Multidisciplinary approach of endometriosis: do's and dont's

Size: px
Start display at page:

Download "Multidisciplinary approach of endometriosis: do's and dont's"

Transcription

1 Multidisciplinary approach of endometriosis: do's and dont's Poster No.: C-2024 Congress: ECR 2013 Type: Educational Exhibit Authors: A. Guerra, A. Setubal, F. Osorio, F. Faustino, D. Vilarinho, V. Mascarenhas, A. Gaspar, H. M. R. Marques; Lisbon/PT Keywords: Pathology, Education, Comparative studies, MR, Genital / Reproductive system female DOI: /ecr2013/C-2024 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 29

2 Learning objectives To correlate the manifestations of endometriosis with Magnetic Resonance Imaging (MRI) and Laparoscopy (LAP) as well as to explain how to work on a multidisciplinary basis. Page 2 of 29

3 Background Endometriosis affects approximately 12% of all reproductive-age women, leading to different types of pain, complications related to the spread of the disease and finally to infertility. Endometriosis is defined as the presence of functional endometrial glands and stroma outside the uterine cavity (1). This functional tissue responds to hormonal stimulation with various degrees of pelvic haemorrhage resulting in bleeding inflammatory response at adjacent tissues (2). See (FIG 1): The pathophysiology of the endometriotic lesions Fig. 1: The pathophysiology of the endometriotic lesions. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal These two phenomena will cause two types of tissue changes: endometrial glands dilated with or without haemorrhagic phenomenon and, on the other hand, with association to repeated inflammatory processes with muscle proliferation, that causes the appearance of several fibrosis, adhesions and infiltrative nodules. Page 3 of 29

4 These changes of the tissues originate all forms of morphological manifestations of pelvic endometriosis as shown in image scheme. (FIG 2) Fig. 2: Drawing of the female pelvis representing localizations and imaging manifestations of severe endometriosis:. Red nodular foci represents implants.. Black lesion in the ovary represents endometrioma.. Range lines represents adhesions.. Brown lesions with irregular margins are indicative of deeply infiltrating endometriosis. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal The aetiology and pathogenesis of these physiopathological phenomena is still unclear and probably multifactorial (3). For a definitive diagnosis of endometriosis, visual inspection of the pelvis at laparoscopy is the "gold standard" investigation (4). In general, adenomyosis, the presence of endometrial cells in myometrium is limited to the uterine wall. Page 4 of 29

5 Images for this section: Fig. 1: The pathophysiology of the endometriotic lesions. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 5 of 29

6 Fig. 2: Drawing of the female pelvis representing localizations and imaging manifestations of severe endometriosis:. Red nodular foci represents implants.. Black lesion in the ovary represents endometrioma.. Range lines represents adhesions.. Brown lesions with irregular margins are indicative of deeply infiltrating endometriosis. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 6 of 29

7 Imaging findings OR Procedure details PELVIC ENDOMETRIOSIS The most commonly affected sites by pelvic endometriosis are the pelvic organs and peritoneum (4). To understand the different LAP/MRI aspects of pelvic endometriosis we classified the endometriosis in three types: A) Superficial peritoneal lesions B) Ovarian endometrioma C) Deep or solid infiltrating endometriosis. A) Superficial Peritoneal lesions: At laparoscopy the endometriosis typically appears as superficial "powder- burn" or "gunshot" lesions on the ovaries, serosal surfaces and peritoneum - black, dark-brown or blueish puckered lesions, nodules or small cysts containing old haemorrhage surrounded by a variable extent of fibrosis. Atypical or "subtle" lesions are also common, including red implants (petechial, vesicular, polypoid, haemorrhagic, red flame-like) and serous or clear vesicles. Other appearances include white scarring fibrotic tissue and yellow-brown peritoneal discoloration of the peritoneum. B) Ovary: In the ovary, the endometriosis manifests as endometriomas, a cyst that usually contains thick fluid like tar; such cysts are often densely adherent to the peritoneum of the ovarian fossa and the surrounding fibrosis may involve the tubes and bowel. C) Deep endometriosis: The other type of endometriosis are deeply infiltrating endometriotic nodules which extend more than 5 mm beneath the peritoneum and may involve the rectovaginal septum, uterosacral ligaments, rectum, sigmoid, colon, vagina, apendix, small bowel, bladder or ureters and the other pelvic ligaments. The depth of infiltration of the endometriotic nodules is variable as we can see at MRI. The extent of the disease varies from small lesions on normal pelvic organs up to large Page 7 of 29

8 infiltrating nodules in peritoneum, retroperitoneum and towards the depths of the pelvic organs walls. The fibrosis and adhesions can be almost unseen/undetected on MRI or cause a marked distortion of pelvic anatomy and a "frozen" pelvis (5). Almost all of these hallmarks of endometriosis diagnosed at laparoscopy have correspondence with MRI. See the correlation of the endometriosis findings at Laparoscopy and the correspondence of these aspects at MRI.(FIG 3) Fig. 3: The correlation of the endometriosis findings at Laparoscopy and the correspondence of these aspects at MRI. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal The exception is the superficial peritoneal endometriosis that, most of the time, doesn t manifest on MRI. These examples are superficial serosal gun-shut lesions, small nonhaemorrhagic foci or pethechial implants. The haemorrhagic foci are the only ones that are seen as hypersignal T1 implants at MRI. See clinical examples: Fig. 11 and 12. SEE the Clinical EXAMPLES (FIG 4-12) that illustrate all these Imaging findings and the correlation LAP/MRI. Page 8 of 29

9 Fig. 4: Endometriosis of ovarian fossa and colon in 41-year-old woman. Axial T2weighted image (a) demonstrates both ovaries medially located surrounded by multiple adhesions extending through uterus and colon. Laparoscopic image (b) demonstrates extensive peritoneal adhesive process with obliteration of cul-de-sac and adenomiosis. Sagittal T2-weighted image (c) shows an iceberg-shaped lesion with its base adherent to the anterior colon wall and its apex pointing toward the left parametrium (dashed oval). But also shows: ''fan-shaped'' configuration of the colon infiltrating lesion with isointense signal compared to muscle and slightly high signal intensity at the luminal side of the bowel wall. This aspect expresses extensive muscalaris and submucosa infiltration of the colon wall. Laparoscopic image (d) depicts the colon region demonstrated at Sagittal T2 MR image where only the apex of iceberg lesion is seen as a central depression of the bowel (arrow), and the base is inside the wall. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 9 of 29

