CT Pelvis Without and With IV Contrast There is no relevant literature to support the use of pelvic CT without and with IV contrast for patients with endometriosis diagnosis established by surgery and new or ongoing symptoms. CT Pelvis Without IV Contrast There is no relevant literature to support the use of pelvic CT without IV contrast for patients with endometriosis diagnosis established by surgery and new or ongoing symptoms. MRI Pelvis Without and With IV Contrast MRI pelvis is known to be an excellent modality for detecting endometriosis. An imaging review paper describes findings that may be seen postoperatively, including susceptibility artifacts related to surgical material and fibrotic adhesions that appear as linear hypointense bands on T2-weighted images with signal intensity lower than that is seen with endometriosis [110]. Semicircular suture may be seen along the anterior rectosigmoid wall in patients Endometriosis who have undergone discoid resection. Bladder volumes may be decreased, and the bladder contour may be irregular following partial cystectomy for endometriosis lesion resection [110]. MRI Pelvis Without IV Contrast MRI pelvis without IV contrast is known to be an excellent modality for detecting and mapping endometriosis as summarized in the preceding paragraph; however, there are little data on the use of MRI without IV contrast to evaluate patients with ongoing or new symptoms following laparoscopy. IV contrast can be helpful in diagnosing other causes for recurrent symptoms in the postoperative time period. US Pelvis Transabdominal There are no data describing the use of transabdominal pelvic US to evaluate for endometriosis in patients with ongoing or new symptoms following surgery. As in the preoperative setting, it is possible that larger ovarian endometriomas could be detected by transabdominal US, but many of the structures involved by superficial and DE are not well seen by transabdominal US technique alone.
Endometriosis. CT Pelvis Without and With IV Contrast There is no relevant literature to support the use of pelvic CT without and with IV contrast for patients with endometriosis diagnosis established by surgery and new or ongoing symptoms. CT Pelvis Without IV Contrast There is no relevant literature to support the use of pelvic CT without IV contrast for patients with endometriosis diagnosis established by surgery and new or ongoing symptoms. MRI Pelvis Without and With IV Contrast MRI pelvis is known to be an excellent modality for detecting endometriosis. An imaging review paper describes findings that may be seen postoperatively, including susceptibility artifacts related to surgical material and fibrotic adhesions that appear as linear hypointense bands on T2-weighted images with signal intensity lower than that is seen with endometriosis [110]. Semicircular suture may be seen along the anterior rectosigmoid wall in patients Endometriosis who have undergone discoid resection. Bladder volumes may be decreased, and the bladder contour may be irregular following partial cystectomy for endometriosis lesion resection [110]. MRI Pelvis Without IV Contrast MRI pelvis without IV contrast is known to be an excellent modality for detecting and mapping endometriosis as summarized in the preceding paragraph; however, there are little data on the use of MRI without IV contrast to evaluate patients with ongoing or new symptoms following laparoscopy. IV contrast can be helpful in diagnosing other causes for recurrent symptoms in the postoperative time period. US Pelvis Transabdominal There are no data describing the use of transabdominal pelvic US to evaluate for endometriosis in patients with ongoing or new symptoms following surgery. As in the preoperative setting, it is possible that larger ovarian endometriomas could be detected by transabdominal US, but many of the structures involved by superficial and DE are not well seen by transabdominal US technique alone.