RESUMEN
Background: Endometriosis is defined as the presence of functional endometrial glands and stroma outside of the uterine cavity. Although laparoscopy is the standard of reference for diagnosis of endometriosis, reliable identification of the disease before laparoscopy would aid the gynecologist in choosing the preferred therapeutic approach, medical or surgical. Ultrasound is performed initially, but MRI is increasingly being used, particularly when sonographic findings are unclear, when deep pelvic endometriosis is suspected or when surgery is planned
Objective: This study aimed to evaluate the accuracy of Magnetic Resonance Imaging in diagnosis of Endometriosis. Patients and Methods: 30 Premenopausal female Patients with clinical and/or sonographic suspicion of endometriosis underwent pelvic MRI. All our imaging results were finally compared to the laparoscopic results with histopathologic verification which was our gold standard. The main outcome parameters, The Sensitivity, Specificity, positive predictive value [PPV], negative predictive value [NPV] and accuracy of MRI in diagnosing endometriosis were calculated
Results: The Sensitivity, Specificity, positive predictive value [PPV], negative predictive value [NPV] and accuracy of MRI in diagnosing endometriosis were 95.65%, 57.14%, 88%, 80%, 86.7% respectively
Conclusion: MRI is the best problem-solving tool as in cases of indeterminate adnexal findings on sonography, when deep infiltrating endometriosis is suspected, or for presurgical mapping
RESUMEN
Introduction: Pelvic floor weakening is a major health problem in older women, with an 11.1% lifetime risk of women over 50 years old to undergo surgery for pelvic organ prolapse and urinary incontinence. Clinical examination is the main method of diagnosis, yet imaging is essential especially in patients with multicompartment defects. Pelvic Magnetic Resonance [MR] Imaging is expected to play a role in the preoperative planning for complex cases due to its high soft tissue resolution, which will help perform site-specific repair and so avoid recurrence
Aim of the work: The aim of this work is to evaluate the role of Magnetic Resonance Imaging as a non invasive method in the assessment of female pelvic floor dysfunction
Methods: The studied group included 40 female patients complaining of pelvic organ prolapse and / or stress urinary incontinence or fecal incontinence. All patients were subjected to full history taking, clinical examination and Dynamic Magnetic resonance Imaging using 1.5 Tesla Philips MR Scanner
Results: Good concordance was found between Dynamic MRI and clinical examination in all three compartments. The concordance was 82.5% in the anterior compartment, 80% in the posterior compartment, 85% in enteroceles and 65.0% in the middle compartment
Conclusion: Dynamic MRI is a promising method that can be used as an imaging tool in the preoperative planning of pelvic organ prolapse