title: Multislice computed tomography with colon water distension (MSCT-c) in the study of intestinal and ureteral endometriosis.
abstract: This study evaluates retrospectively the accuracy and reproducibility of multislice computed tomography with colon water distension (MSCT-c) in diagnosing bowel (BE) and ureteral (UE) endometriosis. Sixty-four patients underwent MSCT-c and videolaparoscopic surgery. Two radiologists reviewed MSCT-c examinations: sensitivity and specificity were calculated, considering histological exam as reference standard. In the BE cases, the degree of bowel wall infiltration was also assessed. Sensitivity and specificity for both readers were 100% and 97.6% for BE and 72.2% and 100% for UE; the interobserver agreement was excellent. The degree of bowel wall involvement was correctly defined in 90.9% of cases. MSCT-c is an accurate and reproducible technique but-considering the age of the patients-delivers a nonnegligible radiation dose.
authors.affiliation: Department of Radiology, University Hospital, Varese, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: Iosca
authors.forename: Domenico
authors.initials: D
authors.lastname: Lumia
authors.forename: Elena
authors.initials: E
authors.lastname: Bracchi
authors.forename: Ejona
authors.initials: E
authors.lastname: Duka
authors.forename: Monica
authors.initials: M
authors.lastname: De Bon
authors.forename: Manjola
authors.initials: M
authors.lastname: Lekaj
authors.forename: Stefano
authors.initials: S
authors.lastname: Uccella
authors.forename: Fabio
authors.initials: F
authors.lastname: Ghezzi
authors.forename: Carlo
authors.initials: C
authors.lastname: Fugazzola
mesh_terms: D000328:Adult; D003106:Colon / Q000000981:diagnostic imaging; D004715:Endometriosis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007422:Intestines / Q000000981:diagnostic imaging; D008875:Middle Aged; D061330:Multidetector Computed Tomography / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014513:Ureter / Q000000981:diagnostic imaging; D014591:Uterine Diseases / Q000000981:diagnostic imaging*; D014867:Water
chemical_list: D014867:Water
keywords: Bowel endometriosis; CT colonography; CT urography; Deep endometriosis; Ureteral endometriosis