Can New ENZIAN Score 2020 Represent a Staging System Improving MRI Structured Report?

Area of Science:

• Radiology
• Gynecologic Imaging
• Pelvic MRI

Background:

• Structured reporting is crucial for diagnosing endometriosis.
• The ENZIAN score (2020) is a recent tool for staging endometriosis.
• Magnetic Resonance Imaging (MRI) is a key modality for pelvic imaging.

Purpose of the Study:

• To evaluate the applicability and feasibility of the ENZIAN score (2020) using MRI for endometriosis.
• To assess interobserver agreement among radiologists using the ENZIAN score.
• To propose modifications to the ENZIAN score for improved MRI assessment.

Main Methods:

• Retrospective analysis of 60 patients with suspected endometriosis.
• MRI examinations were reviewed by three radiologists with varying experience.
• Lesions were scored using the ENZIAN score (2020), with a modified score proposed.

Main Results:

• High interobserver agreement and feasibility were observed for the ENZIAN score applied to MRI.
• Limitations were identified regarding MRI's assessment of tubal patency and mobility.
• A modified MRI-ENZIAN score was developed to enhance reporting suitability for MRI.

Conclusions:

• The ENZIAN score (2020) demonstrates validity as a staging system for endometriosis via MRI.
• The proposed modified MRI-ENZIAN score offers a more suitable structured reporting system.
• This approach facilitates a common language between radiologists and surgeons in endometriosis management.