Nafisi Moghadam Reza, Tamizi Fatemeh, Kazem Razavi Ratki Seid, Nafisi Moghadam Amin, Javaheri Atiyeh, Namiranian Nasim
Department of Radiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Faculty of Medicine, Aliebnabitaleb Azad University, Yazd, Iran.
Int J Reprod Biomed. 2024 Feb 23;22(1):55-60. doi: 10.18502/ijrm.v22i1.15242. eCollection 2024 Jan.
Endometriosis is a multifocal gynecologic disorder during the fertility period in women. Magnetic resonance imaging (MRI) is an important diagnostic modality for this disease and can either be used alone or along with transvaginal ultrasonography.
This study aims to compare the accuracy of pelvis MRI in pelvic deep endometriosis with laparoscopic findings in women referred to Shahid Sadoughi hospital in one year.
This cross-sectional study was conducted on 40 women suspicious of endometriosis who referred to Shahid Sadoughi hospital, Yazd, Iran from November 2020-2021. Based on clinical findings and history, participants were referred to the imaging center for pelvic MRI. Finally, the results of MRI and diagnostic laparoscopy were compared with pathologic findings.
The sensitivity and specificity of MRI for pelvic endometriosis were 94.8% and 20%, respectively. Also, the positive predictive value and negative predictive value of MRI were 90.2% and 33.3%, respectively.
Laparoscopy is still the gold standard of endometriosis diagnosis, but MRI with susceptibility-weighted imaging sequence is the best noninvasive diagnostic method.
子宫内膜异位症是育龄期女性的一种多灶性妇科疾病。磁共振成像（MRI）是诊断该疾病的一种重要方式，可单独使用或与经阴道超声检查联合使用。
本研究旨在比较盆腔MRI诊断盆腔深部子宫内膜异位症的准确性与一年内转诊至沙希德·萨杜基医院的女性患者腹腔镜检查结果。
本横断面研究对2020年11月至2021年转诊至伊朗亚兹德沙希德·萨杜基医院的40例疑似子宫内膜异位症女性患者进行。根据临床表现和病史，将参与者转诊至影像中心进行盆腔MRI检查。最后，将MRI结果和诊断性腹腔镜检查结果与病理结果进行比较。
MRI诊断盆腔子宫内膜异位症的敏感性和特异性分别为94.8%和20%。此外，MRI的阳性预测值和阴性预测值分别为90.2%和33.3%。
腹腔镜检查仍是子宫内膜异位症诊断的金标准，但采用磁敏感加权成像序列的MRI是最佳的非侵入性诊断方法。
