Chamié Imagem da Mulher

Chamié Imagem da Mulher Centro de diagnóstico ultrassonográfico especializado em imagem da mulher
Diagnostico e mapeamento Centro de referência no diagnóstico de endometriose profunda

É com grande satisfação que comunicamos a entrada da Dra. Marcela Caetano Vilela Lauar em nosso time de especialistas em...
23/09/2025

É com grande satisfação que comunicamos a entrada da Dra. Marcela Caetano Vilela Lauar em nosso time de especialistas em imagem da endometriose, pelve feminina e imagem mamária especializada.A Dra. Marcela iniciará suas atividades conosco em fevereiro de 2026, após concluir mais um fellowship em endometriose e imagem avançada da mama no Service IRIS – Hospital Tenon, Sorbonne Université, sob a mentoria da querida amiga e expert . Querida Marcela, seja muito bem-vinda!

Dra Marcela Caetano Vilela Lauar, CRM-SP 202017, RQE 121050

Médica pela Faculdade de Medicina de Marília (FAMEMA), radiologista pelo Hospital Beneficência Portuguesa de São Paulo (BP), fellowship (R4) em Imagem da Mulher pelo Hospital Beneficência Portuguesa de São Paulo (BP) e fellowship em Imagem da mama avançado (R5) pelo Hospital Israelita Albert Einstein. .radiologia .analuisanicola

Coming soon in RadioGraphics:“Imaging of Deep Endometriosis Involving Lateral Pelvic Structures”This article is an essen...
20/09/2025

Coming soon in RadioGraphics:
“Imaging of Deep Endometriosis Involving Lateral Pelvic Structures”

This article is an essential complement to our previous publication in Abdominal Radiology, “Imaging Anatomy of the Lateral Pelvic Compartment Applied to Endometriosis”, where we detailed the complex anatomy of the female lateral pelvis.

In this new work, we highlight the clinical relevance of deep endometriosis affecting lateral pelvic structures, the imaging findings across TVUS and MRI, and the surgical challenges and nuances for each structure involved.

I am deeply grateful to this incredible team of friends—world-class experts in endometriosis imaging—who worked tirelessly to produce an article of outstanding quality, and to RadioGraphics for the opportunity. .radiologia

Stay tuned!

Tribute to Paulo Cesar Serafini, MD PhD This week, the field of reproductive medicine lost a true giant: Prof. Dr. Paulo...
13/09/2025

Tribute to Paulo Cesar Serafini, MD PhD

This week, the field of reproductive medicine lost a true giant: Prof. Dr. Paulo Cesar Serafini. With a brilliant career, his work transformed the lives of thousands of patients, couples, colleagues, and students who had the privilege of knowing him. His journey in reproductive medicine began as a research fellow at Tulane University, alongside Nobel laureate Prof. Andrew Schally, followed by a residency at the University of Maryland and a fellowship at USC under Drs. Richard Paulson and Roger Lobo. He went on to hold leadership and academic positions at Cedars-Sinai, Huntington Reproductive Center, Pasadena, Huntington Memorial Hospital, and Yale University, before returning to Brazil—where his contributions became inseparable from the very history of reproductive medicine in the country. In Brazil, he founded Huntington Clinic, which expanded from its first center in Vitória to become a national reference in reproductive medicine, with units in São Paulo, Rio de Janeiro, Campinas, Brasília, and, more recently, Minas Gerais and Goiás. Along this journey, Paulo established himself as a symbol of excellence in fertility care and patient-centered practice—building one of the world’s most extensive experiences in genetic testing, surrogacy, and the treatment of endometriosis-related infertility. At the University of São Paulo, he earned his PhD, achieved senior professorship, and directed the Human Reproduction Center. Beyond his academic and clinical achievements, he will be remembered for his deeply human and personalized care—his wide smile, attentive listening, and tireless dedication that accompanied couples through every step of their journey.
As his wife, I had the enormous privilege of sharing life with a brilliant, restless, and visionary mind. The grief is immense, but his legacy will live on forever .oficial

É com imensa tristeza e dor que comunico o falecimento do meu querido e amado Dr. Paulo César Serafini, maravilhoso mari...
08/09/2025

É com imensa tristeza e dor que comunico o falecimento do meu querido e amado Dr. Paulo César Serafini, maravilhoso marido e pai, e brilhante médico e ser humano, ocorrido hoje, em 07 de setembro de 2025.
O velório será realizado amanhã, dia 08 de setembro de 2025, das 9 as 16hs, na Funeral Home, na Rua São Carlos do Pinhal, 376 - Bela Vista, São Paulo - SP.
A cerimônia de cremação será reservada aos familiares.

Um prazer participar da reunião do grupo de US do  e apresentar o “SRU Consensus on Routine US for Endometriosis” para u...
27/08/2025

Um prazer participar da reunião do grupo de US do e apresentar o “SRU Consensus on Routine US for Endometriosis” para uma audiência recorde, com 102 radiologistas, de um time super top em ultrassonografia! Muito obrigada pelo convite e oportunidade .dertkigil .caiado .med 🇧🇷🇧🇷

Postoperative Evaluation of Endometriosis: Opening Pandora’s Box?In clinical practice, what we often call “recurrence” o...
23/08/2025

Postoperative Evaluation of Endometriosis: Opening Pandora’s Box?

