Structured manual for MRI assessment of deep infiltrating endometriosis using the ENZIAN classification.
Deep infiltrating endometriosis
Endometriosis
Enzian classification
Interobserver agreement MRI endometriosis
Interrater agreement MRI endometriosis
MRI assessment of deep infiltrating endometriosis
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
28
04
2020
accepted:
07
11
2020
pubmed:
23
11
2020
medline:
1
4
2021
entrez:
22
11
2020
Statut:
ppublish
Résumé
Proposal of a systematic approach to assess Deep infiltrating endometriosis (DIE) through pelvic Magnetic resonance imaging (MRI) using the Enzian classification and examination of inter-rater agreement. Three radiologists reviewed 23 MRI of patients with pelvic DIE at one tertiary referral center retrospectively and independently. Inclusion criteria were intraoperative confirmation of DIE and MR imaging according to ESUR (European Society of Urogenital Radiology) guidelines. Assessment of the anatomical pelvic compartments was performed using a manual based on the Enzian classification with step-by-step instructions using recommended planes and sequences presented here. Interrater agreement was measured using kappa statistics. According to the intraoperative site lesions in 53 anatomical compartments were present. Interrater agreement was best for compartments A (0.255) and FB (0.642). For FI (0.204) and B (0.146) it was slight, there was poor agreement for C (- 0.263), FA (- 0.022), and FO (- 0.030), respectively, and as for FU, no ureter infiltration was described. MRI as a noninvasive diagnostic tool offers essential advantages regarding classification and therapy planning for patients with DIE. However, its assessment is difficult and a more systematic approach is needed. Our proposed manual based on the Enzian classification is reproducible and could support radiologists and gynecologists.
Identifiants
pubmed: 33221957
doi: 10.1007/s00404-020-05892-w
pii: 10.1007/s00404-020-05892-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
751-757Références
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