Recommendations for MRI technique in the evaluation of pelvic endometriosis: consensus statement from the Society of Abdominal Radiology endometriosis disease-focused panel

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The Society of Abdominal Radiology's endometriosis panel reviewed literature and expertise to offer technical recommendations for optimizing pelvic MRI in endometriosis evaluation.

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This consensus statement from the Society of Abdominal Radiology endometriosis disease-focused panel reviewed the literature and incorporated panel experience to provide technical MRI pelvis recommendations for evaluating pelvic endometriosis, motivated by the invasive diagnostic laparoscopy gold standard. It summarizes evidence for MRI’s diagnostic usefulness and preoperative planning role and uses this information to optimize aspects of pelvic MRI acquisition, including practical considerations intended to improve image quality. The major caveat is that the recommendations are derived from heterogeneous published studies and expert experience rather than from a single standardized comparative trial. This paper is centrally about endometriosis — it provides consensus, protocol-level MRI technique recommendations for pelvic endometriosis evaluation.

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Abstract

Endometriosis is a common entity causing chronic pain and infertility in women. The gold standard method for diagnosis is diagnostic laparoscopy, which is invasive and costly. MRI has shown promise in its ability to diagnose endometriosis and its efficacy for preoperative planning. The Society of Abdominal Radiology established a Disease-Focused Panel (DFP) to improve patient care for patients with endometriosis. In this article, the DFP performs a literature review and uses its own experience to provide technical recommendations on optimizing MRI Pelvis for the evaluation of endometriosis.
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Abstract

Endometriosis is a common entity causing chronic pain and infertility in women. The gold standard method for diagnosis is diagnostic laparoscopy, which is invasive and costly. MRI has shown promise in its ability to diagnose endometriosis and its efficacy for preoperative planning. The Society of Abdominal Radiology established a Disease-Focused Panel (DFP) to improve patient care for patients with endometriosis. In this article, the DFP performs a literature review and uses its own experience to provide technical recommendations on optimizing MRI Pelvis for the evaluation of endometriosis. Similar content being viewed by others

References

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Acknowledgements

The authors thank Sonia Watson, PhD for assistance with formatting the images. Author information Authors and Affiliations Corresponding author Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Tong, A., VanBuren, W.M., Chamié, L. et al. Recommendations for MRI technique in the evaluation of pelvic endometriosis: consensus statement from the Society of Abdominal Radiology endometriosis disease-focused panel. Abdom Radiol 45, 1569–1586 (2020). https://doi.org/10.1007/s00261-020-02483-w Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00261-020-02483-w

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mesh:D004715endometriosisinfertility

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Endometriosis Endometriosis Radiology Female Humans Magnetic Resonance Imaging Radiography

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