Evaluation of diagnostic value of pelvic MRI in endometriosis in comparison with surgical findings: A cross-sectional study

Nafisi Moghadam R, Reza Nafisi Moghadam, Fatemeh Tamizi, Tamizi F, Seid Kazem Razavi Ratki, Kazem Razavi Ratki S, Nafisi Moghadam A, Amin Nafisi Moghadam, Javaheri A, Atiyeh Javaheri, Nasim Namiranian
International journal of reproductive biomedicine · 2024 · vol. 22(1) , pp. 55–60 · doi:10.18502/ijrm.v22i1.15242 · PMID:38544666 · PMC10963879 · W4392158403
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This study compared pelvic MRI findings with surgical results in 40 women, finding MRI had 94.8% sensitivity and 20% specificity for pelvic endometriosis diagnosis.

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This cross-sectional study evaluated how well pelvic MRI identifies endometriosis by comparing MRI findings with surgical findings, using a diagnostic performance approach. The key finding was that pelvic MRI showed a measurable diagnostic value when its imaging results were contrasted against the reference standard of surgery. A major caveat is that, because the design compares imaging to surgical assessment in a limited clinical context, diagnostic accuracy estimates may be influenced by factors such as imaging and case selection. This paper is centrally about endometriosis — it directly evaluates pelvic MRI diagnostic value using surgical findings as the comparator.

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Abstract

BACKGROUND: Endometriosis is a multifocal gynecologic disorder during the fertility period in women. Magnetic resonance imaging (MRI) is an important diagnostic modality for this disease and can either be used alone or along with transvaginal ultrasonography. OBJECTIVE: This study aims to compare the accuracy of pelvis MRI in pelvic deep endometriosis with laparoscopic findings in women referred to Shahid Sadoughi hospital in one year. MATERIALS AND METHODS: This cross-sectional study was conducted on 40 women suspicious of endometriosis who referred to Shahid Sadoughi hospital, Yazd, Iran from November 2020-2021. Based on clinical findings and history, participants were referred to the imaging center for pelvic MRI. Finally, the results of MRI and diagnostic laparoscopy were compared with pathologic findings. RESULTS: The sensitivity and specificity of MRI for pelvic endometriosis were 94.8% and 20%, respectively. Also, the positive predictive value and negative predictive value of MRI were 90.2% and 33.3%, respectively. CONCLUSION: Laparoscopy is still the gold standard of endometriosis diagnosis, but MRI with susceptibility-weighted imaging sequence is the best noninvasive diagnostic method.
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RNM, FT and AJ designed the study and conducted the research. NN, SKRR and FT monitored, evaluated, and analyzed the result of the study. ANM drafted the manuscript. RNM, FT, SKRR, ANM, AJ, NN reviewed the article. All authors approved the final manuscript and take responsibility for the integrity of the data.

Coi Statement

The authors declare that there is no conflict of interest.

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endometriosis

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