Pelvic MRI for Endometriosis: A Diagnostic Challenge for the Inexperienced Radiologist. How Much Experience Is Enough?

التفاصيل البيبلوغرافية
العنوان: Pelvic MRI for Endometriosis: A Diagnostic Challenge for the Inexperienced Radiologist. How Much Experience Is Enough?
المؤلفون: Clemence Bruyere, Anastasia Kalovidouri, Ioanna Maniou, Céline Habre, Diomidis Botsikas, Nicola Pluchino, Xavier Montet
المصدر: Academic radiology. 28(3)
سنة النشر: 2019
مصطلحات موضوعية: medicine.medical_specialty, Population, Endometriosis, Sensitivity and Specificity, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Radiologists, medicine, Humans, Radiology, Nuclear Medicine and imaging, Pelvic compartment, Prospective Studies, education, Prospective cohort study, Pelvis, education.field_of_study, Pelvic endometriosis, Pelvic MRI, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, medicine.disease, Magnetic Resonance Imaging, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, Radiology, business
الوصف: The purpose of this study was to investigate the impact of radiologist experience on diagnostic performance of pelvic magnetic resonance imaging (MRI) for the evaluation of endometriomas and different localisations of deep pelvic endometriosis (DPE).In this prospective study all pelvic MRI examinations performed for pelvic endometriosis from December 2016 to August 2017 were evaluated by readers with different experience levels; junior resident (0-6 weeks of experience in female imaging), senior resident (7-24 weeks), fellow (6-24 months), and expert (10 years) in female imaging for the presence of endometriomas and DPE. Their evaluations were compared with surgery confirmed with pathology. Diagnostic performances of readers with different levels of experience were studied by the means of receiving operating characteristic curves and areas under the curve (AUC) were compared with the ones of the expert reader.Of 174 patients evaluated, the standard of reference was available for 59, consisting the final population of the study. The AUC for endometriomas, DPE for the posterior and anterior pelvic compartment, for rectosigmoid DPE and for overall evaluation were 0.983, 0.921, 0.615, 0.862, and 0.914 for the expert reader, 0.966 (p = 0.178), 0.805 (p = 0.001), 0.605 (p = 0.91), 0.872 (p = 0.317), and 0.849 (p = 0.0009) for the fellow level, 0.877 (p = 0.002), 0.757 (p0.001), 0.585 (p = 0.761), 0.744 (p = 0.239), and 0.787 (p = 0.001) for the senior resident level and 0.861 (p = 0.177), 0.649 (p0.001), 0.648 (p = 0.774), 0.862 (p = 1), and 0.721 (p0.001) for the junior resident level.According to our results, interpretation of pelvic MRI for DPE should be performed by specialists as; even the performance of radiologists with up to 2 years of experience in female imaging was statistically inferior to that of experts.
تدمد: 1878-4046
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d1091cf06df27497ae2cc707116b4d39
https://pubmed.ncbi.nlm.nih.gov/32972838
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....d1091cf06df27497ae2cc707116b4d39
قاعدة البيانات: OpenAIRE