BUT .....
Most value probably lies in:...we acknowledge that a limitation of our study is that we are assuming that imaging findings are the likely causation of patient pain. Since this study does not correlate clinical treatment with improvement of pain subscores, we are unable to assess the level of incidental findings in our patient subset.
The second category of clinical significance in the MRI patient population is the ability to reassure the patient. MRI is a very specific test, and by obtaining a negative result in 66% of patients, you are able to provide reassurance to the patient that there is no anatomic or oncologic pathology. Though not diagnostic, it provides clarification in the work-up of pelvic pain and provides the patient with reassurances against a catastrophic diagnosis.