Valerio Di Paola, Presenter: Nothing to Disclose

Federica Castelli, Abstract Co-Author: Nothing to Disclose

Sara Mehrabi, Abstract Co-Author: Nothing to Disclose

Roberto Pozzi Mucelli, Abstract Co-Author: Nothing to Disclose

Riccardo Manfredi MD, Abstract Co-Author: Nothing to Disclose

The aim of this study is to determine the accuracy of MRI presurgical staging by using ENZIAN score.

132 Patients with suspected DE at physical examination and transvaginal ultrasound and availability of MR examination and histopathological results from surgery were retrospectively included. We calculated ENZIAN-score for both MRI and hystopathological findings, the latter considered as Gold Standard; by comparing them we calculate the sensitivity, specificity, accuracy, positive and negative predictive of MRI and K Cohen between MRI and histopathological ENZIAN score.

By comparing histo-pathological and MRI results, the overall sensitivity, specificity, accuracy, PPV and NPV were 94%, 97%, 95%, 99%, 86%. By comparing the histo-pathological ENZIAN score with MRI ENZIAN score, k Cohen was 0.824; concordance was optimal for vagina-rectovaginal space (0.812), for USL (0.890), for rectum-sigmoid colon (0.822) and for uterine adenomyosis (1.000), and poor for bladder (0.367).  

MRI is an accurate non-invasive diagnostic tool useful to provide a correct presurgical planning by using ENZIAN score.  

MRI ENZIAN score can provide an objective tool to presurgical planning of deep endometriosis.

Di Paola, V, Castelli, F, Mehrabi, S, Pozzi Mucelli, R, Manfredi, R, MRI in Presurgical Staging of Deep Endometriosis (DE) Using Enzian Score.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017603.html