10 Fig. 5: Endometriomas and kissing ovaries in a 37-year-old woman. Axial T1-weighted image (a) axial (b) and coronal (c) T2-weighted images show two adnexal masses with high signal in T1-weighted image that lowers in T2-weighted images (shading) that touch in the middle: kissing ovaries. The two endometriomas were confirmed at laparoscopy (d). Right endometrioma was disrupted and we can see the chocolate fluid (e) References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 10 of 29

11 Fig. 6: Extensive left paracervical deeply infiltrating endomeriosis with left ureteral stenosis in a 38-year-old woman. Coronal (a) and sagittal (b) T2-weighted images show a large heterogeneous endometriotic infiltrating mass at left paracervical area and uterine torus infiltrating left pararectal fossa and the rectal anterior wall (blue arrow). Axial T2-weighted image (c) demonstrates dilated left ureter near the lesion (white arrow) above the point of obstruction. Laparoscopic image (d) shows the endometriotic infiltrating mass (dashed round), dilated left ureter (white arrow) and rectal wall retraction (black arrow). At the end of surgery we can see the same pelvic area after dissection of endometriotic mass and with the entire left ureter. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 11 of 29

12 Fig. 7: Extensive endometriosis in the anterior pelvic compartment in 31-year-old woman. Axial (a) and sagittal (b) T2-weighted images show extensive mass of the peritoneum in the vesicouterine pouch with infiltration of the superior vesical wall. These images also demonstrate vesico-uterine adhesions, thickening and distortion of both round ligaments (arrow heads) that can be also seen at laparoscopic image (c). Typical aspect of infiltrating endometriotic vesical blueish mass at laparoscopic image of cystectomy (d). The MR image (b) also demonstrates an infiltrating endometriotic lesion in posterior compartment (uterine torus) with infiltration of the rectum wall (blue arrows). References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 12 of 29

13 Fig. 8: Endometriotic mass at rectovaginal septum that infiltrates the posterior vaginal wall in a 37-year-old woman. Axial T1-weighted image (a), axial (b) and sagittal (c) T2-weighted images show infiltrative nodule in posterior vaginal wall and rectovaginal septum that has the characteristic endometrioic bright micro-nodules at T1-weighted image. These nodules correspond, at laparoscopy, to the brownish fluid micro-nodules in the thickness of the vagina wall (c). The vaginal nodule was removed (d). References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 13 of 29

14 Fig. 9: Endometriotic infiltrative nodule in posterior compartment in a 31-yearold woman. MR sagittal T2-weighted image(a) and axial T2-weighted image (b) show irregular low-signal intensity of endometriotic lesion in the right pararectal fossa. The lesion extends to the right uterosacral ligament (arrow head), right inferior hypogastric plexus (b) and right ureter without parietal infiltration (white arrow). This lesion infiltrates the serosa of the rectum (white circle). These findings are seen at laparoscopic image (c) as endometriotic nodule at the base of right uterosacral ligament (arrow head). We can also see the remaining fibers of the right inferior hypogastric plexus (blue arrow). Laparoscopic image of nodule seen at image (a) infiltratates right pararectal fossa and rectum (dashed round) (d). References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 14 of 29

15 Fig. 10: Rectovaginal deeply infiltrating endometriosis in a 33-year-old woman. (a) Axial T2-weighted image shows a large heterogeneous endometriotic mass at rectovaginal septum that infiltrates the posterior vaginal wall (white arrow). Laparoscopic view of opened vagina demonstrates typical blueish vaginal mass infiltrating posterior vaginal fornix (white arrow) (b). This mass causes retraction of rectal wall without rectal wall infiltration (dashed round), showed at sagital T2 weighted image (c) and at laparoscopic image of rectal superficial shaving (d) References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 15 of 29

16 Fig. 11: Several superficial endometriotic peritoneal lesions that do not manifest at MRI. Laparoscopic images (a to d) demonstrate several types of superficial lesions with no manifestation at MRI. (a) Red vesicular lesion on appendix (blue arrow). (b). Darkbrown puckered lesions on peritoneum. (c) Superficial red implant on right ovary (blue arrow). (d) Blueish "sublte" petechial peritoneum lesions (white circle). References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 16 of 29

17 Fig. 12: Superficial endometriotic peritoneal lesions in a 39-year-old woman. Laparoscopic images (a and b) of small superficial haemorrhagic nodule on the left tube and large ligament (blue arrow) up to left ovary (a). This nodule is seen at MR images (b) axial T1-weighted image, (c) axial T2-weighted image as high-signal intensity endometriotic nodule in left tube behind the left broad ligament. We also see at laparoscopic image (b) a white scarring fibrotic tissue (white circle) on vesicouterine pouch that does not manifest at MRI. References: A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal EXTRAPELVIC ENDOMETRIOSIS The most frequent site of extrapelvic endometriosis is the abdominal wall. Endometriosis in the abdominal wall is usually found next to a surgical scar from cesarean section or from ectopic tissue at distance. (6) Other unusual locations of lesions are subcutaneous fat in the fossa ischio-rectalis, nerve routes and lymph nodes. Nodular locations at the liver surface or within the chest are very rare conditions (5). Page 17 of 29

18 Images for this section: Fig. 3: The correlation of the endometriosis findings at Laparoscopy and the correspondence of these aspects at MRI. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Fig. 4: Endometriosis of ovarian fossa and colon in 41-year-old woman. Axial T2weighted image (a) demonstrates both ovaries medially located surrounded by multiple adhesions extending through uterus and colon. Laparoscopic image (b) demonstrates Page 18 of 29

19 extensive peritoneal adhesive process with obliteration of cul-de-sac and adenomiosis. Sagittal T2-weighted image (c) shows an iceberg-shaped lesion with its base adherent to the anterior colon wall and its apex pointing toward the left parametrium (dashed oval). But also shows: ''fan-shaped'' configuration of the colon infiltrating lesion with isointense signal compared to muscle and slightly high signal intensity at the luminal side of the bowel wall. This aspect expresses extensive muscalaris and sub-mucosa infiltration of the colon wall. Laparoscopic image (d) depicts the colon region demonstrated at Sagittal T2 MR image where only the apex of iceberg lesion is seen as a central depression of the bowel (arrow), and the base is inside the wall. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Fig. 5: Endometriomas and kissing ovaries in a 37-year-old woman. Axial T1-weighted image (a) axial (b) and coronal (c) T2-weighted images show two adnexal masses with high signal in T1-weighted image that lowers in T2-weighted images (shading) that touch in the middle: kissing ovaries. The two endometriomas were confirmed at laparoscopy (d). Right endometrioma was disrupted and we can see the chocolate fluid (e) A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 19 of 29

