{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T14:07:44Z","timestamp":1758809264923},"reference-count":26,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2021,5,23]],"date-time":"2021-05-23T00:00:00Z","timestamp":1621728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian Journal of Radiology and Imaging"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Endometriosis is a major cause of infertility and pain in females in the reproductive age group. It is a result of ectopic functional endometrial cells outside the uterus. It consists of a spectrum of findings from superficial to deep implants initiating a fibrotic response and resulting in adhesions. Diagnosis of endometriosis is based on clinical history, noninvasive and invasive techniques. The final diagnosis is based on laparoscopy with histopathological confirmation. Ultrasonography is the first line of investigation, followed by magnetic resonance imaging (MRI) in complex cases. MRI is a noninvasive, multiplanar technique that involves no radiation and provides excellent delineation of the disease process. As deep endometriosis has a similar low signal to adjacent normal organs, it can be easily overlooked by radiologists. They should be aware of the spectrum of diseases so as to provide a roadmap for the surgeons. A structured reporting system helps radiologists organize and standardize their reports.<\/jats:p>","DOI":"10.1055\/s-0041-1729670","type":"journal-article","created":{"date-parts":[[2021,5,23]],"date-time":"2021-05-23T23:03:57Z","timestamp":1621811037000},"source":"Crossref","is-referenced-by-count":3,"title":["Endometriosis and Its Myriad Presentations: Magnetic Resonance Imaging-Based Pictorial Review"],"prefix":"10.1055","author":[{"given":"Seema","family":"Sud","sequence":"additional","affiliation":[{"name":"Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarvinder Bir Singh","family":"Buxi","sequence":"additional","affiliation":[{"name":"Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapnil","family":"Sheth","sequence":"additional","affiliation":[{"name":"Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samarjit Singh","family":"Ghuman","sequence":"additional","affiliation":[{"name":"Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,5,23]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.ejrad.2014.12.017","article-title":"Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score","volume":"84","author":"V Di Paola","year":"2015","journal-title":"Eur J Radiol"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1148\/radiographics.21.1.g01ja14193","article-title":"Endometriosis: radiologic-pathologic correlation","volume":"21","author":"P J Woodward","year":"2001","journal-title":"Radiographics"},{"key":"ref3","first-page":"149","article-title":"Endometriosis MRI: pictographic review","volume":"18","author":"A F Javiera","year":"2012","journal-title":"Rev Chil Radiol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1148\/rg.312105144","article-title":"MR imaging in deep pelvic endometriosis: a pictorial essay","volume":"31","author":"J r Coutinho A","year":"2011","journal-title":"Radiographics"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1148\/rg.2019190045","article-title":"Transvaginal US of endometriosis: looking beyond the endometrioma with a dedicated protocol","volume":"39","author":"B G Collins","year":"2019","journal-title":"Radiographics"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"2765","DOI":"10.1007\/s00330-016-4673-z","article-title":"European Society of Urogenital Radiology (ESUR) guidelines: MR imaging of pelvic endometriosis","volume":"27","author":"M Bazot","year":"2017","journal-title":"Eur Radiol"},{"issue":"S 06","key":"ref7","doi-asserted-by":"crossref","first-page":"WS34","DOI":"10.2214\/AJR.07.7142","article-title":"Unusual manifestations and complications of endometriosis\u2013spectrum of imaging findings: pictorial review","volume":"194","author":"G L Bennett","year":"2010","journal-title":"AJR Am J Roentgenol"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1148\/radiol.2241010361","article-title":"The shading sign","volume":"224","author":"C M Glastonbury","year":"2002","journal-title":"Radiology"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1016\/j.clinimag.2015.05.003","article-title":"The utility of diffusion-weighted magnetic resonance imaging in differentiation of endometriomas from hemorrhagic ovarian cysts","volume":"39","author":"M Balaban","year":"2015","journal-title":"Clin Imaging"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s13244-017-0591-0","article-title":"Endometriosis: clinical features, MR imaging findings and pathologic correlation","volume":"9","author":"P V Foti","year":"2018","journal-title":"Insights Imaging"},{"key":"ref11","first-page":"1","article-title":"Clinical anatomy of the female pelvis. 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