{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:06:54Z","timestamp":1772989614878,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T00:00:00Z","timestamp":1745020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T00:00:00Z","timestamp":1745020800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To evaluate if structured reports (SR) of pelvic magnetic resonance imaging (MRI) scans using the PALM\u2010COEIN FIGO (the International Federation of Gynecology & Obstetrics) uterine leiomyomas classification (SR\u2010FIGO) contain adequate information for clinical decision making compared with narrative reports (NR).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Three reporting templates for pelvic MRI scans were compared: NR, SR without the PALM\u2010COEIN FIGO classification of leiomyomas, and SR\u2010FIGO, for presence of 19 key\u2010features (KF) deemed relevant for leiomyoma management. Kruskal\u2010Wallis test was used to evaluate KF distribution across the report types. One gynecologist and one gynecologist\u2010in\u2010training evaluated the reports and MRI scans to assess the presence of sufficient information to decide on: (1) treatment type (observation\/medical treatment\/surgery\/uterine artery embolization); (2) surgical approach (hysteroscopic\/laparoscopic\/robotic\/open); (3) surgery type (myomectomy\/hysterectomy); (4) necessity to review MRI scans; and (5) time spent reviewing MRI scans. The responses of the gynecologist and gynecologist\u2010in\u2010training to points 1 to 5 among report types were compared using\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n test.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Twenty NR, 20 SR, and 20 SR\u2010FIGO were reviewed. The number of KF was significantly different among reports (\n P<\/jats:italic>\n \u2009<\u20090.001): SR\u2010FIGO had the highest number of KF, followed by SR, and NR. In pairwise comparison, significant differences were observed between NR and SR (\n P<\/jats:italic>\n \u2009=\u20090.001) and between NR and SR\u2010FIGO (\n P<\/jats:italic>\n \u2009=\u20090.001), but not between SR and SR\u2010FIGO (\n P<\/jats:italic>\n \u2009=\u20090.063). There were significant differences in answers to question 1 between the gynecologist and gynecologist\u2010in\u2010training for SR (\n P<\/jats:italic>\n \u2009=\u20090.007) and SR\u2010FIGO (\n P<\/jats:italic>\n \u2009=\u20090.024), with the gynecologist deeming SR and SR\u2010FIGO to provide enough information for treatment decisions more commonly than the gynecologist\u2010in\u2010training.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Although this investigation revealed that SR offers a greater wealth of information in contrast to NR, additional investigation is required to ascertain whether the integration of the PALM\u2010COEIN FIGO classification in SR enhances the clinical decision making capacity of gynecologists.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.70163","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T03:54:56Z","timestamp":1745034896000},"page":"398-404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Do\n MRI<\/scp>\n structured reports with\n FIGO<\/scp>\n classifications of leiomyomas contain adequate information for clinical decision making?"],"prefix":"10.1002","volume":"171","author":[{"given":"Laura","family":"Tordjman","sequence":"first","affiliation":[{"name":"Department of Radiology Jackson Memorial Hospital Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6094-1342","authenticated-orcid":false,"given":"Haleh","family":"Amirian","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jackson Memorial Hospital Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Shir","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julieta","family":"Aristizabal","sequence":"additional","affiliation":[{"name":"Department of Radiology Jackson Memorial Hospital Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Castillo","sequence":"additional","affiliation":[{"name":"Department of Radiology Jackson Memorial Hospital Miami Florida USA"},{"name":"Division of Abdominal Imaging, Department of Radiology University of Miami Miller School of Medicine Miami Florida 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of structured reporting on abdominal imaging interpretation times and confidence: a pilot study","volume":"45","author":"Smith J","year":"2020","journal-title":"Abdom Imaging"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.18451"},{"issue":"5","key":"e_1_2_8_15_1","first-page":"595","article-title":"Impact of structured reporting for MRI of the prostate on clinical management: a retrospective comparative cohort study","volume":"25","author":"Brown AD","year":"2018","journal-title":"Acad Radiol"}],"container-title":["International Journal of Gynecology & 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