Diagnostic accuracy of magnetic resonance imaging, transvaginal, and transrectal ultrasonography in deep infiltrating endometriosis

Medicine
Saeed AlborziAzam Hosseini Nohandani

Abstract

To determine the diagnostic accuracy of pelvic magnetic resonance imaging (MRI), transvaginal sonography (TVS), and transrectal sonography (TRS) in diagnosis of deep infiltrating endometriosis (DIE).This diagnostic accuracy study was conducted during a 2-year period including a total number of 317 patients with signs and symptoms of endometriosis. All the patients were evaluated by pelvic MRI, TVS, and TRS in the same center. The criterion standard was considered to be the laparoscopy and histopathologic examination.Of 317 patients being included in the present study, 252 tested positive for DIE. The sensitivity, specificity, positive predictive value, and negative predictive value of TVS was found to be 83.3%, 46.1%, 85.7%, and 41.6%, respectively. These variables were 80.5%, 18.6%, 79.3%, and 19.7% for TRS and 90.4%, 66.1%, 91.2%, and 64.1% for MRI, respectively. MRI had the highest accuracy (85.4%) when compared to TVS (75.7%) and TRS (67.8%). The sensitivity of TRS, TVS, and MRI in uterosacral ligament DIE was 82.8%, 70.9%, and 63.6%, respectively. On the contrary, specificity had a reverse trend, favoring MRI (93.9%, 92.8%, and 89.8% for TVS and TRS, respectively).The results of the present study demonstrated that TVS and ...Continue Reading

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Citations

Feb 23, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Alison DeslandesEva Bezak
Mar 4, 2020·Diagnostics·Cristina SecosanLaurentiu Pirtea
Jan 12, 2020·Abdominal Radiology·Tatnai L BurnettJian Qun Huang
Sep 10, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Belinda G CollinsKathryn L McGillen
Feb 21, 2019·World Journal of Gastroenterology : WJG·Victor DesplatsFrédérick Moryoussef
Jun 7, 2019·The British Journal of Radiology·Olivera NikolicSanja Stojanovic
Oct 18, 2020·Lasers in Medical Science·Laura BuggioEdgardo Somigliana
Jul 27, 2021·World Journal of Clinical Cases·Xiao-Lin LinYao-Zhu Zhang
Oct 11, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·B GergesG Condous

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Methods Mentioned

BETA
biopsy
dissection
biopsies
imaging techniques
imaging technique

Software Mentioned

Statistical Package for Social Sciences

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