对于子宫内膜异位症的ESUR共识MRI:说明,报告和分类
Isabelle Thomassin-Naggara1,2, Miriam Dolciami3, Luciana P Chamie4
1Imageries Radiologiques et Interventionnelles Spécialisées (IRIS), APHP Sorbonne Université Hopital Tenon, Paris, France. Isabelle.thomassin@aphp.fr.
European radiology
|May 27, 2025
概括
更新的子宫内膜异位症指南建议磁共振成像 (MRI) 诊断,当超声波是不确定的. 标准化的MRI报告,包括分类,改善了医生和患者之间的沟通,以获得更好的子宫内膜异位症护理.
科学领域:
- 放射学 放射学是一门学科.
- 妇科 妇科 妇科 妇科
- 医疗成像医学成像
背景情况:
- 子宫内膜异位症的诊断和管理需要精确的成像.
- 欧洲泌尿器官放射学会 (ESUR) 关于子宫内膜异位症的指南于2017年发表.
- 磁共振成像 (MRI) 的进步需要更新指南.
研究的目的:
- 根据MRI的最新进展,更新ESUR对子宫内膜异位症的指南.
- 定义MRI在子宫内膜异位症诊断和管理中的最新指示.
- 建立对标准化MRI报告和分类系统的共识.
主要方法:
- 采用了Delphi过程,涉及来自10个国家的20名妇科成像专家.
- 为了达成专家共识,进行了文献研究和两轮调查.
- 重点是MRI指示,标准化报告和分类系统.
主要成果:
- 建议在有症状的患者,手术前或治疗后,如果症状持续存在,对无结论或负面的阴道超声波进行MRI.
- 标准化的MRI报告,特别是使用放射学评分,如深盆内膜异位症指数 (dPEI),受到专家 (95%) 的强烈青.
- 专家认为,MRI分类显著改善了放射科医生和外科医生之间的沟通 (100%),并有助于预测手术结果和并发症.
结论:
- 标准化的MRI报告,包括分类系统,对于子宫内膜异位症的管理至关重要.
- 在报告中使用可选图纸可以进一步加强与患者和外科医生的沟通.
- 更新的指南旨在优化MRI的使用,以全面地图化子宫内膜异位症和患者护理.
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