International Journal of
Reproductive Biomedicine
Thu, Nov 21, 2024
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Volume 22, Issue 1 (January 2024)
IJRM 2024, 22(1): 55-60 |
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Ethics code: IR.SSU.MEDICINE.REC.1398.303
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Nafisi Moghadam R, Tamizi F, Razavi Ratki S K, Nafisi Moghadam A, Javaheri A, Namiranian N. Evaluation of diagnostic value of pelvic MRI in endometriosis in comparison with surgical findings: A cross-sectional study. IJRM 2024; 22 (1) :55-60
URL: http://ijrm.ir/article-1-2589-en.html
URL: http://ijrm.ir/article-1-2589-en.html
Reza Nafisi Moghadam1 
, Fatemeh Tamizi1 , Seid Kazem Razavi Ratki1 , Amin Nafisi Moghadam2 , Atiyeh Javaheri3 , Nasim Namiranian * 4
, Fatemeh Tamizi1 , Seid Kazem Razavi Ratki1 , Amin Nafisi Moghadam2 , Atiyeh Javaheri3 , Nasim Namiranian * 4
1- Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Faculty of Medicine, Aliebnabitaleb Azad University, Yazd, Iran.
3- Department of Obstetrics and Gynecology, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. ,namiranian.nasim@gmail.com
2- Faculty of Medicine, Aliebnabitaleb Azad University, Yazd, Iran.
3- Department of Obstetrics and Gynecology, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. ,
Abstract: (380 Views)
Background: Endometriosis is a multifocal gynecologic disorder during the fertility period in women. Magnetic resonance imaging (MRI) is an important diagnostic modality for this disease and can be used either alone or along with transvaginal ultrasonography.
Objective: This study aims to compare the accuracy of pelvis MRI in pelvic deep endometriosis with laparoscopic findings in women referred to Shahid Sadoughi hospital in one year.
Materials and Methods: This cross-sectional study was conducted on 40 women suspicious of endometriosis who referred to Shahid Sadoughi hospital, Yazd, Iran from November 2020-2021. Based on clinical findings and history, participants were referred to the imaging center for pelvic MRI. Finally, the results of MRI and diagnostic laparoscopy were compared with pathologic findings.
Results: The sensitivity and specificity of MRI for pelvic endometriosis were 94.8% and 20%, respectively. Also, the positive predictive value and negative predictive value of MRI were 90.2% and 33.3%, respectively.
Conclusion: Laparoscopy is still the gold standard of endometriosis diagnosis, but MRI with susceptibility-weighted imaging sequence is the best noninvasive diagnostic method.
Objective: This study aims to compare the accuracy of pelvis MRI in pelvic deep endometriosis with laparoscopic findings in women referred to Shahid Sadoughi hospital in one year.
Materials and Methods: This cross-sectional study was conducted on 40 women suspicious of endometriosis who referred to Shahid Sadoughi hospital, Yazd, Iran from November 2020-2021. Based on clinical findings and history, participants were referred to the imaging center for pelvic MRI. Finally, the results of MRI and diagnostic laparoscopy were compared with pathologic findings.
Results: The sensitivity and specificity of MRI for pelvic endometriosis were 94.8% and 20%, respectively. Also, the positive predictive value and negative predictive value of MRI were 90.2% and 33.3%, respectively.
Conclusion: Laparoscopy is still the gold standard of endometriosis diagnosis, but MRI with susceptibility-weighted imaging sequence is the best noninvasive diagnostic method.
Keywords: Deep infiltrating endometriosis, Magnetic resonance imaging, Diagnosis, Laparoscopy, Sensitivity, Specificity.
Type of Study: Original Article |
Subject:
Fertility & Infertility
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