Abstract
This study evaluates retrospectively the accuracy and reproducibility of multislice
computed tomgraphy with colon water distension (MSCT-c) in diagnosing bowel (BE) and
ureteral (UE) endometriosis. Sixty-four patients underwent MSCT-c and videolaparoscopic
surgery. Two radiologists reviewed MSCT-c examinations: sensitivity and specificity
were calculated, considering histological exam as reference standard. In the BE cases,
the degree of bowel wall infiltration was also assessed. Sensitivity and specificity
for both readers were 100% and 97.6% for BE and 72.2% and100% for UE; the interobserver
agreement was excellent. The degree of bowel wall involvement was correctly defined
in 90.9% of cases. MSCT-c is an accurate and reproducible technique but—considering
the age of the patients—delivers a nonnegligible radiation dose.
Keywords
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References
- Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography.Abdom Imaging. 2010; 35: 716-725
- Beyond the boundaries—endometriosis: typical and atypical locations.Curr Probl Diagn Radiol. 2011; 40: 219-232
- Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution.Hum Reprod. 2006; 21: 1839-1845
- Invasive and non invasive methods for the diagnosis of endometriosis.Clin Obstet Gynecol. 2010; 53: 413-419
- Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification.Hum Reprod. 2003; 18: 157-161
- Outcome of laparoscopic colorectal resection for endometriosis.Curr Opin Obstet Gynecol. 2007; 19: 308-313
- Bowel endometriosis: presentation, diagnosis, and treatment.Obstet Gynecol Surv. 2007; 62: 461-470
- Efficiency of MR imaging to orientate surgical treatment of posterior deep pelvic endometriosis.Abdom Imaging. 2009; 34: 251-259
- Deep infiltrating endometriosis of the bowel: MR imaging as a method to predict muscular invasion.Abdom Imaging. 2011; 10: 1007-1011
- MDCT enteroclysis urography with split-bolus technique provides information on ureteral involvement in patients with suspected bowel endometriosis.Am J Roentgenol. 2011; 196: W635-W640
- Ureteral endometriosis: clinical and radiological follow-up after laparoscopic ureterocystoneostomy.Hum Reprod. 2011; 26: 112-116
- Laparoscopic surgery for severe ureteric endometriosis.Eur J Obstet Gynecol Reprod Biol. 2012; 165: 275-279
- Ureteral endometriosis: the role of magnetic resonance imaging.J Am Assoc Gynecol Laparosc. 2004; 11: 530-536
- Management of ureteral endometriosis: areas of controversy.Curr Opin Obstet Gynecol. 2007; 19: 319-324
- Ureteral endometriosis and loss of renal function: mechanisms and interpretations.Acta Obstet Gynecol Scand. 2011; 90: 1164-1166
- Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis.Ultrasound Obstet Gynecol. 2011; 37: 603-613
- Multislice CT enteroclysis in the diagnosis of bowel endometriosis.Eur Radiol. 2007; 17: 2011-2019
- Split-bolus MDCT urography with synchronous nephrographic and excretory phase enhancement.Am J Roentgenol. 2007; 189: 314-322
- Diagnosis of bowel endometriosis with imaging: a review.Eur Radiol. 2006; 16: 285-298
- Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation.Radiographics. 2006; 26: 1705-1718
- Deep pelvic endometriosis MR imaging for diagnosis and prediction of extension of disease.Radiology. 2004; 232: 379-389
- MR imaging in deep pelvic endometriosis: a pictorial essay.Radiographics. 2011; 31: 549-567
- Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel?.Hum Reprod. 2008; 23: 1069-1075
- Preoperative assessment of intestinal endometriosis: a comparison of transvaginal sonography with water-contrast in the rectum, transrectal sonography, and barium enema.Abdom Imaging. 2010; 35: 732-736
- Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis.Ultrasound Obstet Gynecol. 2004; 24: 175-179
- Barium enema evaluation of colonic involvement in endometriosis.Am J Roentgenol. 2008; 190: 1050-1054
- Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imaging.Abdom Imaging. 2010; 35: 414-421
- Diagnosis of colorectal endometriosis: contribution of contrast enhanced MR colonography.Eur Radiol. 2011; 21: 1553-1563
- Accuracy of transvaginal sonography and contrast-enhanced MR-colonography for the pre-surgical staging of deep infiltrating endometriosis.Ultrasound Obstet Gynecol. 2012; 10: 1-34
- Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis.Int J Gynaecol Obstet. 2009; 106: 198-201
- Ureteric and bladder involvement of deep pelvic endometriosis. Value of multidisciplinary surgical management.Prog Urol. 2006; 16: 588-593
- Deep rectosigmoid endometriosis: “mushroom cap” sign on T2-weighted MR imaging.Abdom Imaging. 2010; 35: 726-731
- Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy.Hum Reprod. 2010; 25: 665-671
- Iodinated contrast media and their adverse reactions.J Nucl Med Technol. 2008; 136: 69-74
Article info
Publication history
Published online: September 06, 2013
Accepted:
July 5,
2013
Received in revised form:
June 6,
2013
Received:
April 26,
2013
Footnotes
☆The authors have disclosed that they have no financial relationships with or interests in any of the following organizations: National Institutes of Health, Wellcome Trust, and Howard Hughes Medical Institute.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.