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Related Experiment Video

Updated: Mar 30, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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MRI reporting standard for chronic pelvic pain: consensus development.

Nishat Bharwani1, Seema A Tirlapur2, Moji Balogun3

  • 11 Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

The British Journal of Radiology
|November 13, 2015
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Summary

A standardized pro forma for reporting gynaecological magnetic resonance imaging (MRI) in chronic pelvic pain (CPP) was developed. This template aims to improve consistency and aid future clinical evaluation of CPP.

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Area of Science:

  • Radiology
  • Gynaecology

Background:

  • Chronic pelvic pain (CPP) in females is a prevalent and challenging condition requiring multidisciplinary management.
  • Diagnostic laparoscopy is often necessary, but magnetic resonance imaging (MRI) offers a potential non-invasive evaluation method.
  • Standardization of MRI reporting is crucial for its routine clinical integration in CPP assessment.

Framework:

  • A two-generational Delphi survey methodology was employed.
  • An expert panel of 28 UK-based gynaecological MRI radiologists participated.
  • The survey aimed to refine a proposed reporting template for CPP.

Implementation:

  • High response rates were achieved (75% and 79% across rounds).
  • Consensus was reached on the pro forma structure and information requirements.
  • Fair agreement consistency (ICC=0.394) was observed among experts.

Implications:

  • The developed standardized pro forma provides a basis for future prospective MRI evaluations of CPP.
  • This template has the potential for adaptation to assess other benign gynaecological conditions.
  • Standardized reporting enhances the utility of gynaecological MRI in clinical practice.