European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

Endometriosis is a common gynaecological condition of unknown aetiology that primarily affects women of reproductive age. The accepted first-line imaging modality is pelvic ultrasound. However, magnetic resonance imaging (MRI) is increasingly performed as an additional investigation in complex cases...

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Bibliographic Details
Published in:European radiology 2017-07, Vol.27 (7), p.2765-2775
Main Authors: Bazot, M., Bharwani, N., Huchon, C., Kinkel, K., Cunha, T. M., Guerra, A., Manganaro, L., Buñesch, L., Kido, A., Togashi, K., Thomassin-Naggara, I., Rockall, A. G.
Format: Article
Language:English
Subjects:
Adult
Age
Criteria
Diagnosis
Diagnostic Radiology
Endometriosis
Endometriosis - diagnostic imaging
Europe
Evaluation
Evidence-Based Medicine
Female
Group dynamics
Guidelines
Gynecology
Humans
Imaging
Internal Medicine
Interventional Radiology
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Neuroradiology
NMR
Nuclear magnetic resonance
Optimization
Practice Guidelines as Topic
Radiology
Recommendations
Resonance
Societies, Medical
Surgery
Ultrasound
Urogenital
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Summary:Endometriosis is a common gynaecological condition of unknown aetiology that primarily affects women of reproductive age. The accepted first-line imaging modality is pelvic ultrasound. However, magnetic resonance imaging (MRI) is increasingly performed as an additional investigation in complex cases and for surgical planning. There is currently no international consensus regarding patient preparation, MRI protocols or reporting criteria. Our aim was to develop clinical guidelines for MRI evaluation of pelvic endometriosis based on literature evidence and consensus expert opinion. This work was performed by a group of radiologists from the European Society of Urogenital Radiology (ESUR), experts in gynaecological imaging and a gynaecologist expert in methodology. The group discussed indications for MRI, technical requirements, patient preparation, MRI protocols and criteria for the diagnosis of pelvic endometriosis on MRI. The expert panel proposed a final recommendation for each criterion using Oxford Centre for Evidence Based Medicine (OCEBM) 2011 levels of evidence. Key Points • This report provides guidelines for MRI in endometriosis . • Minimal and optimal MRI acquisition protocols are provided . • Recommendations are proposed for patient preparation , best MRI sequences and reporting criteria .
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-016-4673-z