Protocolo de ressonância magnética na avaliação pré-operatória da endometriose profunda

Kairo Alexandre Alves Silveira
In: Universidade Estadual de Campinas · 2021 · doi:10.47749/t/unicamp.2021.1166614 · W4388868423
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This integrative review analyzed 119 articles to develop an evidence-based MRI protocol for diagnosing and preoperatively evaluating deep endometriosis, prioritizing techniques with the highest level of evidence.

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Abstract

Introduction: Introduction: Endometriosis is an inflammatory disease that affects about 10% of women of reproductive age.Magnetic resonance imaging is of increasing importance in these patients, especially considering the successive technical advances that enable a comprehensive morphological and functional evaluation, helping in the non-invasive diagnosis of deep endometriosis and allowing the best treatment to be indicated.However, there is disagreement as to the ideal protocol for image acquisition.Objective: To describe, based on the best available evidence, an MRI protocol for the diagnosis and preoperative evaluation of deep endometriosis.Methods: An integrative review of the scientific literature was carried out using keywords and their synonyms in the Pubmed, EMBASE, BVS Bireme, Cochrane, Scopus and Web of Science databases.The research included articles published between Jan / 2000 and Dec / 2020 in Portuguese and English.Two independent researchers selected potentially relevant articles using predetermined inclusion and exclusion criteria.The articles selected by consensus by both researchers were included in the analysis.Disagreeing articles were excluded.The main data about the article and the used MRI protocols were extracted and plotted in the form of a database.A critical analysis of the prevalence of each of the technical particularities involved in the protocol was carried out, as well as the level of evidence that supports each option.After this first phase, we developed a protocol adapted to the local reality, in order to optimize the management of available resources, including issues such as costs and the number of patients potentially benefited.Results:The search strategy retrieved 3478 articles.Selection by titles and abstracts resulted in a total of 439 titles.Subsequently, after a complete reading of the texts, 119 articles were finally included.The minority of papers dealt specifically with the issue of protocols (48/119).The controversies of the protocol were tabulated and organized according to the level of evidence.Institutional protocol: the institutional protocol was developed based on the opposition of divergences.For the decision of one method or technique over another, we opted for the techniques with the best level of evidence and also considered those most commonly used in the included works.Finally, we adapt to the local reality, considering any limitations and particularities.

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (72)

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