Evidence map›Paper›PMID 42754795›Full record

ReviewInsights into imaging2026

Gynecologic imaging errors and pitfalls: how to avoid misdiagnosis on pelvic MRI.

Alexandre Faure, Edwige Pottier, Marie Florin, Léo Razakamanantsoa, Pascal Rousset, Isabelle Thomassin-Naggara

Abstract readReview
In one paragraph

Review in Insights into imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexandre FaureAssistance Publique Hopitaux de Paris (AP-HP), Radiology Imaging and Interventional Radiology Department, Tenon Hospital, Sorbonne University, Paris, France. alexandre.faure@aphp.fr.ORCID http://orcid.org/0009-0001-2931-3460
Edwige PottierPrivate Hospital NCT+, Tours, France.
Marie FlorinAssistance Publique Hopitaux de Paris (AP-HP), Radiology Imaging and Interventional Radiology Department, Tenon Hospital, Sorbonne University, Paris, France.
Léo RazakamanantsoaAssistance Publique Hopitaux de Paris (AP-HP), Radiology Imaging and Interventional Radiology Department, Tenon Hospital, Sorbonne University, Paris, France.
Pascal RoussetService d'imagerie médicale et interventionnelle, Hospices Civils de Lyon, Pierre Bénite, France.
Isabelle Thomassin-NaggaraAssistance Publique Hopitaux de Paris (AP-HP), Radiology Imaging and Interventional Radiology Department, Tenon Hospital, Sorbonne University, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pelvic magnetic resonance imaging (MRI) plays a pivotal role in evaluating gynecologic diseases, offering superior soft-tissue characterization, multiplanar imaging, and functional assessment compared to ultrasound and computed tomography. This article proposes evidence-based, standardized MRI protocols and a reproducible interpretative framework to enhance diagnostic accuracy, reduce misdiagnoses, and support multidisciplinary management in routine clinical practice. Key insights cover MR imaging of major gynecologic diseases: endometriosis, adnexal masses including the O-RADS MR scoring system, and pathological hypothesis as well as uterine diseases including endometrial, cervical, and myometrial benign and malignant conditions. For all situations, we present typical and atypical presentations as well as mimickers. This article will give some tips and tricks to help the radiologist in clinical routine for detecting and differentiating the main issues that impact patient management. By adopting standardized protocols and reports with adequate pathology knowledge, radiologists can improve patient outcomes through precise staging, surgical planning, and personalized care. KEY POINTS: Question How can radiologists avoid common diagnostic errors and pitfalls when interpreting pelvic MRI for gynecologic diseases, including endometriosis, uterine tumors, and adnexal masses? Findings Knowledge of common pitfalls, standardized MRI protocols with Dixon-based T1-weighted sequences, diffusion-weighted imaging, and dynamic contrast enhancement, if necessary, combined with structured reporting frameworks including O-RADS MRI and FIGO 2023, reduces misdiagnosis across gynecologic conditions. Critical Relevance Statement This article critically reviews typical and atypical presentations alongside common mimickers of major gynecologic diseases on pelvic MRI, providing radiologists with practical evidence-based strategies to improve diagnostic accuracy, reduce unnecessary interventions, and support multidisciplinary clinical decision-making.

Indexed as

EndometriosisFIGO 2023GynecologyMRIO‑RADS MRI

Identifiers

PMID42754795
PMCPMC13586104

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.