Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis

Luciana Pardini Chamié, Chamié LP, Luciana P Chamié, Blasbalg R, Roberto Blasbalg, Manoel O C Gonçalves, Gonçalves MO, M. O. C. Gonçalves, Filomena M Carvalho, Filomena Marino Carvalho, Abrão MS, Maurício S Abrão, Maurício Simões Abrão, Ilka S. de Oliveira, de Oliveira IS
International Journal of Gynecology & Obstetrics · 2009 · vol. 106(3) , pp. 198–201 · doi:10.1016/j.ijgo.2009.04.013 · PMID:19467541 · W2075206407
Diagnostic accuracy OA: closed CC0 ⤵ 100 in-corpus citations
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This study evaluated MRI's accuracy for diagnosing deeply infiltrating endometriosis, finding high accuracy in the retrocervical space, rectosigmoid, bladder, ureters, and vagina compared to surgical and histopathology findings.

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Abstract

OBJECTIVE: To evaluate the accuracy of preoperative magnetic resonance imaging (MRI) findings relative to surgical presence of deeply infiltrating endometriosis (DIE). METHODS: This prospective study included 92 women with clinical suspicion of DIE. The MR images were compared with laparoscopy and pathology findings. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of MRI for diagnosis of DIE were assessed. RESULTS: DIE was confirmed at histopathology in 77 of the 92 patients (83.7%). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of MRI to diagnose DIE at each of the specific sites evaluated were as follows: retrocervical space (89.4%, 92.3%, 96.7%, 77.4%, 90.2%); rectosigmoid (86.0%, 92.9%, 93.5%, 84.8%, 89.1%); bladder (23.1%, 100%, 100%, 88.8%, 89.1%); ureters (50.0%, 100%, 95.5%, 95.7%); and vagina (72.7%, 100%, 100%, 96.4%, 96.7%). CONCLUSION: MRI demonstrates high accuracy in diagnosing DIE in the retrocervical region, rectosigmoid, bladder, ureters, and vagina.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Abdominal Cavity Endometriosis Magnetic Resonance Imaging Magnetic Resonance Imaging Abdominal Cavity Abdominal Cavity Adult Adult Cross-Sectional Studies Cross-Sectional Studies Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Middle Aged

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (22)

Cited by (50)

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