Identifying deep infiltrating endometriosis (DIE) through preoperative MRI is crucial for assessing surgical difficulty before hysterectomy in patients with adenomyosis.
*In a study of 54 patients, specific MRI findings were evaluated for their effectiveness in predicting DIE, with intestinal tethering and faint strands proving to be the most reliable indicators.
*Although some findings, like a retroflexed uterus, were not helpful, others demonstrated varying levels of sensitivity and specificity, emphasizing the importance of thorough preoperative imaging.