20 Fig. 6: Extensive left paracervical deeply infiltrating endomeriosis with left ureteral stenosis in a 38-year-old woman. Coronal (a) and sagittal (b) T2-weighted images show a large heterogeneous endometriotic infiltrating mass at left paracervical area and uterine torus infiltrating left pararectal fossa and the rectal anterior wall (blue arrow). Axial T2weighted image (c) demonstrates dilated left ureter near the lesion (white arrow) above the point of obstruction. Laparoscopic image (d) shows the endometriotic infiltrating mass (dashed round), dilated left ureter (white arrow) and rectal wall retraction (black arrow). At the end of surgery we can see the same pelvic area after dissection of endometriotic mass and with the entire left ureter. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 20 of 29

21 Fig. 7: Extensive endometriosis in the anterior pelvic compartment in 31-year-old woman. Axial (a) and sagittal (b) T2-weighted images show extensive mass of the peritoneum in the vesicouterine pouch with infiltration of the superior vesical wall. These images also demonstrate vesico-uterine adhesions, thickening and distortion of both round ligaments (arrow heads) that can be also seen at laparoscopic image (c). Typical aspect of infiltrating endometriotic vesical blueish mass at laparoscopic image of cystectomy (d). The MR image (b) also demonstrates an infiltrating endometriotic lesion in posterior compartment (uterine torus) with infiltration of the rectum wall (blue arrows). A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 21 of 29

22 Fig. 8: Endometriotic mass at rectovaginal septum that infiltrates the posterior vaginal wall in a 37-year-old woman. Axial T1-weighted image (a), axial (b) and sagittal (c) T2-weighted images show infiltrative nodule in posterior vaginal wall and rectovaginal septum that has the characteristic endometrioic bright micro-nodules at T1-weighted image. These nodules correspond, at laparoscopy, to the brownish fluid micro-nodules in the thickness of the vagina wall (c). The vaginal nodule was removed (d). A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 22 of 29

23 Fig. 9: Endometriotic infiltrative nodule in posterior compartment in a 31-year-old woman. MR sagittal T2-weighted image(a) and axial T2-weighted image (b) show irregular lowsignal intensity of endometriotic lesion in the right pararectal fossa. The lesion extends to the right uterosacral ligament (arrow head), right inferior hypogastric plexus (b) and right ureter without parietal infiltration (white arrow). This lesion infiltrates the serosa of the rectum (white circle). These findings are seen at laparoscopic image (c) as endometriotic nodule at the base of right uterosacral ligament (arrow head). We can also see the remaining fibers of the right inferior hypogastric plexus (blue arrow). Laparoscopic image of nodule seen at image (a) infiltratates right pararectal fossa and rectum (dashed round) (d). A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 23 of 29

24 Fig. 10: Rectovaginal deeply infiltrating endometriosis in a 33-year-old woman. (a) Axial T2-weighted image shows a large heterogeneous endometriotic mass at rectovaginal septum that infiltrates the posterior vaginal wall (white arrow). Laparoscopic view of opened vagina demonstrates typical blueish vaginal mass infiltrating posterior vaginal fornix (white arrow) (b). This mass causes retraction of rectal wall without rectal wall infiltration (dashed round), showed at sagital T2 weighted image (c) and at laparoscopic image of rectal superficial shaving (d) A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 24 of 29

25 Fig. 11: Several superficial endometriotic peritoneal lesions that do not manifest at MRI. Laparoscopic images (a to d) demonstrate several types of superficial lesions with no manifestation at MRI. (a) Red vesicular lesion on appendix (blue arrow). (b). Dark-brown puckered lesions on peritoneum. (c) Superficial red implant on right ovary (blue arrow). (d) Blueish "sublte" petechial peritoneum lesions (white circle). A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 25 of 29

26 Fig. 12: Superficial endometriotic peritoneal lesions in a 39-year-old woman. Laparoscopic images (a and b) of small superficial haemorrhagic nodule on the left tube and large ligament (blue arrow) up to left ovary (a). This nodule is seen at MR images (b) axial T1-weighted image, (c) axial T2-weighted image as high-signal intensity endometriotic nodule in left tube behind the left broad ligament. We also see at laparoscopic image (b) a white scarring fibrotic tissue (white circle) on vesicouterine pouch that does not manifest at MRI. A. Guerra, Department of Radiology, Hospital da Luz, Lisboa, Portugal Page 26 of 29

27 Conclusion MRI allows characterization of endometriomas, extraovarian endometriotic implants and associated inflammation and fibrosis (all severe deep endometriosis) with a very good correlation with laparoscopy findings. MRI provides a road map that allows the surgeon to establish a surgical strategy to minimize the length and invasiveness of the laparoscopy providing an optimal guide to identify and treat all extra peritoneum lesions in severe endometriosis. Page 27 of 29

28 References 1) MR Imaging in Deep Pelvic endometriosis: A Pictorial Essay. Coutinho, Antônio; Kayat Bittencourt, Leonardo; E Pires, Cíntia; Junqueira, Flávia; Lima, Cláudio Márcio; Coutinho, Elisa; Domingues, Marisa ; Domingues, Romeu ; Marchiori, Edson. Radiographics 2011; 31: ) Findings of Pelvic endometriosis at transvaginal US, MR Imaging and Laparoscopy. Chamié,Luciana; Blasbald Roberto; Alves Pereira, Ricardo; Warmbrand, Gisele; Serafini, Paulo Cesar. Radiographics 2011; E77-E100. 3) Deep pelvic Endometriosis: MR Imaging. Marcal, Leonardo; Nothaf, M. Angela; Coelho, Francisco; Choi, Haesun. Abdominal Imaging 2010; 35: ) ESHRE guideline for the diagnosis and treatment of endometriosis. Kennedy, Stephen; Bergqvist, Agneta; Chapron, Charles; D Hooghe, Thomas; Dunselman Gerard; Greb, Robert et al. Human Reproduction 2005;20: ) Diagnosis of endometriosis with imaging: a review. Kinkel, Karen; A. Frei, Kathrin; Balleyguier, Corinne; Chapron, Charles. European Radiology 2006; 16: ) Unusual Manifestations and Complications of Endometriosis-Spectrum of Imaging Findings: Pictorial Review. L. Bennett, Genevieve; Slywotzky, Chrystia M.; Cantera, Mariela; M. Hecht, Elizabeth. AJR 2010; 194: WS34-WS46. Page 28 of 29

29 Personal Information Adalgisa Guerra, Imagiology Department, Hospital da Luz, Lisbon, Portugal. Page 29 of 29

Endometriosis - MRI findings with anatomic-pathologic correlation

Endometriosis - MRI findings with anatomic-pathologic correlation Endometriosis - MRI findings with anatomic-pathologic correlation Poster No.: C-2551 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Matos, A. T. Almeida, A. Sanches; Vila Nova de Gaia/PT Keywords:

More information

Usual and unusual endometriosis locations. an MRI based approach

Usual and unusual endometriosis locations. an MRI based approach Usual and unusual endometriosis locations. an MRI based approach Poster No.: C-1950 Congress: ECR 2014 Type: Educational Exhibit Authors: E. E. Martin, M. I. BOLAÑO VEGA, D. L. PINEDA, S. JARUFFE, E. P.

