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

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY

International Journal of Reproductive Biomedicine Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI:10.18502/ijrm.v22i1.15242

Reza Nafisi Moghadam, Fatemeh Tamizi, Seid Kazem Razavi Ratki, Amin Nafisi Moghadam, Atiyeh Javaheri, Nasim Namiranian

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引用次数: 0

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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评估盆腔磁共振成像对子宫内膜异位症的诊断价值并与手术结果进行比较：一项横断面研究。

背景：子宫内膜异位症是女性生育期的一种多发性妇科疾病。磁共振成像（MRI）是该疾病的一种重要诊断方式，既可单独使用，也可与经阴道超声波检查一起使用：本研究旨在比较一年内转诊至 Shahid Sadoughi 医院的妇女盆腔磁共振成像与腹腔镜检查结果对盆腔深部子宫内膜异位症的准确性：这项横断面研究针对 2020 年 11 月至 2021 年 11 月期间转诊至伊朗亚兹德 Shahid Sadoughi 医院的 40 名子宫内膜异位症可疑妇女。根据临床发现和病史，参与者被转诊至影像中心进行盆腔核磁共振成像检查。最后，将核磁共振成像和诊断性腹腔镜检查结果与病理结果进行比较：结果：磁共振成像对盆腔子宫内膜异位症的敏感性和特异性分别为94.8%和20%。此外，磁共振成像的阳性预测值和阴性预测值分别为 90.2% 和 33.3%：结论：腹腔镜检查仍是诊断子宫内膜异位症的金标准，但采用感度加权成像序列的磁共振成像是最佳的无创诊断方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Reproductive Biomedicine OBSTETRICS & GYNECOLOGY-

CiteScore

2.40

自引率

7.70%

发文量

审稿时长

16 weeks

期刊介绍： The International Journal of Reproductive BioMedicine (IJRM), formerly published as "Iranian Journal of Reproductive Medicine (ISSN: 1680-6433)", is an international monthly scientific journal for who treat and investigate problems of infertility and human reproductive disorders. This journal accepts Original Papers, Review Articles, Short Communications, Case Reports, Photo Clinics, and Letters to the Editor in the fields of fertility and infertility, ethical and social issues of assisted reproductive technologies, cellular and molecular biology of reproduction including the development of gametes and early embryos, assisted reproductive technologies in model system and in a clinical environment, reproductive endocrinology, andrology, epidemiology, pathology, genetics, oncology, surgery, psychology, and physiology. Emerging topics including cloning and stem cells are encouraged.