiple benefits for daily practice: standardization of technique, mandatory evaluation of all pelvic compartments, uniformization of terminology and definitions for endometriotic lesions[3]
During MRI investigation, high matrix coronal and axial T1 and T2 weighted sequences are recommended to increase the diagnostic rate for this pathology
Summary
Preoperative imaging assessment is essential to draw an accurate map of endometriotic lesions. Knowledge of the extension and severity of disease is paramount for the surgical team in order to plan the type of surgery, complete the operating team and properly inform the patient with details of the risks. Material and Method: Transvaginal ultrasound is the first-line imaging technique for ovarian and deep infiltrating endometriosis, but the accuracy of the diagnosis is proportional with the experience of the operator. MRI is performed as an additional examination in complex cases prior to surgery, in symptomatic patients with negative or equivocal ultrasound findings and it can be useful for diagnosis of multiple sites of deep infiltrating endometriosis. Ovarian and deep endometriosis diagnosed by ultrasound scan and MRI imaging - case series (personal experience) will be commented.
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