クマキリ　ジユン   熊切　順    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Evaluation of the usefulness of the MRI jelly method for diagnosing complete cul-de-sac obliteration.
掲載誌名	正式名：BioMed research international 略　 称：Biomed Res Int ISSNコード：23146141
掲載区分	国外
巻・号・頁	2014,pp.437962
著者・共著者	Kikuchi Iwaho, Kuwatsuru Ryohei, Yamazaki Kana, Kumakiri Jun, Aoki Yoichi, Takeda Satoru
発行年月	2014/04
概要	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.
DOI	10.1155/2014/437962
PMID	24812616