Imaging Diagnosis in Colorectal Endometriosis
Colorectal deep infiltrative endometriosis (DIE) can have a major impact on patient’s health and quality of life. Surgical treatment of colorectal DIE varies depending on the location and characteristics of the lesions, which is why the preoperative non-invasive diagnosis needs to be correct and com...
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| Format: | Article |
| Language: | English |
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Bucharest College of Physicians
2021-06-01
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| Series: | Modern Medicine |
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| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2021/06/Imaging-Diagnosis-in-Colorectal-Endometriosis-1.pdf |
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| author | Marina Rodica ANTONOVICI Oana Maria IONESCU Horace ROMAN Claudia MEHEDINTU |
| author_facet | Marina Rodica ANTONOVICI Oana Maria IONESCU Horace ROMAN Claudia MEHEDINTU |
| author_sort | Marina Rodica ANTONOVICI |
| collection | DOAJ |
| description | Colorectal deep infiltrative endometriosis (DIE) can have a major impact on patient’s health and quality of life. Surgical treatment of colorectal DIE varies depending on the location and characteristics of the lesions, which is why the preoperative non-invasive diagnosis needs to be correct and complete. Multiple imaging methods are currently available, but their usefulness is still being studied, as none of them has proven itself perfect. In the present study we wanted to find out to what extent the combined use of magnetic resonance imaging (MRI), endorectal ultrasound (ERUS) and computed tomography-based virtual colonoscopy (CTC) helps perform the preoperative mapping of lesions. We conducted a retrospective study of prospectively collected data that included 49 patients operated for colorectal DIE. In identifying rectal nodules, MRI as a single diagnostic method was the most useful. When ERUS or CTC was added, the concordance between intraoperative and imaging results was very strong. CTC was the most useful in identifying sigmoid nodules. ERUS evaluates the depth of rectal nodules best. CTC assesses best the stenosis for both rectal and sigmoid nodules. Each method contributed to the completion of the diagnosis, so performing ERUS and CTC in addition to MRI seems to be preferable in patients with colorectal DIE. |
| format | Article |
| id | doaj-art-4246d8f423d74ee7aeae112e94f923cb |
| institution | DOAJ |
| issn | 1223-0472 2360-2473 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Bucharest College of Physicians |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj-art-4246d8f423d74ee7aeae112e94f923cb2025-08-20T03:04:39ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732021-06-01282215222https://doi.org/10.31689/rmm.2021.28.2.215Imaging Diagnosis in Colorectal EndometriosisMarina Rodica ANTONOVICI0Oana Maria IONESCU1Horace ROMAN2https://orcid.org/0000-0002-9237-0628Claudia MEHEDINTU3https://orcid.org/0000-0001-5231-2848„Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania„Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaEndometriosis Center, Clinique Tivoli-Ducos, Bordeaux, France„Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaColorectal deep infiltrative endometriosis (DIE) can have a major impact on patient’s health and quality of life. Surgical treatment of colorectal DIE varies depending on the location and characteristics of the lesions, which is why the preoperative non-invasive diagnosis needs to be correct and complete. Multiple imaging methods are currently available, but their usefulness is still being studied, as none of them has proven itself perfect. In the present study we wanted to find out to what extent the combined use of magnetic resonance imaging (MRI), endorectal ultrasound (ERUS) and computed tomography-based virtual colonoscopy (CTC) helps perform the preoperative mapping of lesions. We conducted a retrospective study of prospectively collected data that included 49 patients operated for colorectal DIE. In identifying rectal nodules, MRI as a single diagnostic method was the most useful. When ERUS or CTC was added, the concordance between intraoperative and imaging results was very strong. CTC was the most useful in identifying sigmoid nodules. ERUS evaluates the depth of rectal nodules best. CTC assesses best the stenosis for both rectal and sigmoid nodules. Each method contributed to the completion of the diagnosis, so performing ERUS and CTC in addition to MRI seems to be preferable in patients with colorectal DIE.https://medicinamoderna.ro/wp-content/uploads/2021/06/Imaging-Diagnosis-in-Colorectal-Endometriosis-1.pdfcolorectal endometriosisendorectal ultrasonographymricomputed tomography-based virtual |
| spellingShingle | Marina Rodica ANTONOVICI Oana Maria IONESCU Horace ROMAN Claudia MEHEDINTU Imaging Diagnosis in Colorectal Endometriosis Modern Medicine colorectal endometriosis endorectal ultrasonography mri computed tomography-based virtual |
| title | Imaging Diagnosis in Colorectal Endometriosis |
| title_full | Imaging Diagnosis in Colorectal Endometriosis |
| title_fullStr | Imaging Diagnosis in Colorectal Endometriosis |
| title_full_unstemmed | Imaging Diagnosis in Colorectal Endometriosis |
| title_short | Imaging Diagnosis in Colorectal Endometriosis |
| title_sort | imaging diagnosis in colorectal endometriosis |
| topic | colorectal endometriosis endorectal ultrasonography mri computed tomography-based virtual |
| url | https://medicinamoderna.ro/wp-content/uploads/2021/06/Imaging-Diagnosis-in-Colorectal-Endometriosis-1.pdf |
| work_keys_str_mv | AT marinarodicaantonovici imagingdiagnosisincolorectalendometriosis AT oanamariaionescu imagingdiagnosisincolorectalendometriosis AT horaceroman imagingdiagnosisincolorectalendometriosis AT claudiamehedintu imagingdiagnosisincolorectalendometriosis |