More information

Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis

Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis Poster No.: C-1294 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: S. Moon, H. K. Lim,

More information

Accuracy of transvaginal ultrasound and magnetic resonance imaging in diagnosis and extension of pelvic endometriosis

Accuracy of transvaginal ultrasound and magnetic resonance imaging in diagnosis and extension of pelvic endometriosis Accuracy of transvaginal ultrasound and magnetic resonance imaging in diagnosis and extension of pelvic endometriosis A.Salem, Kh. Fakhfakh, S. Mehiri, Y. Ben Brahim, F. Ben Amara, H. Rajhi, R. Hamza,

More information

Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects

Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Poster No.: C-0084 Congress: ECR 2014 Type: Scientific Exhibit Authors: E. A. Yukhno, I. Trofimenko, G. Trufanov; St. Petersburg/RU

More information

Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects

Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Poster No.: C-0084 Congress: ECR 2014 Type: Scientific Exhibit Authors: E. A. Yukhno, I. Trofimenko, G. Trufanov; St. Petersburg/RU

More information

Deep pelvic endometriosis: MR imaging with laparoscopic and histologic correlation

Deep pelvic endometriosis: MR imaging with laparoscopic and histologic correlation Deep pelvic endometriosis: MR imaging with laparoscopic and histologic correlation Poster No.: C-0372 Congress: ECR 2012 Type: Scientific Exhibit Authors: S. Gispert; Barcelona/ES DOI: 10.1594/ecr2012/C-0372

More information

Pelvic inflammatory disease - spectrum of tomodensitometric findings

Pelvic inflammatory disease - spectrum of tomodensitometric findings Pelvic inflammatory disease - spectrum of tomodensitometric findings Poster No.: C-2451 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Matos, A. T. Almeida, D. Castelo; Vila Nova de Gaia/PT Keywords:

More information

ENDOMETRIOSIS AS A COMMON CAUSE OF PELVIC PAIN

ENDOMETRIOSIS AS A COMMON CAUSE OF PELVIC PAIN ENDOMETRIOSIS AS A COMMON CAUSE OF PELVIC PAIN M.Basta Nikolić, S. Stojanović, O. Nikolić, T. Mrđanin, D. Donat, V. Žigić Center for Radiology, Clinical Center of Vojvodina Novi Sad Chronic pelvic pain

More information

Definition Endometriosis is the presence of functioning endometrial tissue outside the cavity of the uterus.

Definition Endometriosis is the presence of functioning endometrial tissue outside the cavity of the uterus. Dept. of Obstetrics t and Gynecology Faculty of Medicine University of Sumatera Utara Endometriosis Definition Endometriosis is the presence of functioning endometrial tissue outside the cavity of the

More information

MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls

MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls Poster No.: C-0987 Congress: ECR 2015 Type: Educational Exhibit Authors: D. V. Bhargavi, R. Avantsa, P. Kala; Bangalore/IN

More information

MR imaging of FIGO stage I uterine cervical cancer: The diagnostic impact of 3T-MRI

MR imaging of FIGO stage I uterine cervical cancer: The diagnostic impact of 3T-MRI MR imaging of FIGO stage I uterine cervical cancer: The diagnostic impact of 3T-MRI Poster No.: C-1191 Congress: ECR 2010 Type: Educational Exhibit Topic: Genitourinary Authors: M. Takeuchi, K. Matsuzaki,

More information

MRI in staging of rectal carcinoma

MRI in staging of rectal carcinoma MRI in staging of rectal carcinoma Poster No.: C-0152 Congress: ECR 2015 Type: Scientific Exhibit Authors: J. R. Ramos Rodriguez, M. Atencia Ballesteros, M. D. M. Muñoz Ruiz, A. J. Márquez Moreno, M. D.

More information

Current staging of endometrial carcinoma with MR imaging

Current staging of endometrial carcinoma with MR imaging Current staging of endometrial carcinoma with MR imaging Poster No.: C-1436 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Magalhaes, H. Donato, C. B. Marques, P. Gomes, F. Caseiro Alves; Coimbra/PT

More information

Retrograde flow in the left ovarian vein is a shunt, not reflux

Retrograde flow in the left ovarian vein is a shunt, not reflux Retrograde flow in the left ovarian vein is a shunt, not reflux Poster No.: C-0846 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Livsey; Brisbane/AU Keywords: Genital / Reproductive system female,

More information

Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time

Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time Poster No.: C-208 Congress: ECR 2009 Type: Educational Exhibit Topic: Chest Authors:

More information

Journal of Medical Imaging and Radiation Oncology

Journal of Medical Imaging and Radiation Oncology Journal of Medical Imaging and Radiation Oncology 61 (2017) 767 773 MEDICAL IMAGING PICTORIAL ESSAY MRI findings in deep infiltrating endometriosis: A pictorial essay Anitha L Thalluri, 1 Steven Knox 1,2,3

More information

Pelvic static MR vs MR-defecography in the study of woman's pelvic floor disorders

Pelvic static MR vs MR-defecography in the study of woman's pelvic floor disorders Pelvic static MR vs MR-defecography in the study of woman's pelvic floor disorders Poster No.: B-0043 Congress: ECR 2015 Type: Scientific Paper Authors: A. ambrosi, G. De Franco, F. Lorusso, M. Cascarano,

More information

Curious case of Misty Mesentery

Curious case of Misty Mesentery Curious case of Misty Mesentery Poster No.: C-1385 Congress: ECR 2015 Type: Authors: Keywords: DOI: Educational Exhibit T. Simelane 1, H. Khosa 2, N. Ramesh 2 ; 1 Dublin/IE, 2 Portlaoise/IE Abdomen, Anatomy,

More information

A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography.

