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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 |
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| container_title | Archives of gynecology and obstetrics |
| container_volume | 291 |
| creator | Medeiros, Lídia Rossi Rosa, Maria Inês Silva, Bruno Rosa Reis, Maria Eduarda Simon, Carla Sasso Dondossola, Eduardo Ronconi da Cunha Filho, João Sabino |
| description | 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. |
| doi_str_mv | 10.1007/s00404-014-3470-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1652460073</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261874885</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-8ca1444258f3878fec2cdc8746c91f4f055c00591edc69b454a6f982b04c79d63</originalsourceid><addsrcrecordid>eNp1kUFr3DAQhUVpaLZpf0AvRdBLL25GsizJuYXQNIFAL8lZaOXRosWWN5Kd4n8fLU5SKPSkB_rem2EeIV8Y_GAA6jwDCBAVMFHVQkGl3pENEzWvQDH2nmygPWqQ6pR8zHkPwLjW8gM55U0RXOoN2V86NyfrFjp6OthdxCk4mjCP0UaHNETaIR76pSgf-inZKcQdxdiNA04pjDnkC2ppXvKEg13NTwH_UBs7WhBb2Wj7pWCfyIm3fcbPL-8Zebj-eX91U939_nV7dXlXOSH4VGlnmSiq0b7WSnt03HVOKyFdy7zw0DQOoGkZdk62W9EIK32r-RaEU20n6zPyfc09pPFxxjyZIWSHfW8jjnM2TDZcyHK_uqDf_kH345zKvtlwLlkZqnVTKLZSLo05J_TmkMJg02IYmGMRZi3ClCLMsQijiufrS_K8HbB7c7xevgB8BXL5ijtMf0f_P_UZbLuToQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261874885</pqid></control><display><type>article</type><title>Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis</title><source>Springer Nature</source><creator>Medeiros, Lídia Rossi ; Rosa, Maria Inês ; Silva, Bruno Rosa ; Reis, Maria Eduarda ; Simon, Carla Sasso ; Dondossola, Eduardo Ronconi ; da Cunha Filho, João Sabino</creator><creatorcontrib>Medeiros, Lídia Rossi ; Rosa, Maria Inês ; Silva, Bruno Rosa ; Reis, Maria Eduarda ; Simon, Carla Sasso ; Dondossola, Eduardo Ronconi ; da Cunha Filho, João Sabino</creatorcontrib><description>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.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-014-3470-7</identifier><identifier>PMID: 25288268</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Archives of gynecology and obstetrics, 2015-03, Vol.291 (3), p.611-621</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2014). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-8ca1444258f3878fec2cdc8746c91f4f055c00591edc69b454a6f982b04c79d63</citedby><cites>FETCH-LOGICAL-c442t-8ca1444258f3878fec2cdc8746c91f4f055c00591edc69b454a6f982b04c79d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25288268$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Medeiros, Lídia Rossi</creatorcontrib><creatorcontrib>Rosa, Maria Inês</creatorcontrib><creatorcontrib>Silva, Bruno Rosa</creatorcontrib><creatorcontrib>Reis, Maria Eduarda</creatorcontrib><creatorcontrib>Simon, Carla Sasso</creatorcontrib><creatorcontrib>Dondossola, Eduardo Ronconi</creatorcontrib><creatorcontrib>da Cunha Filho, João Sabino</creatorcontrib><title>Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>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.</description><subject>Abdominal Cavity - pathology</subject><subject>Adnexa Uteri - pathology</subject><subject>Endocrinology</subject><subject>Endometriosis</subject><subject>Endometriosis - pathology</subject><subject>Female</subject><subject>General Gynecology</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pelvis - pathology</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care - methods</subject><subject>Sensitivity and Specificity</subject><subject>Systematic review</subject><subject>Vagina - pathology</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kUFr3DAQhUVpaLZpf0AvRdBLL25GsizJuYXQNIFAL8lZaOXRosWWN5Kd4n8fLU5SKPSkB_rem2EeIV8Y_GAA6jwDCBAVMFHVQkGl3pENEzWvQDH2nmygPWqQ6pR8zHkPwLjW8gM55U0RXOoN2V86NyfrFjp6OthdxCk4mjCP0UaHNETaIR76pSgf-inZKcQdxdiNA04pjDnkC2ppXvKEg13NTwH_UBs7WhBb2Wj7pWCfyIm3fcbPL-8Zebj-eX91U939_nV7dXlXOSH4VGlnmSiq0b7WSnt03HVOKyFdy7zw0DQOoGkZdk62W9EIK32r-RaEU20n6zPyfc09pPFxxjyZIWSHfW8jjnM2TDZcyHK_uqDf_kH345zKvtlwLlkZqnVTKLZSLo05J_TmkMJg02IYmGMRZi3ClCLMsQijiufrS_K8HbB7c7xevgB8BXL5ijtMf0f_P_UZbLuToQ</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Medeiros, Lídia Rossi</creator><creator>Rosa, Maria Inês</creator><creator>Silva, Bruno Rosa</creator><creator>Reis, Maria Eduarda</creator><creator>Simon, Carla Sasso</creator><creator>Dondossola, Eduardo Ronconi</creator><creator>da Cunha Filho, João Sabino</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis</title><author>Medeiros, Lídia Rossi ; Rosa, Maria Inês ; Silva, Bruno Rosa ; Reis, Maria Eduarda ; Simon, Carla Sasso ; Dondossola, Eduardo Ronconi ; da Cunha Filho, João Sabino</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-8ca1444258f3878fec2cdc8746c91f4f055c00591edc69b454a6f982b04c79d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdominal Cavity - pathology</topic><topic>Adnexa Uteri - pathology</topic><topic>Endocrinology</topic><topic>Endometriosis</topic><topic>Endometriosis - pathology</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pelvis - pathology</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care - methods</topic><topic>Sensitivity and Specificity</topic><topic>Systematic review</topic><topic>Vagina - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Medeiros, Lídia Rossi</creatorcontrib><creatorcontrib>Rosa, Maria Inês</creatorcontrib><creatorcontrib>Silva, Bruno Rosa</creatorcontrib><creatorcontrib>Reis, Maria Eduarda</creatorcontrib><creatorcontrib>Simon, Carla Sasso</creatorcontrib><creatorcontrib>Dondossola, Eduardo Ronconi</creatorcontrib><creatorcontrib>da Cunha Filho, João Sabino</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Medeiros, Lídia Rossi</au><au>Rosa, Maria Inês</au><au>Silva, Bruno Rosa</au><au>Reis, Maria Eduarda</au><au>Simon, Carla Sasso</au><au>Dondossola, Eduardo Ronconi</au><au>da Cunha Filho, João Sabino</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>291</volume><issue>3</issue><spage>611</spage><epage>621</epage><pages>611-621</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25288268</pmid><doi>10.1007/s00404-014-3470-7</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2015-03, Vol.291 (3), p.611-621 |
| issn | 0932-0067 1432-0711 |
| language | eng |
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| source | Springer Nature |
| 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 |
| title | Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis |
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