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European Radiology
Published in: European Radiology 7/2017

Open Access 01-07-2017 | Urogenital

European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis

Authors: M. Bazot, N. Bharwani, C. Huchon, K. Kinkel, T. M. Cunha, A. Guerra, L. Manganaro, L. Buñesch, A. Kido, K. Togashi, I. Thomassin-Naggara, A. G. Rockall

Published in: European Radiology | Issue 7/2017

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Abstract

Endometriosis is a common gynaecological condition of unknown aetiology that primarily affects women of reproductive age. The accepted first-line imaging modality is pelvic ultrasound. However, magnetic resonance imaging (MRI) is increasingly performed as an additional investigation in complex cases and for surgical planning. There is currently no international consensus regarding patient preparation, MRI protocols or reporting criteria. Our aim was to develop clinical guidelines for MRI evaluation of pelvic endometriosis based on literature evidence and consensus expert opinion. This work was performed by a group of radiologists from the European Society of Urogenital Radiology (ESUR), experts in gynaecological imaging and a gynaecologist expert in methodology. The group discussed indications for MRI, technical requirements, patient preparation, MRI protocols and criteria for the diagnosis of pelvic endometriosis on MRI. The expert panel proposed a final recommendation for each criterion using Oxford Centre for Evidence Based Medicine (OCEBM) 2011 levels of evidence.

Key Points

• This report provides guidelines for MRI in endometriosis.
• Minimal and optimal MRI acquisition protocols are provided.
• Recommendations are proposed for patient preparation, best MRI sequences and reporting criteria.
Appendix
Available only for authorised users
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Metadata
Title
European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis
Authors
M. Bazot
N. Bharwani
C. Huchon
K. Kinkel
T. M. Cunha
A. Guerra
L. Manganaro
L. Buñesch
A. Kido
K. Togashi
I. Thomassin-Naggara
A. G. Rockall
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 7/2017
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-016-4673-z

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