A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. Poster No.: C-1787 Congress: ECR 2012 Type: Educational Exhibit Authors: N. Ahmed 1, G. Avery

More information

Imaging evaluation of ovarian masses.

Imaging evaluation of ovarian masses. Imaging evaluation of ovarian masses. Poster No.: C-0988 Congress: ECR 2012 Type: Educational Exhibit Authors: M. Forment Navarro, C. La Parra Casado, A. Vera, C. Martínez 1 2 2 2 2 2 1 Rubio, M. Mazón

More information

Lesions of the pancreaticoduodenal groove, a pictorial review

Lesions of the pancreaticoduodenal groove, a pictorial review Lesions of the pancreaticoduodenal groove, a pictorial review Poster No.: C-2131 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ni Mhurchu, L. Lavelle, I. Murphy, S. Skehan ; IE, Dublin/ IE Keywords:

More information

The "whirl sign". Diagnostic accuracy for intestinal volvulus.

The whirl sign. Diagnostic accuracy for intestinal volvulus. The "whirl sign". Diagnostic accuracy for intestinal volvulus. Poster No.: C-0670 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Pire, M. Marti, A. Borobia, A. Verón; Madrid/ES Keywords: Abdomen,

More information

CT evaluation of small bowel carcinoid tumors

CT evaluation of small bowel carcinoid tumors CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT

More information

Acute pelvic pain in female patient: Clinical and Radiological evaluation

Acute pelvic pain in female patient: Clinical and Radiological evaluation Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,

More information

Acute pelvic pain in female patient: Clinical and Radiological evaluation

Acute pelvic pain in female patient: Clinical and Radiological evaluation Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,

More information

"Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods."

Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods. "Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods." Poster No.: C-1557 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit I.

More information

Interventional management of postoperative ureteric complications after pelvic surgery

Interventional management of postoperative ureteric complications after pelvic surgery Interventional management of postoperative ureteric complications after pelvic surgery Poster No.: C-0169 Congress: ECR 2015 Type: Scientific Exhibit Authors: R. Tabashy, A. Hamed, S. El-Sebai; Cairo/EG

More information

Magnetic Resonance Imaging of Perianal Fistulas

Magnetic Resonance Imaging of Perianal Fistulas Magnetic Resonance Imaging of Perianal Fistulas Poster No.: C-0317 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit A. P. Sathe, E. Soh, K. Y. Seto, B. Yeh, D. W. Y. chee, R. Quah,

More information

MR diagnostics of adnexal masses

MR diagnostics of adnexal masses MR diagnostics of adnexal masses Poster No.: C-1499 Congress: ECR 2017 Type: Educational Exhibit Authors: O. Nikolic, J. Ostojic, M. Basta Nikolic, A. Spasic, D. Donat, S. Stojanovic; Novi Sad/RS Keywords:

More information

Radiological assessment of infertility: A pictorial review

Radiological assessment of infertility: A pictorial review Radiological assessment of infertility: A pictorial review Poster No.: C-1681 Congress: ECR 2015 Type: Educational Exhibit Authors: J. P. Walsh, N. Healy, M. O'sullivan, S. Harte, M. T. Knox; Dublin/ IE

More information

Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant

Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,

More information

Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant

Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,

More information

Biliary tree dilation - and now what?

Biliary tree dilation - and now what? Biliary tree dilation - and now what? Poster No.: C-1767 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, A. B. Ramos, S. Magalhães, M. Certo; Porto/PT Keywords: Pathology, Diagnostic

More information

Characterisation of cervical lymph nodes by US and PET-CT

Characterisation of cervical lymph nodes by US and PET-CT Characterisation of cervical lymph nodes by US and PET-CT Poster No.: C-1807 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: J. I. Garcia Gomez; Mexico City/MX Keywords: cervical

More information

ADENOMYOSIS CHRONIC PELVIC PAIN IN WOMEN IMAGING CHRONIC PELVIC PAIN IN WOMEN CHRONIC PELVIC PAIN IN WOMEN ADENOMYOSIS: PATHOLOGY ADENOMYOSIS

ADENOMYOSIS CHRONIC PELVIC PAIN IN WOMEN IMAGING CHRONIC PELVIC PAIN IN WOMEN CHRONIC PELVIC PAIN IN WOMEN ADENOMYOSIS: PATHOLOGY ADENOMYOSIS CHRONIC PELVIC PAIN IN WOMEN IMAGING CHRONIC PELVIC PAIN IN WOMEN MOSTAFA ATRI, MD Dipl. Epid. UNIVERSITY OF TORONTO Non-menstrual pain of 6 months Prevalence 15%: 18-50 years of age 10-40% of gynecology

More information

Complications of Perianal Crohn s Disease - Adenocarcinoma & Extensive Fistulization

Complications of Perianal Crohn s Disease - Adenocarcinoma & Extensive Fistulization Complications of Perianal Crohn s Disease - Adenocarcinoma & Extensive Fistulization Poster No.: C-0711 Congress: ECR 2013 Type: Educational Exhibit Authors: P. Faria João 1, D. Penha 2, P. Cabral 1, E.

More information

Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT

Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT Poster No.: C-1019 Congress: ECR 2013 Type: Scientific Exhibit Authors:

More information

Female pelvic MRI for infertility: Radiological findings in a cohort of patients referred by a fertility specialist.

Female pelvic MRI for infertility: Radiological findings in a cohort of patients referred by a fertility specialist. Female pelvic MRI for infertility: Radiological findings in a cohort of patients referred by a fertility specialist. Poster No.: C-0684 Congress: ECR 2016 Type: Scientific Exhibit Authors: S. Saha, S.

More information

Cruveilhier-Baumgarten syndrome: anatomical and pathologic imaging of periumbilical venous network

Cruveilhier-Baumgarten syndrome: anatomical and pathologic imaging of periumbilical venous network Cruveilhier-Baumgarten syndrome: anatomical and pathologic imaging of periumbilical venous network Poster No.: C-0442 Congress: ECR 2014 Type: Educational Exhibit Authors: J. Isogai, H. Sakamoto ; Asahi/JP,

More information

MR imaging features of paralabral ganglion cyst of the shoulder

MR imaging features of paralabral ganglion cyst of the shoulder MR imaging features of paralabral ganglion cyst of the shoulder Poster No.: C-1482 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Bartocci, C. Dell'atti, E. Federici, D. Beomonte Zobel, V. Martinelli,

More information

Intracystic papillary carcinoma of the breast

Intracystic papillary carcinoma of the breast Intracystic papillary carcinoma of the breast Poster No.: C-1932 Congress: ECR 2011 Type: Educational Exhibit Authors: V. Dimarelos, F. TZIKOS, N. Kotziamani, G. Rodokalakis, 1 2 3 1 1 1 2 T. MALKOTSI

More information

Triple-negative breast cancer: which typical features can we identify on conventional and MRI imaging?

