Magnetic resonance imaging in the diagnosis of endometriosis
An integrative review
DOI:
https://doi.org/10.63162/v66n67pKeywords:
Diagnostic Imaging, Endometriosis, Endometrioma, Magnetic Reson ance Imaging, ReviewAbstract
The diagnosis of endometriosis requires a comprehensive approach, combining clinical history, invasive and noninvasive
examinations. Laparoscopy, the gold standard for definitive diagnosis, is invasive, expensive and involves
risks. In this sense, imaging diagnosis has gained prominence, especially transvaginal ultrasound (TVUS), the first
choice in investigation, and magnetic resonance imaging (MRI). Despite being the secondary imaging examination,
MRI plays an essential role in determining the extent of the disease, aiding in surgical and multidisciplinary planning. Its high sensitivity allows the identification of deep lesions and provides a precise anatomical view,
and is therefore especially useful in the evaluation of deep pelvic endometriosis. In addition, MRI allows the
differentiation of endometriosis from other gynecological pathologies and the evaluation of adhesions and
complications, being an indispensable tool for more effective therapeutic planning.
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