title: MRI reporting standard for chronic pelvic pain: consensus development.
abstract: OBJECTIVE
  To identify radiological parameters that should be reported on gynaecological MRI in order to create a standardized assessment pro forma for reporting CPP, which may be used in clinical practice.
  
  
  METHODS
  Chronic pelvic pain (CPP) in females is a common problem presenting a major challenge to healthcare providers. The complex multifactorial aetiology requires a multidisciplinary approach and often necessitates diagnostic laparoscopy for assessment. MRI is emerging as a potential non-invasive alternative for evaluation of CPP; however, standardization of reporting is required for it to be used in routine clinical practice. A two-generational Delphi survey with an expert panel of 28 radiologists specializing in gynaecological MRI from across the UK was used to refine a proposed reporting template for CPP.
  
  
  RESULTS
  75% response rate for the first round and 79% for the second. Following the second round, agreement was reached on the structure of the pro forma and the way in which information was sought, with overall consistency of agreement between experts deemed as fair (intraclass correlation coefficient = 0.394). This was accepted as the final version by consensus.
  
  
  CONCLUSIONS
  The standardized pro forma developed in this study will form the basis for future prospective evaluation of MRI in CPP. This template could be modified for the assessment of other benign gynaecological conditions.
  
  
  CONCLUSIONS
  Female CPP is a significant problem presenting challenges for clinicians. MRI is often used for evaluation and standardization of techniques, and reporting is required. The pro forma developed in this study will form the basis for future prospective MRI evaluation.
authors.affiliation: 1 Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
authors.forename: Nishat
authors.identifier: http://orcid.org/0000-0002-6236-1480
authors.initials: N
authors.lastname: Bharwani
authors.affiliation: 2 Women's Health Research Unit, Queen Mary, University of London, London, UK.
authors.forename: Seema A
authors.initials: SA
authors.lastname: Tirlapur
authors.affiliation: 3 Department of Radiology, Birmingham Women's Hospital, Birmingham, UK.
authors.forename: Moji
authors.initials: M
authors.lastname: Balogun
authors.affiliation: 4 Birmingham Clinical Trials Unit (BCTU), Institute for Applied Health Research, Public Health Building, University of Birmingham, Birmingham, UK.
authors.forename: Lee
authors.initials: L
authors.lastname: Priest
authors.affiliation: 2 Women's Health Research Unit, Queen Mary, University of London, London, UK.|5 Department of Obstetrics and Gynaecology, Barts Health NHS Trust, The Royal London Hospital, London, UK.
authors.forename: Khalid S
authors.initials: KS
authors.lastname: Khan
authors.affiliation: 6 Clinical Biostatistics Unit, Hospital Ramon y Cajal (IRYCIS), CIBERESP, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Zamora
authors.affiliation: 7 Department of Imaging, Ground Floor, KGV Wing, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London, UK.
authors.forename: Anju
authors.initials: A
authors.lastname: Sahdev
mesh_terms: D059350:Chronic Pain / Q000175:diagnosis*; D032921:Consensus; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D017699:Pelvic Pain / Q000175:diagnosis*; D010388:Pelvis / Q000473:pathology*; D006113:United Kingdom