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Evaluation of the Usefulness of the MRI Jelly Method for Diagnosing Complete Cul-de-Sac Obliteration
Joint Authors
Kikuchi, Iwaho
Yamazaki, Kana
Kuwatsuru, Ryohei
Kumakiri, Jun
Aoki, Yoichi
Takeda, Satoru
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
We conducted a single-center study to evaluate the usefulness of the magnetic resonance (MR) imaging jelly method for diagnosing endometriosis-associated adhesions in the Pouch of Douglas.
Methods.
Thirty women with menstrual pain, dyspareunia, and chronic pelvic pain were enrolled in the study.
All had been scheduled for laparoscopic surgery on the basis of pelvic and/or ultrasonographic (US) evaluation.
All underwent MR imaging both with and without application of US jelly to the vagina and rectum.
The images were compared and analyzed postsurgically in a random and blinded fashion by a radiology specialist and a radiology fellow.
The radiologists’ interpretations of the images were compared to the surgical findings recorded on DVDs.
Results.
Adhesions in the Pouch of Douglas were found in 21 patients.
The sensitivity and specificity of MR imaging without jelly administration were 85.7% and 55.6%, respectively, for the specialist and 81.0% and 55.6%, respectively, for the fellow; with jelly administration, values were 95.2% and 88.9% for the specialist and 90.5% and 66.7% for the fellow.
Opacity produced by the jelly increased the sensitivity and specificity for both radiologists.
Conclusion.
The MRI jelly method is a potentially useful, beneficial, and simple approach for diagnosing Pouch of Douglas adhesions.
American Psychological Association (APA)
Kikuchi, Iwaho& Kuwatsuru, Ryohei& Yamazaki, Kana& Kumakiri, Jun& Aoki, Yoichi& Takeda, Satoru. 2014. Evaluation of the Usefulness of the MRI Jelly Method for Diagnosing Complete Cul-de-Sac Obliteration. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-472315
Modern Language Association (MLA)
Kikuchi, Iwaho…[et al.]. Evaluation of the Usefulness of the MRI Jelly Method for Diagnosing Complete Cul-de-Sac Obliteration. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-472315
American Medical Association (AMA)
Kikuchi, Iwaho& Kuwatsuru, Ryohei& Yamazaki, Kana& Kumakiri, Jun& Aoki, Yoichi& Takeda, Satoru. Evaluation of the Usefulness of the MRI Jelly Method for Diagnosing Complete Cul-de-Sac Obliteration. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-472315
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472315