Section I: Definition of deep endometriosis location and its compartments1. Introduction2. Definition of deep endometriosis location 2.1. Pelvic location 2.2. Abdominal locationSection II: MRI3. Technical aspects 3.1. Equipment 3.2. Coil, sequence and image acquisition plan 3.3. Patient preparation4. Aspects of deep endometriosis on MRI 4.1. Morphology 4.2. Signal intensity 4.3. Enhancement pattern 4.4. Pelvic and abdominal adherencesSection III: Deep endometriosis by location5. Pelvic location 5.1. Anterior compartment 5.1.1. Urinary tract (urinary bladder and terminal ureter) 5.1.2. Urinary bladder 5.1.3. Ureter 5.1.4. Round ligament 5.1.5. Myometrium 5.2. Posterior compartment 5.2.1. Retrocervical region 5.2.2. Rectovaginal septum 5.2.3. Uterosacral ligaments 5.2.4. Vagina - Posterior vaginal fornix 5.2.5. Myometrium 5.2.6. Rectosigmoid colon 5.3. Lateral compartment 5.3.1. Parametrium and paracolpos 5.3.2. Parametrium and paracolpos/ureter 5.3.3. Hypogastric nerve 5.3.4. Pelvic floor 5.3.5. Ovarian fossa6. Abdominal location 6.1. Abdominal wall 6.1.1. C-section scar, navel 6.1.2. Inguinal region or canal of Nuck 6.2. Appendix, cecum, and terminal ileum 6.3. DiaphragmSection IV: Use of MRI on risk stratification and patient follow up7. Risk stratification8. Patient follow upSection V: Postsurgical findings on deep endometriosis9. Postsurgical findings 9.1. Fibro-cicatricial tissue 9.2. Non-signal foci on surgical bed 9.3. Vaginal fornix and cervix resection 9.4. Parametrium alterations 9.5. Colorectal anastomosis10. Complications 10.1. Defecation disorders 10.2. Vesicle dysfunction 10.3. Rectovaginal fistula11. Residual lesion/recurrence 11.1. Ovary 11.2. Infiltrative endometriosis
This Atlas presents an MRI-based guide to the diagnosis, treatment and follow up of deep endometriosis. Developed by professionals with a extensive clinical experience in the diagnosis and treatment of deep endometriosis, it provides a global overview of the disease, from basic clinical aspects of imaging diagnosis, to the correlation with surgical findings and histopathological results. Deep endometriosis is a serious gynecological condition, which can severely impact on women's quality of life. It shares the main features of regular endometriosis, but also displays a highly infiltrative pattern, involving multiple organs and leading to severe symptoms such as dysmenorrhea, chronic pelvic pain and dyspareunia. Atlas of Deep Endometriosis - MRI and Laparoscopic Correlations is a complete guide, intended for radiologists, gynecologists and all other medical professionals interested on the diagnosis and treatment of deep endometriosis. (NOTE: This title was previously published in 2014 in Portuguese and Spanish and comes from our partnership with Brazilian publisher, Revinter.)
Alice Brandao Radiologist, specialized in gynecological imaging, currently serving at Clinica Felippe Mattoso, Rio de Janeiro, Brazil. Fellowship in MRI at Karolinska Hospital, Sweden, and Massachusetts General Hospital, USA. Author of the books "Gynecology and obstetric MRI" (2002, in Portuguese), "Breast MRI" (2010, in Portuguese and Spanish) and "Atlas of deep endometriosis: MRI with laparoscopy correlation" (2014, in Portuguese and Spanish). Claudio Peixoto CrispiGynecologist, specialized in videolaparoscopy, hysteroscopy. Professor and coordinator of the Endoscopic Gynecology post-graduate program at SUPREMA, Brazil. Former president of the Brazilian Society of Minimally Invasive and Robotic Surgery.Marco Aurelio Pinho de OliveiraProfessor and chief of the department of gynecology at Rio de Janeiro State University, Brazil. Chief of the Endometriosis clinic at Pedro Ernesto Hospital, Rio de Janeiro, Brazil. Former member of AAGL Board of Trustees (2011-2013).