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

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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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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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Publication International Journal of Reproductive BioMedicine (IJRM) Record type Journal article Published 18 February 2024 Authors Reza Nafisi Moghadam | Fatemeh Tamizi | Seid Kazem Razavi Ratki | Amin Nafisi Moghadam | Atiyeh Javaheri | Nasim Namiranian The publisher of this work supports multiple resolution. The work is available from the following locations: {'doi': '10.18502/ijrm.v22i1.15242', 'member_id': '7770', 'member': 'Knowledge E DMCC', 'container-title': 'International Journal of Reproductive BioMedicine (IJRM)', 'primary-resource': 'https://knepublishing.com/index.php/ijrm/article/view/15242', 'tld': 'knepublishing.com', 'clearbit-logo': '/static/no_logo.svg', 'coaccess': [], 'multiple-resolution': [{'url': 'https://ijrm.ir/article-1-2589-en.html', 'tld': 'ijrm.ir', 'clearbit-logo': '/static/no_logo.svg'}], 'type': 'JOURNAL ARTICLE', 'published_date': '18 February 2024', 'publication': 'International Journal of Reproductive BioMedicine (IJRM)', 'title': 'Evaluation of diagnostic value of pelvic MRI in endometriosis in comparison with surgical findings: A cross-sectional study', 'name': None, 'id': None, 'location': None, 'display_doi': 'https://doi.org/10.18502/ijrm.v22i1.15242', 'grant_info': None, 'grant_info_funders': None, 'grant_info_funder_ids': '', 'grant_info_type': None, 'multiple_lead_investigators': [], 'multiple_co_lead_investigators': [], 'multiple_investigators': [], 'finances': [], 'project_description': None, 'award_amount': None, 'award_start': None, 'funding_scheme': None, 'internal_award_number': None, 'editors': None, 'authors': 'Reza Nafisi Moghadam | Fatemeh Tamizi | Seid Kazem Razavi Ratki | Amin Nafisi Moghadam | Atiyeh Javaheri | Nasim Namiranian', 'chairs': None, 'supplementary_ids': None} https://doi.org/10.18502/ijrm.v22i1.15242 JSON XML

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endometriosis

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