{"paper_id":"91f5b937-c3e2-46c5-9cf2-72b450bb5c0c","body_text":"ECR 2026 / C-25712\nMeta-Analysis of MRI in Assessment of Endometriosis\nCongress:\nECR 2026\nPoster Number:\nC-25712\nType:\nScientific Exhibit\nKeywords:\nGenital / Reproductive system female, MR, Diagnostic procedure, Obstetrics\nAuthors:\nY. A. Sliem, Y. A. Sliem, Y. A. Sliem, M. A. Shaaban\nDOI:\n10.26044/ecr2026/C-25712\nPurpose\nBackground and Clinical ProblemEndometriosis is a chronic gynecological disease characterized by the presence of endometrial glands and stroma outside the uterine cavity. It affects approximately 10% of women of reproductive age and up to 30–50% of women with infertility or chronic pelvic pain. Despite its high prevalence, endometriosis remains underdiagnosed, with an average diagnostic delay ranging from 6 to 10 years. This delay is primarily related to non-specific clinical symptoms, variable disease distribution, and limitations of conventional diagnostic approaches.Laparoscopy with histopathological confirmation has traditionally been...\nMethods and materials\nMaterials and MethodsStudy DesignA systematic review and meta-analysis conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.Literature Search StrategyA comprehensive search of PubMed, Embase, Scopus, and Cochrane Library databases was performed. The search strategy included combinations of the following keywords:\n\"Endometriosis\"\n\"Magnetic Resonance Imaging\" OR \"MRI\"\n\"Deep infiltrating endometriosis\"\n\"Diagnostic accuracy\"\n\"Sensitivity\" AND \"Specificity\"\nThe search was limited to English-language studies involving human subjects.Eligibility CriteriaInclusion criteria:\nOriginal studies evaluating MRI for the diagnosis of endometriosis\nUse of surgical and/or histopathological...\nResults\nResultsStudy SelectionA total of 1,243 records were identified through database searching. After removal of duplicates and screening, 42 studies met the inclusion criteria, encompassing over 4,800 patients.Figure 1. PRISMA Flow Diagram(Flow chart illustrating study selection process)Overall Diagnostic Performance of MRIThe pooled diagnostic accuracy of MRI for detecting any form of endometriosis demonstrated high performance:\nPooled sensitivity: 88% (95% CI: 85–91%)\nPooled specificity: 90% (95% CI: 87–93%)\nDiagnostic odds ratio: 65.4\nAUC (SROC): 0.93\nFigure 2. Forest Plot of Sensitivity and Specificity(Graphical representation of pooled diagnostic...\nConclusion\nMRI demonstrates high diagnostic accuracy for the assessment of endometriosis, particularly deep infiltrating and ovarian subtypes. This meta-analysis supports MRI as an essential component of the diagnostic pathway, enabling non-invasive, comprehensive disease evaluation and optimized patient management.\nPersonal information and conflict of interest\nY. A. Sliem:\nAuthor: author\nSpeaker: researcher\nSpeaker: author\nM. A. Shaaban:\nAuthor: researcher\nAuthor: author\nReferences\nReferences\nZondervan KT, Becker CM, Missmer SA.Endometriosis.N Engl J Med. 2020;382:1244–1256.\nBazot M, Daraï E.Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques.Fertil Steril. 2017;108(6):886–894.\nKinkel K, Chapron C, Balleyguier C, Fritel X.Magnetic resonance imaging characteristics of deep endometriosis.Hum Reprod. 2019;34(6):1037–1048.\nThomassin-Naggara I, et al.Added value of MRI for the diagnosis of pelvic endometriosis: correlation with surgical findings.Radiology. 2020;296(3):583–593.\nCoutinho A Jr, et al.MR imaging in deep pelvic endometriosis: a pictorial review.Radiographics. 2018;38(2):549–567.\nNisenblat V, et al.Accuracy of non-invasive diagnostic tests...","source_license":"CC0","license_restricted":false}