Mild endometriosis of the uterosacral ligaments: a retrospective study of magnetic resonance imaging performance for diagnosis

Margaux Stoppa, Stoppa M, Agostini A, Aubert Agostini, Audrey Pivano, Pivano A, Pascale Siles, Siles P, Lisa Calderon, Calderon L, A Netter, Antoine Netter
Reproductive BioMedicine Online · 2023 · vol. 46(6) , pp. 947–955 · doi:10.1016/j.rbmo.2023.03.002 · PMID:37068977 · W4323363052
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

This retrospective study evaluated the performance of magnetic resonance imaging in diagnosing mild endometriosis of the uterosacral ligaments.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

I can’t summarize this paper because the provided “paper body” contains only a website anti-bot/proof-of-work block message rather than the study’s methods, results, or stated limitations. Therefore, there is no accessible content describing the population, MRI performance metrics, or diagnostic findings for mild endometriosis of the uterosacral ligaments. This paper is centrally about endometriosis — specifically, it is titled and framed as a retrospective MRI performance study for diagnosing mild endometriosis of the uterosacral ligaments, though the actual study details were not included in the text I received.

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Abstract

RESEARCH QUESTION: What are the diagnostic performances of magnetic resonance imaging (MRI) scans when used to identify mild endometriosis of the uterosacral ligaments (USL)? DESIGN: Monocentric retrospective study of patients who underwent a pelvic MRI followed by laparoscopy for determination of endometriosis between January 2016 and December 2020. Patients were included whether endometriosis of USL was suspected or not, but patients presenting large lesions that left no doubt as to their endometriotic nature on the MRI were excluded. Six criteria for the description of USL on MRI were studied to determine their diagnostic performances in predicting the presence of endometriosis on laparoscopy as follows: asymmetry, thickening, irregularity, straightness, the presence of a nodule or a hypersignal T1 spot. RESULTS: Seventy-seven patients were included. Among the criteria, 'asymmetry' and 'thickening' had the highest sensitivities (0.69 [95% confidence interval 0.54-0.80] and 0.51 [0.40-0.63], respectively) but moderate specificities (0.52 [0.31-0.73] and 0.62 [0.50-0.72]). Conversely, 'irregularity', 'nodule', 'straightness' and 'hypersignal T1 spot' were associated with high specificities (0.81 [0.70-0.89], 0.96 [0.89-0.99], 0.95 [0.87-0.99] and 0.99 [0.93-1.00], respectively) but poor sensitivities (0.22 [0.14-0.33], 0.12 [0.06-0.21], 0.08 [0.03-0.16] and 0.08 [0.03-0.16], respectively). The presence of at least one criterion for the description of the USL was associated with good sensitivity (0.80 [0.66-0.89]) but poor specificity (0.35 [0.16-0.57]). CONCLUSIONS: The results suggest that the identification of minimal changes in the normal appearance of USL should not automatically lead to a conclusion of mild endometriosis at this location.
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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis 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 (27)

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