jUniversity of Michigan, Ann Arbor, Michigan. kMayo Clinic, Rochester, Minnesota. lSpecialty Chair, New York University Medical Center, New York, New York. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Endometriosis less agreement surrounding maneuvers to help improve detection of bowel lesions, including bowel preparation, rectal contrast, fasting, and administration of anti-peristaltic agents [30-34]. Though fluorine-18-2-fluoro-2-deoxy-D-glucose (FDG)-PET/CT has not been studied for the clinical variants described in this paper, a retrospective study showed that endometriosis can be detected on FDG-PET/CT [35]. The radiopharmaceutical fluoroestradiol, an estrogen analog PET agent currently approved for use in patients with metastatic breast cancer, has shown promise as an agent that can be used to detect endometriosis in early clinical trials [36]. OR Discussion of Procedures by Variant Variant 1: Adult. Clinically suspected pelvic endometriosis. Initial imaging. CT Pelvis With IV Contrast There is no relevant literature to support the use of pelvic CT with intravenous (IV) contrast as the initial imaging modality for clinically suspected 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 as the initial imaging modality for clinically suspected endometriosis. CT Pelvis Without IV Contrast There is no relevant literature to support the use of pelvic CT without IV contrast as the initial imaging modality for clinically suspected endometriosis.
Endometriosis. jUniversity of Michigan, Ann Arbor, Michigan. kMayo Clinic, Rochester, Minnesota. lSpecialty Chair, New York University Medical Center, New York, New York. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through representation of such organizations on expert panels. Participation on the expert panel does not necessarily imply endorsement of the final document by individual contributors or their respective organization. Reprint requests to: publications@acr.org Endometriosis less agreement surrounding maneuvers to help improve detection of bowel lesions, including bowel preparation, rectal contrast, fasting, and administration of anti-peristaltic agents [30-34]. Though fluorine-18-2-fluoro-2-deoxy-D-glucose (FDG)-PET/CT has not been studied for the clinical variants described in this paper, a retrospective study showed that endometriosis can be detected on FDG-PET/CT [35]. The radiopharmaceutical fluoroestradiol, an estrogen analog PET agent currently approved for use in patients with metastatic breast cancer, has shown promise as an agent that can be used to detect endometriosis in early clinical trials [36]. OR Discussion of Procedures by Variant Variant 1: Adult. Clinically suspected pelvic endometriosis. Initial imaging. CT Pelvis With IV Contrast There is no relevant literature to support the use of pelvic CT with intravenous (IV) contrast as the initial imaging modality for clinically suspected 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 as the initial imaging modality for clinically suspected endometriosis. CT Pelvis Without IV Contrast There is no relevant literature to support the use of pelvic CT without IV contrast as the initial imaging modality for clinically suspected endometriosis.