Triple-negative breast cancer: which typical features can we identify on conventional and MRI imaging? Triple-negative breast cancer: which typical features can we identify on conventional and MRI imaging? Poster No.: C-1862 Congress: ECR 2013 Type: Educational Exhibit Authors: V. Bertani 1, A. Gualano

More information

MRI BI-RADS: How to make it out?

MRI BI-RADS: How to make it out? MRI BI-RADS: How to make it out? Poster No.: C-1850 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Ben Ammar, A. Ben Miled, O. Ghdes, S. Harguem, A. Gaja, N. Mnif; Tunis/TN Keywords: Breast,

More information

Diffusion-weighted MR imaging for Diagnosis of Uterine Leiomyomas

Diffusion-weighted MR imaging for Diagnosis of Uterine Leiomyomas Diffusion-weighted MR imaging for Diagnosis of Uterine Leiomyomas Poster No.: C-0111 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. Er 1, G. Pekindil 2, M. Gök 3, A. R. Kandiloglu 2, A. G. Tamay

More information

MRI in Patients with Forefoot Pain Involving the Metatarsal Region

MRI in Patients with Forefoot Pain Involving the Metatarsal Region MRI in Patients with Forefoot Pain Involving the Metatarsal Region Poster No.: C-0151 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit R. Vukojevi#, M. Mustapic, D. Marjan; Zagreb/HR

More information

Essure Permanent Birth Control Device: Radiological followup results at our center

Essure Permanent Birth Control Device: Radiological followup results at our center Essure Permanent Birth Control Device: Radiological followup results at our center Poster No.: C-0212 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Díaz Aguilera, A. M. Higuera Higuera, V. Palomo

More information

Feasibility of magnetic resonance elastography using myofascial phantom model

Feasibility of magnetic resonance elastography using myofascial phantom model Feasibility of magnetic resonance elastography using myofascial phantom model Poster No.: C-0971 Congress: ECR 2013 Type: Scientific Exhibit Authors: H. J. Kang, J.-S. Yoon, S.-J. Hong, C.-H. Oh, S. H.

More information

Cavitary lung lesion: Two different diagnosis with similar appearence

Cavitary lung lesion: Two different diagnosis with similar appearence Cavitary lung lesion: Two different diagnosis with similar appearence Poster No.: P-0043 Congress: ESTI 2015 Type: Educational Poster Authors: M. Yesildag, H. Kalkan, K. Ödev; Konya/TR Keywords: Infection,

More information

Evaluation of anal canal morphology with MRI in cases with anal fissure

Evaluation of anal canal morphology with MRI in cases with anal fissure Evaluation of anal canal morphology with MRI in cases with anal fissure Poster No.: C-1670 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. Erden, E. Peker, Z. B#y#kl# Gençtürk, I. Erden; Ankara/TR

More information

Case 9539 Endometriosis in the canal of Nuck

Case 9539 Endometriosis in the canal of Nuck Case 9539 Endometriosis in the canal of Nuck Monteiro V, Cunha TM Section: Genital (Female) Imaging Published: 2011, Sep. 27 Patient: 26 year(s), female Authors' Institution V Monteiro 1 TM Cunha 2 1 Unidade

More information

Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging

Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging Poster No.: C-590 Congress: ECR 2009 Type: Topic: Educational Exhibit Musculoskeletal Authors:

More information

Pulmonary changes induced by radiotherapy. HRCT findings

Pulmonary changes induced by radiotherapy. HRCT findings Pulmonary changes induced by radiotherapy. HRCT findings Poster No.: C-2299 Congress: ECR 2015 Type: Educational Exhibit Authors: R. E. Correa Soto, M. Albert Antequera, K. Müller Campos, D. 1 2 4 3 1

More information

Diffuse Alveolar Hemorrhage: Initial and Follow-up HRCT Features

Diffuse Alveolar Hemorrhage: Initial and Follow-up HRCT Features Diffuse Alveolar Hemorrhage: Initial and Follow-up HRCT Features Poster No.: E-0037 Congress: ESTI 2012 Type: Authors: Keywords: Scientific Exhibit M. Y. Kim; Seoul/KR Lung, CT-High Resolution, CT, Computer

More information

Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine

Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Poster No.: C-2125 Congress: ECR 2015 Type: Authors: Scientific Exhibit S. patil 1, A. M.

More information

Utility of the MRI for diagnosis and classification of perianal fistulas

Utility of the MRI for diagnosis and classification of perianal fistulas Utility of the MRI for diagnosis and classification of perianal fistulas Poster No.: C-2400 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit C. SALAS LORENTE Pelvis, Gastrointestinal

More information

Prostate biopsy: MR imaging to the rescue

Prostate biopsy: MR imaging to the rescue Prostate biopsy: MR imaging to the rescue Poster No.: C-1855 Congress: ECR 2014 Type: Educational Exhibit Authors: N. V. V. B. Marques 1, J. Ip 1, A. Loureiro 2, J. Niza 1, M. Palmeiro 2, Keywords: DOI:

More information

Hyperechoic breast lesions can be malignant.

Hyperechoic breast lesions can be malignant. Hyperechoic breast lesions can be malignant. Poster No.: C-0041 Congress: ECR 2015 Type: Educational Exhibit Authors: G. Babu, R. bradley; Edinburgh/UK Keywords: Breast, Ultrasound, Biopsy, Cancer DOI:

More information

The follow-up of uterine fibroids treated with HIFU: role of DWI and Dynamic contrast-study MRI

The follow-up of uterine fibroids treated with HIFU: role of DWI and Dynamic contrast-study MRI The follow-up of uterine fibroids treated with HIFU: role of DWI and Dynamic contrast-study MRI Poster No.: C-1137 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Exhibit V. Zampa, V. Vallini,

More information

PI-RADS classification: prognostic value for prostate cancer grading

PI-RADS classification: prognostic value for prostate cancer grading PI-RADS classification: prognostic value for prostate cancer grading Poster No.: C-1622 Congress: ECR 2014 Type: Scientific Exhibit Authors: I. Platzek, A. Borkowetz, T. Paulus, T. Brauer, M. Wirth, M.

