The ENZIAN score as a preoperative MRI-based classification instrument for deep infiltrating endometriosis

Laurin Burla, David Scheiner, Eleftherios Pierre Samartzis, Stefan Seidel, Markus Eberhard, Daniel Fink, Andreas Boss, Patrick Imesch
Archives of gynecology and obstetrics · 2019 · vol. 300(1) , pp. 109–116 · doi:10.1007/s00404-019-05157-1 · PMID:30980276 · W2935869923
article OA: closed CC0 ⤵ 49 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study compared preoperative MRI findings using the ENZIAN score to intraoperative results in 63 deep infiltrating endometriosis patients, finding good correlation and high sensitivity for several locations.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective two-center study evaluated whether preoperative pelvic MRI findings, classified using the ENZIAN score, matched intraoperative findings in 63 patients with deep infiltrating endometriosis who had surgery between 2012 and 2016 and had preoperative pelvic MRI plus intraoperative/bioptic confirmation. MRI accuracy was assessed by comparing ENZIAN score-based MRI results with surgical findings and by analyzing the diagnostic value of different MRI sequences using a Likert scale. The study reported high sensitivity and negative predictive values for several lesion locations (e.g., vaginal/rectovaginal space, rectum/sigmoid colon, bladder), while performance varied by compartment, including uterine myometrium and uterosacral ligaments; additionally, T2 axial and sagittal sequences combined with a T1 sequence were considered diagnostically sufficient. The authors explicitly note that sequence variations created considerable difficulty and poorer comparability, motivating MRI protocol standardization to improve diagnostic validity; This paper is centrally about endometriosis — it focuses on using the ENZIAN score to classify deep infiltrating endometriosis from preoperative MRI and compare it with intraoperative findings.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Magnetic Resonance Imaging Adult Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Preoperative Care Retrospective Studies

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