Application of the #Enzian classification for endometriosis on MRI: prospective evaluation of inter- and intraobserver agreement.
| Autor: | Harth S; Department of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany., Kaya HE; Department of Radiology, School of Medicine, Görükle Campus, Bursa Uludağ University, Bursa, Türkiye., Zeppernick F; Department of Gynecology and Obstetrics, Justus Liebig University Giessen, Giessen, Germany., Meinhold-Heerlein I; Department of Gynecology and Obstetrics, Justus Liebig University Giessen, Giessen, Germany., Keckstein J; Endometriosis Clinic Dres. Keckstein, Villach, Austria.; Department of Obstetrics and Gynecology, Medical University Ulm, Ulm, Germany.; SEF, Westerstede, Germany., Yildiz SM; Department of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany., Nurkan E; Department of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany., Krombach GA; Department of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany., Roller FC; Department of Diagnostic and Interventional Radiology, Justus Liebig University Giessen, Giessen, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in medicine [Front Med (Lausanne)] 2023 Nov 17; Vol. 10, pp. 1303593. Date of Electronic Publication: 2023 Nov 17 (Print Publication: 2023). |
| DOI: | 10.3389/fmed.2023.1303593 |
| Abstrakt: | Objectives: The purpose of this investigation was to evaluate the inter- and intraobserver variability of the updated #Enzian classification of endometriosis on MRI and to evaluate the influence of reader experience on interobserver concordance. Methods: This was a prospective single-center study. All patients were included who received an MRI of the pelvis for evaluation of endometriosis between March and July 2023 and who have provided written informed consent. Images were reviewed independently for endometriosis by three radiologists, utilizing the MRI-applicable categories of the #Enzian classification. Two radiologists had experience in pelvic MRI and endometriosis imaging. One radiologist had no specific experience in pelvic MRI and received a one-hour briefing beforehand. Results: Fifty consecutive patients (mean age, 34.9 years ±8.6 [standard deviation]) were prospectively evaluated. Interobserver agreement was excellent for diagnosis of deep infiltrating endometriosis (Fleiss' kappa: 0.89; 95% CI 0.73-1.00; p < 0.001) and endometriomas (Fleiss' kappa: 0.93; 95% CI 0.77-1.00; p < 0.001). For the experienced readers, interobserver agreement in the assessment of compartments A, B and C was excellent (κ Conclusion: With sufficient experience, the #Enzian classification enables the achievement of excellent inter- and intraobserver agreement in MRI-based diagnosis of deep infiltrating endometriosis and endometriomas. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Harth, Kaya, Zeppernick, Meinhold-Heerlein, Keckstein, Yildiz, Nurkan, Krombach and Roller.) |
| Databáze: | MEDLINE |
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