Can New ENZIAN Score 2020 Represent a Staging System Improving MRI Structured Report?

Lucia Manganaro, Veronica Celli, Miriam Dolciami, Roberta Ninkova, Giada Ercolani, Sandra Ciulla, Corrado De Vito, Stefania Rizzo, Maria Grazia Porpora, Carlo Catalano
International journal of environmental research and public health · 2021 · vol. 18(19) , pp. 9949 · doi:10.3390/ijerph18199949 · PMID:34639248 · W3199083209
article OA: gold CC0 ⤵ 19 in-corpus citations
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This study evaluated the feasibility and interobserver agreement of the ENZIAN score 2020 for MRI in endometriosis, proposing a modified score to address imaging limitations.

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Abstract

Structured reporting systems for endometriotic disease are gaining a central role in diagnostic imaging: our aim is to evaluate applicability and the feasibility of the recent ENZIAN score (2020) assessed by MRI. A total of 60 patients with suspected tubo-ovarian/deep endometriosis were retrospectively included in our study according to the following criteria: availability of MR examination; histopathological results from laparoscopic or surgical treatment; patients were not assuming estro-progestin or progestin therapy. Three different readers (radiologists with 2-, 5-, and 20-years of experience in pelvic imaging) have separately assigned a score according to the ENZIAN score (revised 2020) for all lesions detected by magnetic resonance imaging (MRI). Our study showed a high interobserver agreement and feasibility of the recent ENZIAN score applied to MRI; on the other hand, our experience highlighted some limitations mainly due to MRI's inability to assess tubal patency and mobility, as required by the recent score (2020). In view of the limitations which arose from our study, we propose a modified MRI-ENZIAN score that provides a complete structured reporting system, more suitable for MRI. The high interobserver agreement of the recent ENZIAN score applied to MRI confirms its validity as a complete staging system for endometriosis, offering a shared language between radiologists and surgeons.

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Outcome instruments

Enzian

Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Female Humans Magnetic Resonance Imaging Pelvis Retrospective Studies

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 (38)

Cited by (19)

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