Print Email Facebook Twitter Limited added value of magnetic resonance imaging after dynamic transvaginal ultrasound for preoperative staging of endometriosis in daily practice Title Limited added value of magnetic resonance imaging after dynamic transvaginal ultrasound for preoperative staging of endometriosis in daily practice: A prospective cohort study Author Berger, Judith P. (Bronovo Hospital; Leiden University Medical Center) Rhemrev, Johann (Bronovo Hospital) Smeets, Maddy (Bronovo Hospital) Henneman, Onno (Bronovo Hospital) English, James (Bronovo Hospital) Jansen, F.W. (TU Delft Medical Instruments & Bio-Inspired Technology; Leiden University Medical Center) Date 2019 Abstract OBJECTIVES: To assess the added value of magnetic resonance imaging (MRI) after dynamic transvaginal ultrasound (TVUS) in the diagnostic pathway for preoperative staging of pelvic endometriosis. METHODS: A prospective observational study was conducted between April 22, 2014, and May 1, 2015. During that period, 363 patients with a clinical suspicion of endometriosis were included. All patients underwent a history, clinical examination, and dynamic TVUS examination. Most of the patients (n = 274) underwent conservative treatment according to the European Society of Human Reproduction and Embryology guidelines. Eighty-nine patients were selected for surgery, of whom 72 patients underwent the complete diagnostic pathway: ie, history, clinical examination, dynamic TVUS, and MRI. All data were analyzed by the nonparametric McNemar test for comparing each step in the diagnostic algorithm. RESULTS: The sensitivity and specificity for the history, pelvic examination, and dynamic TVUS were 93.7% and 55.6% (P < .001), respectively; when MRI findings were included, the sensitivity and specificity were 85.9% and 62.5%. Adding MRI routinely to the diagnostic procedure of endometriosis did not significantly improve the sensitivity or specificity. CONCLUSIONS: There is no significant added value of routine MRI after dynamic TVUS for the preoperative staging of endometriosis. Subject diagnosisendometriosisgynecologymagnetic resonance imagingtransvaginal ultrasound To reference this document use: http://resolver.tudelft.nl/uuid:4bdfa218-5093-42b1-b26a-bb8c0ffe661e DOI https://doi.org/10.1002/jum.14783 Source Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 38 (4), 989-996 Part of collection Institutional Repository Document type journal article Rights © 2019 Judith P. Berger, Johann Rhemrev, Maddy Smeets, Onno Henneman, James English, F.W. Jansen Files PDF Berger_et_al_2019_Journal ... dicine.pdf 278.78 KB Close viewer /islandora/object/uuid:4bdfa218-5093-42b1-b26a-bb8c0ffe661e/datastream/OBJ/view