{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:41:36Z","timestamp":1782603696542,"version":"3.54.5"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1097","license":[{"start":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T00:00:00Z","timestamp":1552608000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives:<\/jats:title>\n                  <jats:p>Diagnostic role of MRI in Mayer\u2013Rokitansky\u2013Kuster\u2013Hauser (MRKH) syndrome is well documented. Recent studies have shown the relevance of MRI in detailing the pelvic anatomy, particularly small Mullerian remnants. The results are, however, not consistent and reproducibility of MRI features has not been confirmed. The aim of our study was to evaluate the detailed pelvic anatomy in patients with MRKH syndrome and to calculate the interobserver agreement of the MRI features.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>The study was carried out on female patients, aged 15\u201330 years, with primary amenorrhea. Following clinical, gynaecological, endocrinological, ultrasound and chromosomal work-up and a provisional diagnosis of MRKH syndrome, MRI pelvis was performed on 25 patients using a 1.5 T scanner. MRI images were retrospectively reviewed by two radiologists for a detailed evaluation of Mullerian structures (uterine buds, fibrous bands, midline triangular soft tissue), vagina, and ovaries. \u03ba coefficient was calculated as a measure of interobserver agreement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Interobserver agreement was good to excellent (\u03ba: 0.7788 \u00b1 0.2168\u2009to 1 \u00b1 0) for uterine buds and their characteristics, vagina, ovaries and associated renal\/vertebral anomalies; poor to fair for fibrous bands (\u03ba: 0.2857 \u00b1 0.3273\u2009to 0.6032 \u00b1 0.2149) and good for midline triangular soft tissue (\u03ba: 0.7826 \u00b1 0.1474).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>MRI is capable of providing key pre-operative anatomical information in MRKH syndrome non-invasively. There is good to excellent interobserver agreement for MRI features of most of the surgical relevant structures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>MRI features of salient preoperative anatomical structures are reproducible between observers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20190045","type":"journal-article","created":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T12:59:43Z","timestamp":1552481983000},"source":"Crossref","is-referenced-by-count":9,"title":["MRI evaluation of pelvis in Mayer\u2013Rokitansky\u2013Kuster\u2013Hauser syndrome: interobserver agreement for surgically relevant structures"],"prefix":"10.1093","volume":"92","author":[{"given":"Aanchal","family":"Bhayana","sequence":"first","affiliation":[{"name":"Department of Radiology and Imaging, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3027-1739","authenticated-orcid":false,"given":"Rohini Gupta","family":"Ghasi","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi , India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"2024050214483173600_b1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1053\/j.sult.2015.05.002","article-title":"Magnetic resonance imaging of developmental anomalies of the uterus and the vagina in pediatric patients","volume":"36","author":"Gould","year":"2015","journal-title":"Seminars in Ultrasound, CT and MRI"},{"key":"2024050214483173600_b2","doi-asserted-by":"crossref","first-page":"E233","DOI":"10.1148\/rg.326125515","article-title":"Imaging of M\u00fcllerian duct 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preoperative assessment of Mayer-Rokitansky-Kuster-Hauser syndrome","volume":"114","author":"Pompili","year":"2009","journal-title":"Radiol Med"},{"key":"2024050214483173600_b6","doi-asserted-by":"crossref","first-page":"233","DOI":"10.3348\/kjr.2013.14.2.233","article-title":"Magnetic resonance evaluation of M\u00fcllerian remnants in Mayer-Rokitansky-K\u00fcster-Hauser syndrome","volume":"14","author":"Yoo","year":"2013","journal-title":"Korean J Radiol"},{"key":"2024050214483173600_b7","first-page":"227","article-title":"MRI in the diagnosis of Mayer-Rokitansky- Kuster-Hauser syndrome","volume":"19","author":"Kara","year":"2013","journal-title":"DiagnIntervRadiol"},{"key":"2024050214483173600_b8","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1148\/radiol.13130211","article-title":"Mayer-Rokitansky-Kuster-Hauser syndrome: diagnosis with MR 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