THE ROLE OF MRI IN PREOPERATIVE STAGING OF ENDOMETRIOSIS; A COMPARATIVE STUDY WITH LAPAROSCOPY
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Keywords
MRI, endometriosis, laparoscopy, preoperative staging, diagnostic accuracy.
Abstract
Introduction:This research evaluates the use of magnetic resonance imaging (MRI) in the preoperative staging of endometriosis and compares its efficacy to laparoscopy, the accepted gold standard.
Methodology:A total of 156 women who had endometriosis suspicions had laparoscopies and MRIs. This is a cross-sectional, comparative research carried out in the Department of Gynecology and Radiology at the Hayatabad Medical Complex (HMC), Peshawar,. We examined the sensitivity, specificity, and effect of MRI on surgical planning.
Results:MRI demonstrated significant concordance with laparoscopy in identifying endometriotic lesions, with 95.9% sensitivity and 76.9% specificity. It was successful in identifying ovarian endometriomas and deeply infiltrating tumors, which aided in surgery planning and decreased recovery time and problems.
Conclusion:When used to accurately stage endometriosis before surgery, magnetic resonance imaging (MRI) may improve surgical results. Laparoscopy is still necessary, but MRI is a great tool for planning surgeries and lowering surgical risks.
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Bibi Sajida
Consultant Gynaecologist, DHQ Hospital, KDA Kohat Pakistan
Awais Ahmed
Assistant Professor, Radiology Department, Fatima Jinnah Medical University, Lahore Pakistan
Sadia Ahmad
Assistant Professor, Obstetrics & Gynaecology Department, Allama Iqbal Medical College, Lahore Pakistan
Maimona Haq
Graduate, Quetta Institute of Medical Sciences, Quetta Pakistan
Mubeen Ahmad Danial
House Officer, Medicine Department, Ghurki Trust and Teaching Hospital/LMDC, Lahore Pakistan
Aburabee AI
PhD Medical Imaging Student, Radiology Department, University Teknologi MARA (UiTM), Shah Alam, Malaysia
Irshad Ahmad
HOD Radiology, Niazi Medical and Dental College Sargodha, Pakistan
Hani Baloch
Lady Medical Officer, Health Department, Government of Balochistan, Pakistan
Hoor Asadullah Jan
Consultant, Gynaecology and Obstetrics Department, Saeed Medical Complex, Mattani, Peshawar Pakistan