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Endometriosis is common among women of reproductive age. Due to its nonspecific clinical picture, a correct diagnosis of endometriosis is especially important in developing an effective treatment plan. Ultrasound and magnetic resonance imaging with correct interpretation, and combined with differential diagnosis, is essential for determining the location and spread of endometriosis, which helps optimize the surgical treatment.

About the Authors

T. A. Gromova
I.M. Sechenov First Moscow State Medical University, Health Ministry of Russian Federation
Russian Federation

Gromova Tatyana Alexandrovna - рost-graduate student, Department of Obstetrics and Gynecology, Faculty of Internal Diseases 

Address: ul. Trubetskaya, 8, str. 2, Moscow, Russia, 119991. лечения. 

S. A. Levakov
I.M. Sechenov First Moscow State Medical University, Health Ministry of Russian Federation
Russian Federation

Levakov Sergey Alexandrovich - MD, Professor, Head of the Department of Obstetrics and Gynecology, Faculty of Internal Diseases 

Address: ul. Trubetskaya, 8, str. 2, Moscow, Russia, 119991. лечения.


T. D. Guriev
I.M. Sechenov First Moscow State Medical University, Health Ministry of Russian Federation
Russian Federation

Guriev Taimuraz Dudayevich - MD, Professor 

Address: ul. Trubetskaya, 8, str. 2, Moscow, Russia, 119991. лечения.



1. Wilbur M.A., Shih I.M., Segars J.H., Fader A.N. Cancer Implications for Patients with Endometriosis. Semin Reprod Med. 2017: 35 (1): 110-6.

2. Kira E.F., Tsvelev Yu.V. Endometrioid disease. Gynecology: a guide for doctors [Ed. V.N. Serova, E.F. Kira]. [Endometrioidnaya bolezn'. Ginekologiya: rukovodstvo dlya vrachej [Pod red. V.N. Serova, E.F. Kira]. M.: Litera, 2008: 840 s (in Russian).

3. Clinical recommendations «Endometriosis: Diagnosis, Treatment and Rehabilitation» (Letter of Health Ministry of Russian Federation, November 22, 2013 № 15-4/10/2-8710)]. [Klinicheskie rekomendacii «Endometrioz: diagnostika, lechenie i reabilitaciya» (pis'mo Ministerstva zdravoohraneniya RF ot 22.11.2013 № 15-4/10/2-8710)]. Moskva, 2013: 91 s (in Russian).

4. Koninckx P.R., Ussia A., Adamyan L., Wattiez A., Donnez J. Deep endometriosis: definition, diagnosis, and treatment. Fertil Steril. 2012; 98 (3): 564-71.

5. Karimi-Zarchi M., Dehshiri-Zadeh N., Sekhavat L., Nosouhi F. Correlation of CA-125 serum level and clinico-pathological characteristic of patients with endometriosis. Int J Reprod Biomed (Yazd). 2016; 14 (11): 713-8.

6. Adamyan L.V., Gasparyan S.A. Genital endometriosis. A modern view on problem. [Genital'nyj ehndometrioz. Sovremennyj vzglyad na problemu]. Stavropol: SGMA, 2002: 228 s (in Russian).

7. Guerriero S., Van Calster B., Somigliana E., Ajossa S., Froyman W., De Cock B., Coosemans A. et al. Age-related differences in the sonographic characteristics of endometriomas. Hum Reprod. 2016; 31 (8): 1723-31.

8. Exacoustos С., Zupi Е., Piccione Е. Ultrasound Imaging for Ovarian and Deep Infiltrating Endometriosis. Semin Reprod Med. 2017; 35 (1): 5-24.

9. Chamie L.P., Blasbalg R., Pereira R.M., Warmbrand G., Serafini P.C. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011; 31 (4): 77-100.

10. Guerriero S., Condous G., van den Bosch T., Valentin L., Leone F.P.G., Van Schoubroeck D. et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. 2016; 48 (3): 318-32.

