We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App

MRI Can Help Assess Endometriosis for Improve Patient Care

By MedImaging International staff writers
Posted on 09 Jan 2024
Print article
Image: MRI helps clinicians assess the neural involvement in endometriosis (Photo courtesy of 123RF)
Image: MRI helps clinicians assess the neural involvement in endometriosis (Photo courtesy of 123RF)

Endometriosis is a common condition affecting females that is usually characterized by pain. The origins of this pain are not fully understood; however, it's known that in certain instances, nerves in the pelvis can become entrapped in endometriosis. This entrapment can involve various nerves, including the sciatic, obturator, femoral, pudendal, and inferior hypogastric nerves, as well as the inferior hypogastric and lumbosacral plexuses. Such neural involvement may manifest as pain, weakness, numbness, incontinence, or even paraplegia. Laparoscopic excision is a common treatment approach, and identifying the affected neural structures is crucial for surgical planning.

Researchers at Cleveland Clinic (Cleveland, OH, USA) have demonstrated that MRI can be a valuable tool for clinicians to evaluate neural involvement in endometriosis, aiding in the prevention of irreversible nerve damage and chronic sensorimotor neuropathy in affected women. While endovaginal ultrasound is utilized to "map" endometriosis lesions, MRI provides a comprehensive field of view and high spatial resolution, essential for producing reliable images of the pelvic nerves. This is particularly true with advanced techniques such as high-spatial-resolution anatomic imaging, including three-dimensional isotropic imaging, and contrast-enhanced 3D short inversion time inversion-recovery (STIR) fast spin-echo sequences.

The insights gained from MRI about the condition of pelvic nerves entrapped in endometriosis are critical for formulating an effective treatment strategy. Radiologists must assess the pelvic nerves typically affected by endometriosis during MRI evaluations to ensure that these findings can be used effectively in treatment and surgical planning to avoid nerve damage. Utilizing MRI may enhance patient outcomes in managing endometriosis, especially considering that the involvement of pelvic nerves in this condition is often under-recognized and under-reported.

"Early identification of nerve involvement in endometriosis is important for patient counseling, treatment planning, and determining the surgical approach," concluded the researchers. "Radiologists who interpret pelvic endometriosis studies should identify the pelvic nerves involved in endometriosis and report this information to the clinician for treatment planning and improved patient outcomes."

Related Links:
Cleveland Clinic

Gold Member
Solid State Kv/Dose Multi-Sensor
X-Ray QA Meter
Piranha CT
Pre-Op Planning Solution
Sectra 3D Trauma
DR Flat Panel Detector

Print article


Nuclear Medicine

view channel
Image: The new SPECT/CT technique demonstrated impressive biomarker identification (Journal of Nuclear Medicine: doi.org/10.2967/jnumed.123.267189)

New SPECT/CT Technique Could Change Imaging Practices and Increase Patient Access

The development of lead-212 (212Pb)-PSMA–based targeted alpha therapy (TAT) is garnering significant interest in treating patients with metastatic castration-resistant prostate cancer. The imaging of 212Pb,... Read more

General/Advanced Imaging

view channel
Image: The Tyche machine-learning model could help capture crucial information. (Photo courtesy of 123RF)

New AI Method Captures Uncertainty in Medical Images

In the field of biomedicine, segmentation is the process of annotating pixels from an important structure in medical images, such as organs or cells. Artificial Intelligence (AI) models are utilized to... Read more

Imaging IT

view channel
Image: The new Medical Imaging Suite makes healthcare imaging data more accessible, interoperable and useful (Photo courtesy of Google Cloud)

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.