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MRI of endometriosis in correlation with the #Enzian classification

dc.contributor.authorMaciel, Cristina
dc.contributor.authorFerreira, Hélder
dc.contributor.authorDjokovic, Dusan
dc.contributor.authorKyaw Tun, Jimmy
dc.contributor.authorKeckstein, Jörg
dc.contributor.authorRizzo, Stefania
dc.contributor.authorManganaro, Lucia
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSpringer Berlin Heidelberg
dc.date.accessioned2023-07-18T22:15:45Z
dc.date.available2023-07-18T22:15:45Z
dc.date.issued2023-07-05
dc.description.abstractEndometriosis represents one of the most common causes of life-impacting chronic pelvic pain and female infertility. Magnetic resonance imaging (MRI) plays an increasing role in the diagnosis and mapping of endometriosis, while diagnostic laparoscopy currently tends to be reserved for the patients with negative imaging results. The #Enzian, published in 2021, proposes a new comprehensive classification system of endometriosis, combining a complete staging of deep infiltrative endometriosis with the evaluation of peritoneal/ovarian/tubal localizations and the presence of adenomyosis. This article addresses in detail the applicability of the #Enzian classification, primarily based on surgical findings, to the MRI evaluation of the endometriosis. Overall, there is a significant matching between MRI features and the #Enzian classification criteria, two different perspectives of endometriosis mapping, with different goals and levels of detail. The main discrepancy lies in the evaluation of tubo-ovarian condition, which is not fully assessable by MRI. Furthermore, as endometriosis is a complex disease, usually multifocal, that can present with a myriad of imaging findings, MRI reporting should be clear and well organized. The authors group, both radiologists and gynecologists, propose a structured MRI report of endometriosis in correlation with the #Enzian classification, merging the detailed anatomical and pre-operative information provided by the MRI with the benefits of a comprehensive classification system of endometriosis in the clinical practice and research field. Critical relevance statement This article addresses in detail the applicability of the #Enzian classification, primarily based on surgical findings, to the MRI evaluation of the endometriosis and proposes a #Enzian-based structured MRI report. Graphical abstract: [Figure not available: see fulltext.]en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent5632708
dc.identifier.doi10.1186/s13244-023-01466-x
dc.identifier.issn1869-4101
dc.identifier.otherPURE: 66636921
dc.identifier.otherPURE UUID: 8f2cf513-7d08-4ed3-b76e-c2ee54989692
dc.identifier.otherScopus: 85164194929
dc.identifier.otherPubMed: 37405519
dc.identifier.urihttp://hdl.handle.net/10362/155486
dc.identifier.urlhttps://www.scopus.com/pages/publications/85164194929
dc.language.isoeng
dc.peerreviewedyes
dc.subject#Enzian
dc.subjectEndometriosis
dc.subjectMagnetic resonance imaging
dc.subjectStandardization
dc.subjectStructured report
dc.subjectRadiology Nuclear Medicine and imaging
dc.titleMRI of endometriosis in correlation with the #Enzian classificationen
dc.title.subtitleapplicability and structured reporten
dc.typereview
degois.publication.issue1
degois.publication.titleInsights into Imaging
degois.publication.volume14
dspace.entity.typePublication
rcaap.rightsopenAccess

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