ArticleThe British journal of radiology2025
Refining MRI protocols for endometriosis: a comparative study of abbreviated and full MRI sequences.
Article in The British journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The Diagnostic Accuracy of Magnetic Resonance Imaging Versus Transvaginal Ultrasound in Deep Infiltrating Endometriosis and Their Impact on Surgical Decision-Making: A Systematic Review.Diagnostics (Basel, Switzerland) · 2025Review
- Comparison of magnetic resonance imaging findings with and without intravenous contrast in women with pelvic endometriosis: A cross-sectional study.International journal of reproductive biomedicine · 2025Article
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5 authors.
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Abstract
objectivesEndometriosis is a significant cause of chronic abdominal pain and infertility in females, often overlooked due to its resemblance to other abdominopelvic pathologies. This study aims to compare the diagnostic performance and agreement rate between an abbreviated MRI protocol (aMRI) and a full MRI protocol (fMRI) for detecting pelvic endometriosis.
methodsWe retrospectively analysed 446 consecutive MRI exams, including both full (fMRI) and abbreviated (aMRI) protocols, performed for suspected pelvic endometriosis. An expert radiologist assessed the presence of endometriosis at 14 distinct anatomical sites. Each MRI protocol was interpreted in random order, with a minimum two-week interval between sessions to minimize recall bias. Agreement between the protocols was evaluated using kappa statistics.
resultsThe average age of the patients was 34.13 years. The highest incidences of endometriosis were found in the ovaries (88.8%) and the recto-uterine pouch (65%). The MRI protocols demonstrated perfect agreement (kappa coefficient = 1) for the ovaries, bladder, uterus, and caesarean section scar. High agreement was also observed in the rectum and uterine ligaments (kappa coefficients of 0.98 and 0.97). Detection of malignant transformation in existing ovarian endometriomas showed substantial concordance with a kappa coefficient of 0.66.
conclusionsAn abbreviated non-contrast MRI protocol exhibits diagnostic accuracy comparable to that of a comprehensive protocol in detecting pelvic endometriosis, with similar confidence and reproducibility. ADVANCES IN KNOWLEDGE: This study demonstrates that an abbreviated MRI protocol is as effective as a full protocol in diagnosing pelvic endometriosis, potentially allowing for quicker, cost-effective imaging without compromising diagnostic accuracy.
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