title: Utility of Magnetic Resonance Imaging in the Evaluation of Intraoperatively Confirmed Pelvic Adhesions.
abstract: OBJECTIVE
  The aim of this study was to evaluate the ability of magnetic resonance imaging (MRI) to identify pelvic adhesions.
  
  
  METHODS
  This was an institutional review board-approved retrospective analysis.
  
  
  METHODS
  Ninety-nine patients met inclusion criteria and constituted our study population.
  
  
  METHODS
  patients who underwent MRI and subsequent gynecologic abdominal surgery within 6 months after MRI. All imaging and operative reports were reviewed for the presence of pelvic adhesions by independent and blinded specialists. The findings were compared to calculate MRI sensitivity, specificity, positive predictive value, negative predictive value, and accuracy in the evaluation of pelvic adhesions.
  
  
  RESULTS
  The specificity of MRI in the detection of pelvic adhesions was greater than 90% in all locations with the exception of the posterior cul-de-sac. Accuracy was highest in the anterior cul-de-sac at 88%. The positive predictive value was greater than 85% for prediction of non-location-specific adhesions.
  
  
  CONCLUSIONS
  Magnetic resonance imaging is very specific in the evaluation of pelvic adhesions.
authors.affiliation: From the Departments of *Obstetrics, Gynecology, and Reproductive Sciences and †Diagnostic Radiology, Yale University School of Medicine, New Haven, CT.
authors.forename: Matthew Latham
authors.initials: ML
authors.lastname: Macer
authors.forename: Mahan
authors.initials: M
authors.lastname: Mathur
authors.forename: Michael
authors.initials: M
authors.lastname: Spektor
authors.forename: Stefan
authors.initials: S
authors.lastname: Gysler
authors.forename: Lawrence
authors.initials: L
authors.lastname: Staib
authors.forename: Pinar
authors.initials: P
authors.lastname: Kodaman
authors.forename: Shirley
authors.initials: S
authors.lastname: McCarthy
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010388:Pelvis / Q000473:pathology*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D000267:Tissue Adhesions; D055815:Young Adult