The classic imaging diagnosis of endometriomas encounters multiple limitations, including the subjective evaluation of medical examinations and a similar imaging appearance with other adnexal lesions, especially the functional hemorrhagic cysts. For this reason, a definite diagnosis of endometriomas can be made only by pathological analysis, which reveals particular features in terms of cellularity and biochemical components of their fluid content. It is theorized that these histopathological features can also be reflected in medical images, altering the pixel intensity and distribution, but these changes are too subtle to be assessed by the naked eye. New quantitative imaging evaluations and emerging computer-aided diagnosis techniques can provide a detailed description of image contents that can be furtherly processed by algorithms, aiming to provide a more accurate and non-invasive diagnosis for this disease.
Part of the book: Endometriosis