{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:53:45Z","timestamp":1792796025378,"version":"4.5.0"},"reference-count":77,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T00:00:00Z","timestamp":1593216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the value of using one\u2010stop magnetic resonance imaging (MRI) <jats:italic>vs<\/jats:italic> standard radiological imaging as a supplement to transvaginal ultrasonography (TVS) for the preoperative assessment of patients with endometriosis referred for surgery in a tertiary care academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective observational study compared the diagnostic value of the standard preoperative imaging practice of our center, which involves expert TVS complemented by intravenous urography (IVU) for the evaluation of the ureters and double\u2010contrast barium enema (DCBE) for the evaluation of the rectum, sigmoid and cecum, with that of expert TVS complemented by a \u2018one\u2010stop\u2019 MRI examination evaluating the upper abdomen, pelvis, kidneys and ureters as well as rectum and sigmoid on the same day, for the preoperative triaging of 74 women with clinically suspected deep endometriosis. The findings at laparoscopy were considered the reference standard. Patients were stratified according to their need for monodisciplinary surgical approach, carried out by gynecologists only, or multidisciplinary surgical approach, involving abdominal surgeons and\/or urologists, based on the extent to which endometriosis affected the reproductive organs, bowel, ureters, bladder or other abdominal organs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our standard preoperative imaging approach and the combined findings of TVS and MRI had similar diagnostic performance, resulting in correct stratification for a monodisciplinary or a multidisciplinary surgical approach of 67\/74 (90.5%) patients. However, there were differences between the estimation of the severity of disease by DCBE and MRI. The severity of rectal involvement was underestimated in 2.7% of the patients by both TVS and DCBE, whereas it was overestimated in 6.8% of the patients by TVS and\/or DCBE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Complementary to expert TVS, \u2018one\u2010stop\u2019 MRI can predict intraoperative findings equally well as standard radiological imaging (IVU and DCBE) in patients referred for endometriosis surgery in a tertiary care academic center. Copyright \u00a9 2019 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.21868","type":"journal-article","created":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T14:43:18Z","timestamp":1568126598000},"page":"255-266","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["<scp>IDEAL<\/scp> study: magnetic resonance imaging for suspected deep endometriosis assessment prior to laparoscopy is as reliable as radiological imaging as a complement to transvaginal ultrasonography"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8899-8383","authenticated-orcid":false,"given":"D.","family":"Bielen","sequence":"first","affiliation":[{"name":"Department of Radiology KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Imaging and Pathology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Tomassetti","sequence":"additional","affiliation":[{"name":"Leuven University Fertility Center KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Development and Regeneration KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Van Schoubroeck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Vanbeckevoort","sequence":"additional","affiliation":[{"name":"Department of Radiology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"De Wever","sequence":"additional","affiliation":[{"name":"Department of Radiology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Van den Bosch","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"D'Hooghe","sequence":"additional","affiliation":[{"name":"Leuven University Fertility Center KU Leuven University Hospitals  Leuven Belgium"},{"name":"Global Medical Affairs Fertility Merck Healthcare KGaA  Darmstadt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Bourne","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Gynecology and Obstetrics Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"D'Hoore","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Oncology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Wolthuis","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Oncology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Van Cleynenbreughel","sequence":"additional","affiliation":[{"name":"Department of Urology KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Meuleman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Development and Regeneration KU Leuven University Hospitals  Leuven Belgium"},{"name":"Leuven University Endometriosis Center KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Timmerman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology KU Leuven University Hospitals  Leuven Belgium"},{"name":"Department of Development and Regeneration KU Leuven University Hospitals  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-41330"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000093019"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmm010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/des073"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000316055"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(97)81391-X"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deg122"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq143"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det457"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-017-0591-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12431"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1472-6483(10)60267-2"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der231"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2013.10.010"},{"key":"e_1_2_7_16_1","first-page":"19","article-title":"Modified virtual colonoscopy in the diagnosis and quantification of bowel and disseminated endometriosis","volume":"26","author":"Wat J","year":"2015","journal-title":"Surg Technol Int"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.04.001"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-016-4673-z"},{"issue":"7","key":"e_1_2_7_19_1","first-page":"CD012281","article-title":"Combination of the non\u2010invasive tests for the diagnosis of endometriosis","author":"Nisenblat V","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3470-7"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrnm.2014.11.009"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(03)00155-9"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem187"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0221-0363(08)74472-X"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4070"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-011-9790-1"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.312105144"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.266065048"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-009-9587-7"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0221-0363(08)74479-2"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.3109\/02841851003657343"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-003-0005-2"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11179"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2531082113"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-010-9643-3"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.08.021"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2011.09.010"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1856"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-009-1627-8"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.02.007"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2015.09.014"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000188"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15955"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828dfc5c"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-2864-4"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.182.2.1820431"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdn078"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2309-3"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19981130)17:22<2635::AID-SIM954>3.0.CO;2-C"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.215.3.r00jn36642"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.21.4.g01jl26799"},{"key":"e_1_2_7_52_1","unstructured":"RadiologyInfo.org. Radiation Dose in X\u2010Ray and CT Exams.https:\/\/www.radiologyinfo.org\/en\/pdf\/safety\u2010xray.pdf"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.74.884.740727"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2010.12.006"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200508000-00006"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.281075077"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12469"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det044"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00849.x"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.09.011"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/den293"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7668"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9903-3"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-009-9544-5"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000054836.32660.9e"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1159\/000345140"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.08.022"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.326125518"},{"key":"e_1_2_7_69_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.314105193"},{"key":"e_1_2_7_70_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.163.2.8037030"},{"key":"e_1_2_7_71_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.212.1.r99jl455"},{"key":"e_1_2_7_72_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-013-0336-1"},{"key":"e_1_2_7_73_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deg243"},{"key":"e_1_2_7_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.04.010"},{"key":"e_1_2_7_75_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dei021"},{"key":"e_1_2_7_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.03.043"},{"key":"e_1_2_7_77_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e32836091da"},{"key":"e_1_2_7_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2017.10.026"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.21868","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.21868","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/uog.21868","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.21868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T05:38:56Z","timestamp":1693546736000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.21868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,27]]},"references-count":77,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1002\/uog.21868"],"URL":"https:\/\/doi.org\/10.1002\/uog.21868","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,27]]},"assertion":[{"value":"2019-04-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}