In clinical practice, what we often call “recurrence” of endometriosis after surgery is, in most cases, residual disease left behind. Although the literature cites recurrence rates of up to 50% in 5 years, the indolent and chronic progression of deep endometriosis makes this timeframe unrealistic for so many new large lesions to appear.

Many patients undergo multiple laparoscopic surgeries that fail to achieve complete removal, often leaving lesions in the bowel, bladder, vaginal vault, retroperitoneum, or even within the uterine wall.

Why does this happen so frequently? The main reasons are the lack of adequate preoperative imaging mapping, which leads to limited surgical planning, and the absence of a multidisciplinary team. Over the past decade, it has become evident how crucial imaging is for diagnosis, staging, and surgical planning.

For surgeons: avoid operating without proper preoperative mapping. Build constructive partnerships with radiologists—this will rapidly accelerate everyone’s learning curve.
For radiologists: commit to thorough postoperative assessment—review prior imaging, surgical reports or videos, clinical context, and apply dedicated imaging protocols. Whenever possible, combine dedicated ultrasound with MRI-especially for bowel lesions, as they are more accurately detected on US.

In my experience, the Achilles’ heel of treatment is the ovaries: the most common site of true recurrence even in patients without initial endometriomas, and the organ that suffers most in repeated surgeries—through adhesions and, above all, reduced ovarian reserve. This is why the ovaries deserve special attention in postoperative imaging. Careful assessment should include their location, the extent of adhesions, the presence of cysts, and AFC. Particular focus should be placed on the ovarian fossa, since thickening in this region often represents the point of origin for new cysts.

Stress urinary incontinence (SUI) affects up to 50% of women over 40 years worldwide, profoundly impacting quality of li...
20/08/2025

Stress urinary incontinence (SUI) affects up to 50% of women over 40 years worldwide, profoundly impacting quality of life. Synthetic midurethral slings remain the most widely used surgical treatment. While history, physical exam, and urodynamics are the cornerstones of evaluation, translabial ultrasound is gaining prominence as a cost-effective, real-time imaging tool. It enables both anatomical and functional assessment of the lower urinary tract. Crucially, ultrasound allows detailed evaluation of sling positioning and function, and facilitates early detection and management of postoperative complications. Compared to MRI, it is superior for assessing synthetic slings, yet still underutilized in radiology and less familiar to many ultrasound specialists.

In our latest article, we review the role of ultrasound in assessing synthetic midurethral slings—from preoperative planning to postoperative follow-up. A beautiful piece of work and the result of this incredible group’s dedication.

Published in Abdominal Radiology:
https://doi.org/10.1007/s00261-025-05150-0 .radiologia .pelvico

Entrapment byLucianaChamiéBeyond inflicting physical pain, endometriosis wounds the soul—through the weight of infertili...
18/08/2025

Entrapment by
Luciana
Chamié
Beyond inflicting physical pain, endometriosis wounds the soul—through the weight of infertility, the sorrow of miscarriages, and the shadows it casts over love and work. Women not only suffer in her body, but also feels bound, as if imprisoned http://wshe.es/Fy9gSrl0

Ultrasonography is an invaluable tool in the diagnostic workup of infertile patients. Today, I have the pleasure of pres...
08/08/2025

Ultrasonography is an invaluable tool in the diagnostic workup of infertile patients. Today, I have the pleasure of presenting its value to the human reproduction students at Instituto Gera de Ensino e Pesquisa, at the invitation of Ueno

36 yo, infertility for the past 2 years. Endometriosis mapping. Dedicated US  .radiologia .analuisanicola
12/07/2025

36 yo, infertility for the past 2 years. Endometriosis mapping. Dedicated US .radiologia .analuisanicola

I am sharing with you another important work on Endometriosis imaging developed by the DFP of the Society of Abdominal R...
15/04/2025

I am sharing with you another important work on Endometriosis imaging developed by the DFP of the Society of Abdominal Radiology, led by my dear friends and . This review aims to equip radiologists with essential insights into the challenges faced by patients with endometriosis, from infertility diagnosis through postpartum care. Some patients with endometriosis may require surgical intervention or assisted reproductive technologies to conceive. Although many patients who achieve pregnancy have relatively uncomplicated outcomes, complications can still arise during pregnancy and the peripartum period such as: the decidualization of endometriosis implants, with site-specific implications (e.g., decidualized endometrioma mimicking ovarian cancer, decidualized deep endometriosis infiltrating the myometrium leading to uterine rupture, spontaneous hemoperitoneum), placenta previa, preterm labor and premature rupture of membranes, postpartum hemorrhage, or systemic conditions such as hypertensive or coagulation disorders. By enhancing radiologists’ understanding of these aspects and relevant imaging findings, we aspire to improve maternal and fetal outcomes affected by this complex condition. VanBuren, M.D. Kelsey Stewart Rebecca Chun Madison Breiland Burk Michael Neblett Khan Jeannette Lager

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