Imaging Of Endometriosis: A Comparative Guide of US, MRI and Surgery

Part I. Introduction.- 1. Presentation of the disease and diagnostic strategy.- Part II. Description of the disease (US/MR/surgical correlation) (radiologist/surgeon).- 2. Peritoneal endometriosis.- 3. Adnexal endometriosis. Typical benign endometriosis.- 4. Atypical endometriosis and malignant transformation.- 5. Central deep pelvic endometriosis. Antero central compartments (Bladder, Round ligament).- 6. Mediocentral Compartment: Torus Uterinum and Uterosacral Ligaments.- 7. Mediocentral compratiment: Vaginal endometriosis and rectovaginal septum.- 8. Medio central compartment. Uterus: External adenomyosis.- 9. Postero central compartment (Rectum).- 10. Medio and postero-lateral compartments: Parametrium.- 11. Lateral deep pelvic endometriosis. Over parietal fascia: Nervous locations.- 12. Thoracic and diaphragmatic endometriosis.- 13. Extra pelvic location: abdominal wall endometriosis. Diagnostic and interventional imaging.- Part III. Technique and reporting of the different imaging techniques and classifications.- 14. Ultrasonography.- 15. Technique and reporting of the different imaging technique and classifications: MR imaging.- 16. Technique and reporting of the different imaging technique and classifications: Laparoscopic surgery.

This book presents integrated learning to diagnose endometriosis, combining all imaging modalities such as transvaginal ultrasonography, MRI, and laparoscopy. The different forms of endometriosis are detailed with a systematic compartmental analysis focusing on radiosurgical correlation and the impact of imaging for predicting surgical findings.

The chapters on superficial and adnexal endometriosis include typical and atypical findings. Deep pelvic endometriosis is detailed, with descriptions of central deep pelvic locations splitted into dedicated chapters for: anterior (bladder and round ligament), middle (torus, uterosacral ligament posterior vaginal pouch, adenomyosis), and posterior (rectosigmoid). Lateral localisations are described, as well as parietal fascia (including nervous localisation) and pelvic and extrapelvic locations, including diaphragmatic, thoracic, and abdominal wall location.

Finally, this book explains how to perform the different imaging techniques and how to report ultrasonography, MRI, and laparoscopic surgery when exploring endometriosis. The descriptions provided in the book are based on international consensus (IDEA, dPEI, #Enzian score, …). The text is richly supported by radiological and surgical images.

Professor Isabelle Thomassin-Naggara, MD, PhD is the Head of Department in the Specialized Radiological and Interventional Imaging Service at AP-HP Sorbonne University, Tenon Hospital in Paris, France. She is a Full professor of breast and gynecological imaging at Tenon hospital, and is also chair of the imaging department in Centre Intercommunal de Créteil (CHIC).

She is the actual president of the french woman’s imaging society (SIFEM). She is member of Executive Board member of EUSOBI since 2018, and member of the ACR Ovarian-Adnexal Imaging-Reporting-Data System (O-RADS) steering committee.

Professor Isabelle Thomassin-Naggara contributed to more than 200 indexed publications, especially on the topic of imaging of endometriosis and presented more than 200 invited international lectures at ECR, RSNA, ISMRM, ESUR, IDKD EUSOBI, ESMRMB, IOTA, ESOR, ESHRE, EEC, ESGE …