Can dynamic contrast-enhanced mri contribute to improved assessment of rectosigmoid involvement in deep infiltrating endometriosis?
- Journal Article
Background/Aim: To determine whether a prototypical compressed-sensing volume-interpolated breath-hold (csVIBE) provides diagnostic value in detecting rectosigmoid infiltration in deep infiltrating endometriosis (DIE). Patients and Methods: csVIBE was employed in 151 women undergoing pelvic magnetic resonance imaging, of whom 43 had undergone surgery for suspected endometriosis. The accuracy of T2-weighted BLADE and BLADE/csVIBE, additional diagnostic value of csVIBE, and diagnostic confidence were rated by two readers. Additionally, the presence of the “mushroom cap sign” was assessed on BLADE and csVIBE. Results: The diagnostic accuracy, sensitivity, and specificity of BLADE and BLADE/csVIBE were not significantly different between Readers A and B. For both readers, the confidence in the diagnosis increased with csVIBE, but this increase in the odds ratio was not significant for both readers. Both readers preferred csVIBE over BLADE with regard to detection of the “mushroom cap sign.” Conclusion: csVIBE. Show more
Journal / seriesIn Vivo
Pages / Article No.
PublisherInternational Institute of Anticancer Research
SubjectEndometriosis; Deep infiltrating endometriosis; Mushroom cap sign; Dynamic contrast-enhanced MRI; Compressed-sensing
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