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MR diagnosis of diaphragmatic endometriosis.

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Title: MR diagnosis of diaphragmatic endometriosis.
Authors: Rousset, Pascal roussetpascal@gmail.com, Gregory, Jules, Rousset-Jablonski, Christine1, Hugon-Rodin, Justine, Regnard, Jean-François, Chapron, Charles, Coste, Joël, Golfier, François, Revel, Marie-Pierre
Source: European Radiology. Nov2016, Vol. 26 Issue 11, p3968-3977. 10p.
Subjects: Magnetic resonance imaging, Diaphragmatic hernia, Endometriosis, Endometrium, Cross-sectional imaging, Diagnosis of endometriosis, Diagnosis of muscle diseases, Comparative studies, Diaphragm (Anatomy), Hernia, Liver diseases, Research methodology, Medical cooperation, Patient positioning, Research, Evaluation research, Retrospective studies
Abstract: Purpose: To evaluate magnetic resonance imaging (MRI) for diaphragmatic endometriosis diagnosis.Materials and Methods: Over a 2-year period, all diaphragmatic MRI performed in the context of diaphragmatic endometriosis were reviewed. Axial and coronal fat-suppressed T1- and T2-weighted sequences were analyzed by two independent readers for the presence of nodules, plaque lesions, micronodule clustering, or focal liver herniation. MR abnormalities were correlated to surgical findings in women surgically treated. Interobserver agreement was assessed by κ statistics.Results: Twenty-three women with diaphragmatic endometriosis criteria comprised the population; 14 had surgical confirmation and nine had symptoms relief with hormonal treatment. MRI sensitivity was 83 % (19/23; 95 % confidence interval [CI]: 68, 98) for reader 1 and 78 % (18/23; 95 % CI: 61, 95) for reader 2. Kappa value was 0.86 (95 % CI: 0.47, 1.00). Readers 1 and 2 detected 35 and 36 lesions, respectively, all right-sided and agreed for 32 lesions on the type, location, and signal. Lesions were mostly nodules (23/32, 72 %), predominantly posterior (28/32, 87.5 %) and hyperintense on T1 (20/32, 63 %). MRI was negative for both readers in 2 surgically treated patients with small nodules or isolated diaphragmatic holes.Conclusion: MRI allows diaphragmatic endometriosis diagnosis with 78 to 83 % sensitivity and excellent interobserver agreement.Key Points: • MRI allows the diagnosis of diaphragmatic endometriosis with up to 83 % sensitivity. • Diaphragmatic endometriosis lesions are better depicted on fat-suppressed T1-weighted sequences. • Diaphragmatic lesions, mostly hyperintense nodules, are right-sided and predominantly posterior. • MRI can help in timely diagnosis of diaphragmatic endometriosis. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: MR diagnosis of diaphragmatic endometriosis.
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  Data: <searchLink fieldCode="AR" term="%22Rousset%2C+Pascal%22">Rousset, Pascal</searchLink><i> roussetpascal@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Gregory%2C+Jules%22">Gregory, Jules</searchLink><br /><searchLink fieldCode="AR" term="%22Rousset-Jablonski%2C+Christine%22">Rousset-Jablonski, Christine</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hugon-Rodin%2C+Justine%22">Hugon-Rodin, Justine</searchLink><br /><searchLink fieldCode="AR" term="%22Regnard%2C+Jean-François%22">Regnard, Jean-François</searchLink><br /><searchLink fieldCode="AR" term="%22Chapron%2C+Charles%22">Chapron, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Coste%2C+Joël%22">Coste, Joël</searchLink><br /><searchLink fieldCode="AR" term="%22Golfier%2C+François%22">Golfier, François</searchLink><br /><searchLink fieldCode="AR" term="%22Revel%2C+Marie-Pierre%22">Revel, Marie-Pierre</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Nov2016, Vol. 26 Issue 11, p3968-3977. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Diaphragmatic+hernia%22">Diaphragmatic hernia</searchLink><br /><searchLink fieldCode="DE" term="%22Endometriosis%22">Endometriosis</searchLink><br /><searchLink fieldCode="DE" term="%22Endometrium%22">Endometrium</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+imaging%22">Cross-sectional imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+endometriosis%22">Diagnosis of endometriosis</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+muscle+diseases%22">Diagnosis of muscle diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Diaphragm+%28Anatomy%29%22">Diaphragm (Anatomy)</searchLink><br /><searchLink fieldCode="DE" term="%22Hernia%22">Hernia</searchLink><br /><searchLink fieldCode="DE" term="%22Liver+diseases%22">Liver diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+positioning%22">Patient positioning</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink>
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  Data: <bold>Purpose: </bold>To evaluate magnetic resonance imaging (MRI) for diaphragmatic endometriosis diagnosis.<bold>Materials and Methods: </bold>Over a 2-year period, all diaphragmatic MRI performed in the context of diaphragmatic endometriosis were reviewed. Axial and coronal fat-suppressed T1- and T2-weighted sequences were analyzed by two independent readers for the presence of nodules, plaque lesions, micronodule clustering, or focal liver herniation. MR abnormalities were correlated to surgical findings in women surgically treated. Interobserver agreement was assessed by κ statistics.<bold>Results: </bold>Twenty-three women with diaphragmatic endometriosis criteria comprised the population; 14 had surgical confirmation and nine had symptoms relief with hormonal treatment. MRI sensitivity was 83 % (19/23; 95 % confidence interval [CI]: 68, 98) for reader 1 and 78 % (18/23; 95 % CI: 61, 95) for reader 2. Kappa value was 0.86 (95 % CI: 0.47, 1.00). Readers 1 and 2 detected 35 and 36 lesions, respectively, all right-sided and agreed for 32 lesions on the type, location, and signal. Lesions were mostly nodules (23/32, 72 %), predominantly posterior (28/32, 87.5 %) and hyperintense on T1 (20/32, 63 %). MRI was negative for both readers in 2 surgically treated patients with small nodules or isolated diaphragmatic holes.<bold>Conclusion: </bold>MRI allows diaphragmatic endometriosis diagnosis with 78 to 83 % sensitivity and excellent interobserver agreement.<bold>Key Points: </bold>• MRI allows the diagnosis of diaphragmatic endometriosis with up to 83 % sensitivity. • Diaphragmatic endometriosis lesions are better depicted on fat-suppressed T1-weighted sequences. • Diaphragmatic lesions, mostly hyperintense nodules, are right-sided and predominantly posterior. • MRI can help in timely diagnosis of diaphragmatic endometriosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-016-4226-5
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        Text: English
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      – SubjectFull: Magnetic resonance imaging
        Type: general
      – SubjectFull: Diaphragmatic hernia
        Type: general
      – SubjectFull: Endometriosis
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      – TitleFull: MR diagnosis of diaphragmatic endometriosis.
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