症例 challenge · Imaging / Gynecology / MRI · teaching

Deep Endometriosis Imaging (#Enzian) · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on #Enzian 2021 / IDEA

Case #1Imaging / Gynecology / MRI

📋 Case data

TVUS/MRI localizationDeep multi-compartment involvement (uterosacral/rectovaginal septum/bowel/bladder/ureter)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · TVUS/MRI localization

TVUS/MRI localization (by #Enzian compartments)?

💡 DIE = invasion >5 mm. MRI is best for localization/preoperative staging: T2-low fibrous nodules/plaques with stellate margins; small T1/T2 high-signal foci = ectopic glands; T1 fat-suppressed to find endometriomas (T1-bright, T2 shading). TVUS (IDEA consensus) is comparable to MRI for the rectosigmoid/uterosacral/rectovaginal septum.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.