Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha T M, Guerra A, Manganaro L, Buñesch L, Kido A, Togashi K, Thomassin-Naggara I, Rockall A G
Department of Radiology, Tenon Hospital, 58 Avenue Gambetta, Paris, 75020, France.
Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, 3rd Floor Queen Elizabeth the Queen Mother Building, Praed Street, London, W2 1NY, UK.
Eur Radiol. 2017 Jul;27(7):2765-2775. doi: 10.1007/s00330-016-4673-z. Epub 2016 Dec 5.
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.
• 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.
子宫内膜异位症是一种常见的妇科疾病，病因不明，主要影响育龄女性。公认的一线影像学检查方法是盆腔超声。然而，磁共振成像（MRI）在复杂病例及手术规划中作为补充检查的应用越来越多。目前在患者准备、MRI检查方案或报告标准方面尚无国际共识。我们的目的是基于文献证据和专家共识意见制定盆腔子宫内膜异位症MRI评估的临床指南。这项工作由欧洲泌尿生殖放射学会（ESUR）的一组放射科医生、妇科影像专家和一名妇科方法学专家共同完成。该小组讨论了MRI的适应证、技术要求、患者准备、MRI检查方案以及MRI诊断盆腔子宫内膜异位症的标准。专家小组使用牛津循证医学中心（OCEBM）2011年的证据级别对每个标准提出了最终建议。
• 本报告提供了子宫内膜异位症MRI检查的指南。• 提供了最小化和最佳的MRI采集方案。• 对患者准备、最佳MRI序列和报告标准提出了建议。
