MRI impacts endometriosis management in the setting of image-based multidisciplinary conference: a retrospective analysis

Purpose The aim of the study was to quantify the value of pre-operative magnetic resonance imaging (MRI) in guiding surgical management of women with endometriosis.

Pre-operative discussion of patient management and review of imaging occurred for 136 patients with endometriosis in an MRI-based multidisciplinary conference co-directed by an abdominal radiologist and gynecologic surgeon. A tri-compartmental report template guided the systematic imaging review. Management changes made as a result of the conference were identified via retrospective chart review and classified as major, directly influencing the surgical procedure or approach, or minor, impacting the patient’s medical management, therapies, or diagnostic evaluation.

Of the 136 patients discussed in conference, a management change was identified in 18.4% (25 patients). Major changes occurred in 8.1% (11 patients) and minor changes in 13.2% (18 patients). The sum of major and minor management changes exceeded the total, as both major and minor management changes were made for 4 patients.

Our findings demonstrate the ability of an MRI-based multidisciplinary conference to result in pre-operative management changes in approximately 1 of 5 pre-operatively reviewed women with endometriosis. Importantly, systematic review of the MRI facilitated management changes beyond that of the dictated report alone, which was available to clinicians prior to the conference. The study reflects the value of multidisciplinary interaction, with radiologists serving more directly as clinical consultants to surgical services, and suggests an opportunity to optimize the role of MRI in endometriosis management with standardized reports emphasizing surgically pertinent findings. Similar content being viewed by others

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The authors thank Desiree J. Lanzino, PT, PhD, for her assistance in editing the manuscript. 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 Burkett, B.J., Cope, A., Bartlett, D.J. et al. MRI impacts endometriosis management in the setting of image-based multidisciplinary conference: a retrospective analysis. Abdom Radiol 45, 1829–1839 (2020). https://doi.org/10.1007/s00261-020-02417-6 Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00261-020-02417-6