Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis

Objective To estimate the accuracy of pelvic magnetic resonance imaging (MRI) in the diagnosis of deeply infiltrating endometriosis (DIE). Methods A comprehensive search of the Medline, Pubmed, Lilacs, Scopus, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Biomed Central, and ISI...

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Published in:Archives of gynecology and obstetrics 2015-03, Vol.291 (3), p.611-621
Main Authors: Medeiros, Lídia Rossi, Rosa, Maria Inês, Silva, Bruno Rosa, Reis, Maria Eduarda, Simon, Carla Sasso, Dondossola, Eduardo Ronconi, da Cunha Filho, João Sabino
Format: Article
Language:English
Subjects:
Abdominal Cavity - pathology
Adnexa Uteri - pathology
Endocrinology
Endometriosis
Endometriosis - pathology
Female
General Gynecology
Gynecology
Human Genetics
Humans
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Meta-analysis
NMR
Nuclear magnetic resonance
Obstetrics/Perinatology/Midwifery
Pelvis - pathology
Predictive Value of Tests
Preoperative Care - methods
Sensitivity and Specificity
Systematic review
Vagina - pathology
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Summary:Objective To estimate the accuracy of pelvic magnetic resonance imaging (MRI) in the diagnosis of deeply infiltrating endometriosis (DIE). Methods A comprehensive search of the Medline, Pubmed, Lilacs, Scopus, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Biomed Central, and ISI Web of Science databases was conducted from January 1990 to December 2013. The medical subject headings (MeSHs) and text words “deep endometriosis”, “deeply infiltrating endometriosis”, “DIE”, “magnetic resonance”, and “MRI” were searched. Studies that compared the parameters of pelvic MRIs with those of paraffin-embedded sections for the diagnosis of DIE were included. Results Twenty studies were analyzed, which included 1,819 women. Pooled sensitivity and specificity were calculated across eight subgroups: for all sites, these were 0.83 and 0.90, respectively; for the bladder, 0.64 and 0.98, respectively; for the intestine, 0.84 and 0.97, respectively; for the pouch of Douglas, 0.89 and 0.94, respectively; for the rectosigmoid, 0.83 and 0.88, respectively; for the rectovaginal, 0.77 and 0.95, respectively; for the uterosacral ligaments, 0.85 and 0.80, respectively; and for the vagina and the posterior vaginal fornix, 0.82 and 0.82, respectively. Conclusion In summary, pelvic MRI is a useful preoperative test for predicting the diagnosis of multiple sites of deep infiltrating endometriosis.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-014-3470-7