深层盆腔内膜异位症的诊断性MRI:走向标准化方案?
Isabelle Thomassin-Naggara1,2, Christine Sadjo Zoua3, Marc Bazot3,4
1Radiology Imaging and Interventional Radiology Specialized Department (IRIS), Tenon Hospital, Public Hospital of Paris, Paris, France. isabelle.thomassin@aphp.fr.
European radiology
|July 3, 2024
概括
肠道准备显著提高了深盆内膜异位症 (DPE) 的MRI精度. 优先考虑肠道准备而不是直肠或阴道不透明,可以更好地诊断DPE病变.
科学领域:
- 放射学 放射学是一门学科.
- 妇科成像技术 妇科成像技术
- 骨盆的MRI图像,可以看到.
背景情况:
- 深层骨盆内膜异位症 (DPE) 诊断对于治疗计划至关重要.
- 优化MRI协议是准确检测DPE的关键.
研究的目的:
- 评估MRI协议的诊断性能和患者为检测DPE做好准备.
- 为了比较肠道准备,阴道遮和直肠遮在DPE诊断中的有效性.
主要方法:
- 从ENDOVALIRM数据库中对571名女性进行了回顾性分析.
- 独立的放射科医生对使用深盆内膜异位症指数 (dPEI) 的MRI发现进行评估.
- 评估患者的准备 (肠道,阴道,直肠模糊) 和MRI参数 (场强度,序列,对比度).
主要成果:
- 使用肠道制备的MRI显示,与没有肠道制备相比,对体/子宫关节 (USL) 和直腰结节的精度更高.
- 没有阴道变暗的MRI对体/USL位置的准确性比使用变暗的MRI更高.
- 只有在没有肠道准备的患者中,直肠模糊化改善了准确性;MRI单元类型,额外的序列和加多没有影响诊断准确性.
结论:
- 肠道准备是诊断DPE病变的首选方法,其表现优于直肠或阴道不透明.
- 在MRI协议中优先考虑肠道准备,可以提高深层子宫内膜异位症的诊断准确度.
- 优化的MRI协议与适当的患者准备对于有效的DPE管理至关重要.
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