11. Goncalves M.O., Podgaec S., Dias J.A., Gonzalez M., Abrao M.S. Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy. Hum Reprod. 2010; 25 (3): 665-71.

12. Reid S., Lu C., Hardy N., Casikar I., Reid G., Cario G., Chou D. Office gel sonovaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study. Ultrasound Obstet Gynecol. 2014; 44 (6): 710-18.

13. Benacerraf B.R., Groszmann Y., Hornstein M.D., Bromley B. Deep infiltrating endometriosis of the bowel wall: the comet sign. J Ultrasound Med. 2015; 34 (3): 537-42.

14. Guerriero S., Saba L., Ajossa S., Peddes C., Angiolucci M., Perniciano M., Melis G.B., Alcazar J.L. Three-dimensional ultrasonography in the diagnosis of deep endometriosis. Hum Reprod. 2014; 29 (6): 1189-98.

15. Pascual M.A., Guerriero S., Hereter L., Barri-Soldevila P., Ajossa S., Graupera B., Rodriguez I. Three-dimensional sonography for diagnosis of rectovaginal septum endometriosis: interobserver agreement. J Ultrasound Med. 2013; 32 (6): 931-5.

16. Trippia C.H., Zomer M.T., Terazaki C.R., Martin R.L., Ribeiro R., Kondo W. Relevance of imaging examinations in the surgical planning of patients with bowel endometriosis. Clin Med Insights Reprod Health. 2016; 10: 1-8.

17. Pateman K., Holland T.K., Knez J., Derdelis G., Cutner A., Saridogan E. Should a detailed ultrasound examination of the complete urinary tract be routinely performed in women with suspected pelvic endometriosis? Hum Reprod. 2015; 30 (12): 2802-7.

18. Pateman K., Mavrelos D., Hoo W.L., Holland T., Naftalin J., Jurkovic D. Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol. 2013; 41 (6): 696-701.

19. Guerriero S., Ajossa S., Minguez J.A., Jurado M., Mais V., Melis G.B., Alcazar J.L. Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in uterosacral ligaments, rectovaginal septum, vagina and bladder: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2015; 46 (5): 534-45.

20. Guerriero S., Ajossa S., Orozco R., Perniciano M., Jurado M., Melis G.B., Alcazar J.L. Diagnostic accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the recto-sigmoid: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2016; 47 (3): 281-9.

21. Bazot M., Bharwani N., Huchon C., Kinkel К., Cunha Т.М., Guerra al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2016. DOI: 10.1007/s00330-016-4673-z.

22. Ito T.E., Abi Khalil E.D., Taffel M., Moawad G.N. Magnetic resonance imaging correlation to intraoperative findings of deeply infiltrative endometriosis. Fertil Steril. 2016; pii: S0015-0282(16): 629473. DOI: 10.1016/j. fertnstert.2016.10.024 [Epub ahead of print].

23. Lopes Dias J., Veloso Gomes F., Lucas R., Cunha T.M. The shading sign: is it exclusive of endometriomas? Abdom Imaging. 2015; 40 (7): 2566-72. DOI: 10.1007/s00261-015-0465-1.

24. Suzuki S., Yasumoto M., Matsumoto R., Andoh A. MR findings of ruptured endometrial cyst: comparison with tubo-ovarian abscess. Eur J Radiol. 2012; 81 (11): 3631-7.

25. Tanaka Y.O., Okada S., Yagi T., Satoh T., Oki A., Tsunoda H. et al. MRI of endometriotic cysts in association with ovarian carcinoma. AJR Am J Roentgenol. 2010; 194 (2): 355-61.

26. Coutinho J.A., Bittencourt L.K., Pires C.E., Junqueira F., Lima C.M., Coutinho E., Domingues M.A., Domingues R.C., Marchiori E. MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 2011; 31 (2): 549-67.

27. Scardapane A., Lorusso F., Bettocchi S., Moschetta M., Fiume M., Vimercati A. et al. Deep pelvic endometriosis: accuracy of pelvic MRI completed by MR colonography. Radiol Med. 2013; 118 (2): 323-38.

