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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
Issue Date: Dec-2019
EDate: 2019-12
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.
DOI: 10.1016/j.ejrad.2019.108717
ORCID: 0000-0002-9807-6606
PubMed URL: 31739271
Type: Journal Article
Subjects: Bowel resection
Deep infiltrating endometriosis
Resource allocation
Appears in Collections:Journal articles

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