MRI impacts endometriosis management in the setting of image-based multidisciplinary conference: a retrospective analysis
An MRI-based multidisciplinary conference for endometriosis management resulted in pre-operative management changes in 18.4% of patients, with 8.1% major and 13.2% minor changes.
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This retrospective study evaluated 136 women with endometriosis whose pre-operative management plans were discussed in an MRI-based multidisciplinary conference using a standardized tri-compartment imaging template reviewed by an abdominal radiologist and a gynecologic surgeon. The investigators identified whether conference-based MRI review led to management changes compared with what clinicians already had from the pre-conference dictated report, classifying changes as major (affecting the surgical procedure/approach) or minor (affecting medical management, therapies, or diagnostic evaluation). Management changes occurred in 18.4% of cases, with major changes in 8.1% and minor changes in 13.2%, noting that four patients had both major and minor changes. The paper’s explicit limitation is its retrospective design, and the finding reflects the specific workflow of an image-based multidisciplinary conference rather than MRI performance in isolation. This paper is centrally about endometriosis — it quantifies how pre-operative MRI reviewed in a multidisciplinary setting changed surgical and related management for women with endometriosis.
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Cited by (8)
- Proposed New MRI Scoring System of Rectosigmoid Endometriosis to Guide Operative Planning 2025
- Proposed new MRI scoring system of rectosigmoid endometriosis to guide operative planning 2025
- Análisis de la endometriosis en la radiología española 2025
- ACR Appropriateness Criteria® Endometriosis 2024
- Continued improvement to imaging diagnosis and treatment triage of endometriosis: The role of the multi-disciplinary conference 2024
- MRI of endometriosis 2023
- Gastrointestinal symptoms as a predictor of deep endometriosis of the pelvic posterior compartment on magnetic resonance imaging 2022
- Imagerie : du diagnostic au bilan 2020
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