Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis

Medeiros, Lídia Rossi; Rosa, Maria Inês da; Silva, Bruno Rosa; Reis, Maria Eduarda Fernandes dos; Simon, Carla Sasso; Dondossola, Eduardo Ronconi; Cunha-Filho, João Sabino

doi:10.1007/s00404-014-3470-7

Cited by 133 publications

(95 citation statements)

References 45 publications

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“…In practice, radiological papers tend to favour MRI whereas gynaecological publications underline the value of US [19, 20]. This assessment is in line with recent published meta-analyses [21–24]. The first confirmed that transvaginal sonography (TVS) should remain the first-line method in the evaluation of patients with suspicion of deep pelvic endometriosis (DPE) [21].…”

Section: Resultsmentioning

confidence: 70%

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

et al. 2016

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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.Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-016-4673-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 70%

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

et al. 2016

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“…It was performed a systematic review according to a prospective protocol using PRISMA-statement guidelines 7,8 . The review protocol is registered at PROSPERO (International prospective register of systemic reviews, http://www.crd.york.ac.uk/prospero; CRD42014 009784).…”

Section: Methodsmentioning

confidence: 99%

“…QUADAS-2 is designed to assess the quality of primary diagnostic accuracy studies, and it consists of four domains: patient selection, index test, reference standard, and flow of patients through the study and timing of the index tests(s) and reference standard "flow and timing". Signaling questions are included to help judge the risk of bias 8 . The Quality assessment of studies was independently performed using the Review Manager 5.2 software 10 .…”

Section: Methodsmentioning

confidence: 99%

IgM ELISA for leptospirosis diagnosis: a systematic review and meta-analysis

Rosa

Reis

Simon

et al. 2017

Ciênc. saúde coletiva

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“…МРТ-визуализация ЭМП обычно имеет гипоинтенсивный сигнал на Т2-взвешенных изображениях, изоинтенсивный сигнал на Т1-взвешенных изображениях и участки гиперинтенсив-ного сигнала на Т1-и Т2-взвешенных изображениях [7].…”

Section: на стыке дисциплинunclassified

Atypical Endometriosis of the Urinary Bladder: Review of the Literature and a Clinical Case

Байрамова¹,

Protasova²,

Bairamov³

et al. 2018

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НА СТЫКЕ ДИСЦИПЛИНObjective of the Paper: To describe a clinical case of atypical endometriosis (AEM) of the urinary bladder. Key Points: The paper describes a first-hand observation of a clinical case of AEM of the urinary bladder in a woman of reproductive age. The authors propose a panel of immunohistochemical markers that will improve the diagnosis of AEM, viewed as a morphological precancerous condition. They also discuss the latest data from the literature on the specific aspects of the pathogenesis, diagnosis, clinical course, treatment methods, and risk factors for malignant transformation of this rare condition. Conclusion: Challenges in the differential diagnosis and histological verification of AEM of the urinary bladder make it necessary to evaluate the immunohistochemical expression of the BAF250a (ARID1a), β-catenin, PTEN, Ki-67, and p53 markers. Curative resection of areas of endometriosis combined with long-term adjuvant treatment with dienogest is the most effective therapeutic approach. Keywords: atypical endometriosis, endometriosis of the urinary bladder, dienogest, urinary bladder resection, conserving therapy, BAF250a (ARID1a), PTEN, β-catenin. «АВА-ПЕТЕР». 199034, г. Санкт-Петербург, Университетская наб., д. 7-9. E-mail: protasova1966@yandex.ru (Окончание на с. 62.) Атипический эндометриоз мочевого пузыряЦель статьи: представить клиническое наблюдение атипического эндометриоза мочевого пузыря (ЭМП). Основные положения. В статье описано собственное наблюдение атипической формы ЭМП у женщины репродуктивного возраста. Предложена панель иммуногистохимических маркеров, которая позволит улучшить диагностический поиск атипического эндометриоза, рассматриваемого как морфологическая форма предрака. Освещены также особенности патогенеза, диагностики, клинического течения, методов лечения и риска злокачественной трансформации этого редкого заболевания, рассматриваемые в современной литературе. Заключение. Сложность дифференциальной диагностики и гистологической верификации атипической формы ЭМП диктует необходи-мость проведения иммуногистохимического исследования с оценкой экспрессии маркеров BAF250a (ARID1a), β-катенина, PTEN, индекса Ki-67, p53. Радикальное удаление эндометриоидных очагов в комбинации с длительной адъювантной терапией диеногестом является наиболее эффективным методом лечения. Ключевые слова: атипический эндометриоз, эндометриоз мочевого пузыря, диеногест, резекция мочевого пузыря, органосохраняющее лечение, BAF250a (ARID1a), PTEN, β-катенин.

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Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis

Abstract: In summary, pelvic MRI is a useful preoperative test for predicting the diagnosis of multiple sites of deep infiltrating endometriosis.

Cited by 133 publications

References 45 publications

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

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

IgM ELISA for leptospirosis diagnosis: a systematic review and meta-analysis

Atypical Endometriosis of the Urinary Bladder: Review of the Literature and a Clinical Case

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