28. Fiaschetti V., Crusco S., Meschini A., Cama V., Di Vito L., Marziali M. et al. Deeply infiltrating endometriosis: evaluation of retro-cervical space on MRI after vaginal opacification. Eur J Radiol. 2012; 81 (11): 3638-45.

29. Thomeer M.G., Steensma A.B., van Santbrink E.J., Willemssen F.E., Wielopolski P.A. et al. Can magnetic resonance imaging at 3.0-Tesla reliably detect patients with endometriosis? Initial results. J Obstet Gynaecol Res. 2014; 40 (4): 1051-8.

30. Valentini A.L., Gui B., Micco M., Mingote M., Ninivaggi V., Guido M. et al. How to improve MRI accuracy in detecting deep infiltrating colorectal endometriosis: MRI findings vs. laparoscopy and histopathology. Radiol Med. 2014; 119: 291-7.

31. Macario S., Chassang M., Novellas S., Baudin G., Delotte J., Toullalan O., Chevallier P. The value of pelvic MRI in the diagnosis of posterior cul-de-sac obliteration in cases of deep pelvic endometriosis. AJR Am J Roentgenol. 2012; 199 (6): 1410-5.

32. Kikuchi I., Kuwatsuru R., Yamazaki K., Kumakiri J., Aoki Y., Takeda S. Evaluation of the usefulness of the MRI jelly method for diagnosing complete cul-de-sac obliteration. BioMed Res Int. 2014; 2014: 437962.

33. Scardapane A., Bettocchi S., Lorusso F. et al. Diagnosis of colorectal endometriosis: contri-bution of contrast enhanced MR-colonography. Eur Radiol. 2011; 21 (7): 1553-63.

34. Baggio S., Zesshin A., Pomini P. et al. The Role of Computed Tomography Colonography in Detecting Bowel Involvement in Women With Deep Infiltrating Endometriosis: Comparison With Clinical History, Serum Ca125, and Transvaginal Sonography. J Comput Assist Tomogr. 2016; 40 (6): 886-91.

35. Rousset P., Peyron N., Charlot M., Chateau F., Golfier F., Raudrant D. et al. Bowel endometriosis: preoperative diagnostic accuracy of 3.0-T MR enterography-initial results. Radiology. 2014; 273 (1): 117-24.

36. Gutzeit A., Binkert C.A., Koh D.M., Hergan K., von Weymarn C., Graf N. et al. Evaluation of the antiperistaltic effect of glucagon and hyoscine on the small bowel: comparison of intravenous and intramuscular drug administration. Eur Radiol. 2012; 22 (6): 1186-94.

37. Chamie L.P., Pereira R.M., Zanatta A., Serafini P.C. Transvaginal US after bowel preparation for deeply infiltrating endometriosis: protocol, imaging appearances, and laparoscopic correlation. Radiographics. 2010; 30 (5): 1235-49.

38. Chassang M., Novellas S., Bloch-Marcotte C., Delotte J., Toullalan O., Bongain A., Chevallier P. Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis. Eur Radiol. 2010; 20 (4): 1003-10.

39. Adamyan L.V., Sonova M.M., Tikhonova E.S., Antonova S.O. Medical and social aspects of genital endometriosis. [Medicinskie i social'nye aspekty genital'nogo ehndometrioza]. Problemy reprodukcii. 2011; 6: 78-81 (in Russian).

40. Rogers P.A., D’Hooghe T.M., Fazleabas A., Giudice L.C., Montgomery G.W., Petraglia F., Taylor R.N. Defining future directions for endometriosis research: workshop report from the 2011 World Congress of Endometriosis in Montpellier, France. Reprod Sci. 2013; 20: 483-99.


For citations:

Gromova T.A., Levakov S.A., Guriev T.D. ROLE OF ULTRASOUND AND MAGNETIC RESONANCE IMAGING IN DIAGNOSIS OF OVARIAN AND DEEP ENDOMETRIOSIS. Obstetrics, Gynecology and Reproduction. 2017;11(2):50-56. (In Russ.)

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)