More information

Audit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals

Audit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals Audit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals Poster No.: C-1349 Congress: ECR 2010 Type: Educational Exhibit Topic: Genitourinary

More information

Local staging of colon cancer: the current role of CT

Local staging of colon cancer: the current role of CT Local staging of colon cancer: the current role of CT Poster No.: C-2699 Congress: ECR 2018 Type: Authors: Keywords: DOI: Educational Exhibit A. P. Pissarra, R. R. Domingues Madaleno, C. Sanches, L. Curvo-

More information

64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes

64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes 64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes Poster No.: C-051 Congress: ECR 2009 Type: Scientific Exhibit Topic: Abdominal and Gastrointestinal Authors:

More information

Extrapulmonary Manifestations of Tuberculosis: A Radiologic Review

Extrapulmonary Manifestations of Tuberculosis: A Radiologic Review Extrapulmonary Manifestations of Tuberculosis: A Radiologic Review Poster No.: C-1958 Congress: ECR 2014 Type: Authors: Educational Exhibit J. Isern 1, S. Llaverias Borrell 1, A. Olarte 1, E. Grive 1,

More information

FDG-PET value in deep endometriosis

FDG-PET value in deep endometriosis Gynecol Surg (2011) 8:305 309 DOI 10.1007/s10397-010-0652-6 ORIGINAL ARTICLE FDG-PET value in deep endometriosis A. Setubal & S. Maia & C. Lowenthal & Z. Sidiropoulou Received: 3 December 2010 / Accepted:

More information

Spectrum of findings of sclerosing adenosis at breast MRI.

Spectrum of findings of sclerosing adenosis at breast MRI. Spectrum of findings of sclerosing adenosis at breast MRI. Poster No.: C-0738 Congress: ECR 2012 Type: Scientific Exhibit Authors: F. Vasselli 1, F. Pediconi 2, M. Telesca 2, M. Luciani 2, V. Casali 2,

More information

Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study

Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study Poster No.: R-0016 Congress: 2015 ASM Type: Scientific Exhibit Authors: J. Au, A. Webb, G. Buirski, P. Smith, M. Pickering, D.

More information

Sonographic and Mammographic Features of Phyllodes Tumours of the Breast: Correlation with Histological Grade

Sonographic and Mammographic Features of Phyllodes Tumours of the Breast: Correlation with Histological Grade Sonographic and Mammographic Features of Phyllodes Tumours of the Breast: Correlation with Histological Grade Poster No.: C-0046 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit C. Y.

More information

Evaluation of BI-RADS 3 lesions in women with a high risk of hereditary breast cancer.

Evaluation of BI-RADS 3 lesions in women with a high risk of hereditary breast cancer. Evaluation of BI-RADS 3 lesions in women with a high risk of hereditary breast cancer. Poster No.: C-0346 Congress: ECR 2014 Type: Scientific Exhibit Authors: A. Thomas 1, R. Dominguez Oronoz 1, S. Roche

More information

Seemingly isolated greater trochanter fractures do not exist

Seemingly isolated greater trochanter fractures do not exist Seemingly isolated greater trochanter fractures do not exist Poster No.: B-0950 Congress: ECR 2012 Type: Scientific Paper Authors: D. Dunker, J. H. Göthlin, M. Geijer ; Gothenburg/SE, Lund/SE Keywords:

More information

The Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities

The Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities The Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities Poster No.: C-1229 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit M. Osher 1, A. Pallas

More information

CT assessment of acute coalescent mastoiditis.

CT assessment of acute coalescent mastoiditis. CT assessment of acute coalescent mastoiditis. Poster No.: C-1794 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: A. Thomson, S. J. Thomas, A. Hutchings, E. Tilley; Portsmouth/UK

More information

Figuring out the "fronds"-synovial proliferative disorders of the knee.

Figuring out the fronds-synovial proliferative disorders of the knee. Figuring out the "fronds"-synovial proliferative disorders of the knee. Poster No.: C-1209 Congress: ECR 2014 Type: Educational Exhibit Authors: S. Sivasubramanian; Tamil Nadu/IN Keywords: Imaging sequences,

More information

Spinal injury is very common in Ireland: 19 per 100,000 (1). It poses a significant disease burden.

Spinal injury is very common in Ireland: 19 per 100,000 (1). It poses a significant disease burden. MRI in traumatic spinal cord injury: a single national spinal centre experience and study of imaging features with clinical correlation with ASIA score and outcome Poster No.: C-1235 Congress: ECR 2011

More information

Radiological features of Legionella Pneumophila Pneumonia

Radiological features of Legionella Pneumophila Pneumonia Radiological features of Legionella Pneumophila Pneumonia Poster No.: E-0048 Congress: ESTI 2012 Type: Scientific Exhibit Authors: M. Vinciguerra, L. Stefanetti, E. Teti, G. Argentieri, L. G. 1 1 1 1 1

More information

US Imaging of pelvic congestion syndrome

US Imaging of pelvic congestion syndrome US Imaging of pelvic congestion syndrome Poster No.: C-1210 Congress: ECR 2015 Type: Educational Exhibit Authors: D. S. Baviskar, S. Baviskar; Abu Dhabi/AE Keywords: Pelvis, Vascular, Veins / Vena cava,

More information

Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome.

Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome. Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome. Poster No.: C-0322 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit J.

More information

Magnetic resonance follow-up protocol for patients after stapled transanal rectal resection for intussusception and rectocele

Magnetic resonance follow-up protocol for patients after stapled transanal rectal resection for intussusception and rectocele Magnetic resonance follow-up protocol for patients after stapled transanal rectal resection for intussusception and rectocele Poster No.: C-2659 Congress: ECR 2013 Type: Scientific Exhibit Authors: S.

