ArticleInternational journal of environmental research and public health2021
Can New ENZIAN Score 2020 Represent a Staging System Improving MRI Structured Report?
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Deep endometriosis: evaluation of ENZIAN and #ENZIAN classification systems by MRI compared with surgery-a meta-analysis.European radiology · 2026Pooled it
- Why aren't the ENZIAN and # ENZIAN classification systems used more widely in Europe?European radiology · 2026Article
- Retrospective evaluation of the mr#ENZIAN classification's applicability in the pre-operative assessment of complex endometriosis: a compartment-dependent challenge.Abdominal radiology (New York) · 2026Article
- Mind the gap: underreporting of key compartments in endometriosis MRI with free-text and non-disease-specific templates.Insights into imaging · 2026Article
- Diagnostic Accuracy of MRI Using the #Enzian Classification in Endometriosis: A Single-Center Retrospective Cohort Study.Gynecologic and obstetric investigation · 2026Observational
- ESUR consensus MRI for endometriosis: protocol, lexicon, and compartment-based analysis.European radiology · 2025Article
- ESUR consensus MRI for endometriosis: indications, reporting, and classifications.European radiology · 2025Article
- Preoperative classification of endometriosis: a narrative review of revised American Society for Reproductive Medicine (r-ASRM), #Enzian, American Association of Gynecologic Laparoscopists (AAGL) 2021, and Numerical Multi-Scoring System of Endometriosis (NMS-E) systems.Gynecology and pelvic medicine · 2025Review
- MRI of pelvic endometriosis: evaluation of the mr#Enzian classification and the importance of adenomyosis subtypes.Abdominal radiology (New York) · 2024Article
- Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement†,‡.Facts, views & vision in ObGyn · 2024Article
- Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus StatementHuman reproduction open · 2024Article
- MRI of endometriosis in correlation with the #Enzian classification: applicability and structured report.Insights into imaging · 2023Review
- Deep Infiltrating Endometriosis: Diagnostic Accuracy of Preoperative Magnetic Resonance Imaging with Respect to Morphological Criteria.Diagnostics (Basel, Switzerland) · 2023Article
- Multicenter External Validation of the Deep Pelvic Endometriosis Index Magnetic Resonance Imaging Score.JAMA network open · 2023Article
- Application of the #Enzian classification for endometriosis on MRI: prospective evaluation of inter- and intraobserver agreement.Frontiers in medicine · 2023Article
- Surgical Treatment of Deep Endometriosis.Geburtshilfe und Frauenheilkunde · 2023Article
- Expert opinion on the use of transvaginal sonography for presurgical staging and classification of endometriosis.Archives of gynecology and obstetrics · 2023Review
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Structured reporting systems for endometriotic disease are gaining a central role in diagnostic imaging: our aim is to evaluate applicability and the feasibility of the recent ENZIAN score (2020) assessed by MRI. A total of 60 patients with suspected tubo-ovarian/deep endometriosis were retrospectively included in our study according to the following criteria: availability of MR examination; histopathological results from laparoscopic or surgical treatment; patients were not assuming estro-progestin or progestin therapy. Three different readers (radiologists with 2-, 5-, and 20-years of experience in pelvic imaging) have separately assigned a score according to the ENZIAN score (revised 2020) for all lesions detected by magnetic resonance imaging (MRI). Our study showed a high interobserver agreement and feasibility of the recent ENZIAN score applied to MRI; on the other hand, our experience highlighted some limitations mainly due to MRI's inability to assess tubal patency and mobility, as required by the recent score (2020). In view of the limitations which arose from our study, we propose a modified MRI-ENZIAN score that provides a complete structured reporting system, more suitable for MRI. The high interobserver agreement of the recent ENZIAN score applied to MRI confirms its validity as a complete staging system for endometriosis, offering a shared language between radiologists and surgeons.
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