Correlation between ultrasound findings and laparoscopy in prediction of deep infiltrating endometriosis (DIE)
| Autor: | Melinda Pattanasri, Pav Nanayakkara, Alex Ades |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Endometriosis Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests medicine Effective treatment Humans Laparoscopy Retrospective Studies Ultrasonography 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Ultrasound Obstetrics and Gynecology Retrospective cohort study General Medicine Middle Aged medicine.disease Deep infiltrating endometriosis Transvaginal ultrasound Female Radiology Pouch business |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecologyReferences. 60(6) |
| ISSN: | 1479-828X |
| Popis: | BACKGROUND Detailed pre-operative description of endometriotic lesions by non-invasive methods is an important tool for accurate diagnosis and effective treatment of the disease. Transvaginal ultrasound (TVUS) is a sensitive method for diagnosis of deep infiltrating endometriosis (DIE); however, it is highly operator-dependent and consistent results require adequately trained and experienced clinicians. AIMS The aim of the study is to assess the accuracy of TVUS in predicting DIE by comparing it with laparoscopic findings. We also compared US done in the community by general radiologists with examinations done by specialist gynaecologists. MATERIALS AND METHODS A retrospective cohort study of patients who underwent laparoscopy for excision of possible endometriosis between July 2014 to February 2019 who had a TVUS prior to laparoscopy. RESULTS A total of 119 patients were included. TVUS was shown to be useful in detecting all but bladder DIE. Community TVUS was no better than chance at identifying most DIE (area under the curve (AUC) of 0.48-0.60) except in the detection of ovarian endometriomas and adhesions (AUC = 0.84). Specialist TVUS correctly identified most DIE with greatest utility for DIE in rectosigmoid (AUC = 0.85, P |
| Databáze: | OpenAIRE |
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