More information

Contrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts

Contrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts Contrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts Poster No.: C-2812 Congress: ECR 2018 Type: Educational Exhibit Authors: J. A. Torres de Abreu Macedo,

More information

Non-calculus causes of renal colic on CT KUB

Non-calculus causes of renal colic on CT KUB Non-calculus causes of renal colic on CT KUB Poster No.: C-1341 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: A. Afaq, E. L. Leen; London/UK Keywords: renal colic, CT KUB, appendicitis

More information

Application of three-dimensional angiography in elderly patients with meningioma

Application of three-dimensional angiography in elderly patients with meningioma Application of three-dimensional angiography in elderly patients with meningioma Poster No.: C-0123 Congress: ECR 2012 Type: Scientific Paper Authors: X. Han, J. Chen, K. Shi; Haikou/CN Keywords: Neuroradiology

More information

Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine

Diffusion-weighted MRI (DWI) claw sign is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Poster No.: C-0894 Congress: ECR 2012 Type: Scientific Exhibit

More information

Imaging characterization of renal clear cell carcinoma

Imaging characterization of renal clear cell carcinoma Imaging characterization of renal clear cell carcinoma Poster No.: C-0327 Congress: ECR 2011 Type: Educational Exhibit Authors: S. Ballester 1, A. Gaser 2, M. Dotta 1, M. F. CAPPA 1, F. Hammar 1 ; 1 2

More information

Doppler ultrasound in the evaluation of chronic venous insufficiency: A step-by-step morphological and hemodynamic review

Doppler ultrasound in the evaluation of chronic venous insufficiency: A step-by-step morphological and hemodynamic review Doppler ultrasound in the evaluation of chronic venous insufficiency: A step-by-step morphological and hemodynamic review Poster No.: C-3206 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular

More information

Comparison of Image quality in temporal bone MRI at 3T using 2D selective RF excitation versus a routine SPACE sequence

Comparison of Image quality in temporal bone MRI at 3T using 2D selective RF excitation versus a routine SPACE sequence Comparison of Image quality in temporal bone MRI at 3T using 2D selective RF excitation versus a routine SPACE sequence Poster No.: C-1065 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit

More information

The posterolateral corner of the knee: the normal and the pathological

The posterolateral corner of the knee: the normal and the pathological The posterolateral corner of the knee: the normal and the pathological Poster No.: P-0104 Congress: ESSR 2014 Type: Educational Poster Authors: M. Bartocci 1, C. Dell'atti 2, E. Federici 1, V. Martinelli

More information

MR imaging the post operative spine - What to expect!

MR imaging the post operative spine - What to expect! MR imaging the post operative spine - What to expect! Poster No.: C-2334 Congress: ECR 2012 Type: Educational Exhibit Authors: A. Jain, M. Paravasthu, M. Bhojak, K. Das ; Warrington/UK, 1 1 1 2 1 2 Liverpool/UK

More information

Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study.

Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Poster No.: C-0512 Congress: ECR 2012 Type: Authors: Keywords: DOI:

More information

MRI grading of postero-lateral corner and anterior cruciate ligament injuries

MRI grading of postero-lateral corner and anterior cruciate ligament injuries MRI grading of postero-lateral corner and anterior cruciate ligament injuries Poster No.: C-2533 Congress: ECR 2012 Type: Educational Exhibit Authors: J. Lopes Dias, J. A. Sousa Pereira, L. Fernandes,

More information

High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous?

High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? Poster No.: C-1753 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit B. Y. Lee, H. R. KIM, J. I. Jung,

More information

DTI fiber tracking at 3T MR using b-1000 value in the depiction of periprostatic nerve before and after nervesparing prostatectomy

DTI fiber tracking at 3T MR using b-1000 value in the depiction of periprostatic nerve before and after nervesparing prostatectomy DTI fiber tracking at 3T MR using b-1000 value in the depiction of periprostatic nerve before and after nervesparing prostatectomy Poster No.: C-2328 Congress: ECR 2012 Type: Scientific Paper Authors:

More information

Diffusion-weighted imaging and ADC mapping in the differentiation of intraventricular brain tumors

Diffusion-weighted imaging and ADC mapping in the differentiation of intraventricular brain tumors Diffusion-weighted imaging and ADC mapping in the differentiation of intraventricular brain tumors Poster No.: C-2652 Congress: ECR 2010 Type: Educational Exhibit Topic: Neuro Authors: M. Gavrilov, T.

More information

Meniscal Tears with Fragments Displaced: What you need to know.

Meniscal Tears with Fragments Displaced: What you need to know. Meniscal Tears with Fragments Displaced: What you need to know. Poster No.: C-1339 Congress: ECR 2015 Type: Authors: Keywords: DOI: Educational Exhibit M. V. Ferrufino, A. Stroe, E. Cordoba, A. Dehesa,

More information

BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation

BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation e-poster: C-118 Congress: ECR 2008 Type: Educational Exhibit Topic: Breast / Ultrasound Authors:

More information

Single cold nodule in Graves' disease: benign vs malignant

Single cold nodule in Graves' disease: benign vs malignant Single cold nodule in Graves' disease: benign vs malignant Poster No.: C-0073 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Paper L. I. Sonoda, M. Halim, K. Balan; Cambridge/UK Head and neck,

More information

Ultrasonic evaluation of superior mesenteric vein in cancer of the pancreatic head

Ultrasonic evaluation of superior mesenteric vein in cancer of the pancreatic head Ultrasonic evaluation of superior mesenteric vein in cancer of the pancreatic head Poster No.: C-1430 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit E. Fisenko, N. Vetsheva, E. Pershina;

More information

Posterior Deep Endometriosis. What is the best approach? Dept Gyn Obst CHU Clermont Ferrand France

Posterior Deep Endometriosis. What is the best approach? Dept Gyn Obst CHU Clermont Ferrand France Posterior Deep Endometriosis What is the best approach? Dept Gyn Obst CHU Clermont Ferrand France Posterior Deep Endometriosis Organs involved - Peritoneum - Uterine cervix - Rectum - Vagina Should we

More information

The imaging evaluation of breast implants

The imaging evaluation of breast implants The imaging evaluation of breast implants Poster No.: C-0654 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Rotaru; Chisinau/MD Neoplasia, Education and training, Cancer, Imaging

More information

Spinal and para-spinal plexiform neurofibromas in NF1 patients, a clinical-radiological correlation study

Spinal and para-spinal plexiform neurofibromas in NF1 patients, a clinical-radiological correlation study Spinal and para-spinal plexiform neurofibromas in NF1 patients, a clinical-radiological correlation study Poster No.: C-1846 Congress: ECR 2015 Type: Scientific Exhibit Authors: M. Mauda-Havakuk, B. Shofty,

More information

Ultrasound assessment of T1 Squamous Cell Carcinomas of the Tongue.

Ultrasound assessment of T1 Squamous Cell Carcinomas of the Tongue. Ultrasound assessment of T1 Squamous Cell Carcinomas of the Tongue. Poster No.: C-2014 Congress: ECR 2015 Type: Educational Exhibit Authors: S. R. Rice, G. Price, L. Firmin, S. Morley, T. Beale; London/UK

More information