2026, Number 4
Interobserver variability of the Enzian classification for the diagnosis of endometriosis by magnetic resonance of patients at the Angeles Pedregal Hospital
Martínez OC, Gómez PMG, Penagos MJ
Full text
10.35366/123492
Language: Spanish
References: 7
Page: 351-356
PDF size: 1232.60 Kb.
ABSTRACT
Introduction: endometriosis is a condition characterized by the presence of endometrial epithelial tissue and stromal cells outside the uterine cavity, which may be accompanied by inflammation, fibrosis, and muscle hypertrophy. Approximately 10% of the world’s female population suffers from this disease, yet it is underdiagnosed in many cases. Objective: to assess the usefulness of the #Enzian tool for the diagnosis of endometriosis among experienced radiologists vs resident physicians. Material and methods: retrospective, observational study using magnetic resonance imaging of women aged 19-55 years with a suspected diagnosis of endometriosis or bleeding. The statistical analysis yielded the mean, standard deviation, and percentages, and concordance was evaluated using Cohen’s kappa index. Results: of the 50 patients with a mean age of 34.7 years, 68% were referred due to suspected endometriosis. In the evaluation of the peritoneum, ovary, and fallopian tube, a higher moderate concordance was obtained for the peritoneum and right ovary. In the evaluation of deep endometriosis, agreement was perfect for sacrouterine ligaments, cardinal ligaments, and the pelvic wall on the right and left sides, as well as in the anterior portion of the rectum, bladder, ureters, and other sites. Conclusions: the Enzian classification is a useful tool for identifying endometriosis; however, it requires ongoing training for the operating personnel.REFERENCES