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|Title:||Deep infiltrating endometriosis: Can magnetic resonance imaging anticipate the need for colorectal surgeon intervention?|
|Authors:||Brusic, Ana;Esler, Stephen J;Churilov, Leonid;Chowdary, Prathima;Sleeman, Matthew;Maher, Peter;Yang, Natalie|
|Affiliation:||Department of Radiology, Austin Health, Heidelberg, Victoria, Australia|
Statistics and Decision Analysis Academic Platform, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Endosurgical Unit, Mercy Hospital for Women, Heidelberg, Victoria, Australia
|Citation:||European journal of radiology 2019; 121: 108717|
|Abstract:||To identify magnetic resonance imaging (MRI) features associated with colorectal surgical bowel resection for treatment of deep infiltrating endometriosis (DIE). 122 preoperative pelvic MRIs in women with laparoscopically-proven DIE and subsequent surgery (2006-2015) were identified, and retrospective cohort analysis performed. MRIs were reviewed independently by two radiologists blinded to surgical/histopathological outcomes. Associations between MRI characteristics of middle/posterior compartment endometriosis and surgical outcomes were investigated to identify MRI features associated with colorectal surgical bowel resection. MRI features associated with colorectal surgical intervention were: presence of an MRI bowel lesion (sensitivity 95.3%, specificity 63.3%, ROC-AUC 0.79); MRI bowel lesions ≥20 mm in length (sensitivity 91%, specificity 77%, ROC-AUC 0.84); MRI bowel lesions invading the muscularis or submucosa/mucosa layers (sensitivity 95.3%, specificity 63.3%, ROC-AUC 0.90). This study identifies MRI features that have potential diagnostic utility in identifying the need for colorectal surgical intervention in patients with DIE.|
Deep infiltrating endometriosis
|Appears in Collections:||Journal articles|
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