Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Diagnosis Methods
3.1.1. Ultrasonography Overview
- Regular uterine and adnexal examinations (with sonographic evidence of adenomyosis or ovarian cysts).
- Transvaginal ultrasound “soft markers” evaluation (i.e., site-specific tenderness and adnexal mobility).
- POD status is evaluated by utilizing a real-time ultrasound “sliding sign”.
- Examination of the anterior and posterior compartments for DE nodules [38].
3.1.2. Magnetic Resonance Imaging Overview
3.1.3. Comparison between the Diagnostic Accuracy of TVS and MRI
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Reference | Number of Patients | Locations of DE | Imaging Techniques | Mean Age | Year of Publication |
---|---|---|---|---|---|
Hudelist et al. [9] | 126 | Ovaries, uterosacral ligaments, rectovaginal space, bladder, rectosigmoid | TVS | 32.2 | 2011 |
Cazalis et al. [10] | 25 | Ovaries, uterosacral ligaments, rectovaginal space, bladder, rectosigmoid | TVS + MRI | 35.4 | 2012 |
Alborzi et al. [11] | 317 | Ovaries, uterosacral ligaments, rectovaginal space, bladder, rectosigmoid | TVS + MRI | 31 | 2018 |
Bazot et al. [12] | 92 | Uterosacral ligaments, rectovaginal space, rectosigmoid | TVS + MRI | 31.8 | 2009 |
Idrielle et al. [15] | 49 | Uterosacral ligaments, rectovaginal space, bladder, rectosigmoid | TVS + MRI | - | 2019 |
Kruger et al. [14] | 152 | Uterosacral ligaments, ovaries, bladder, rectosigmoid | MRI | 33.5 | 2013 |
Saccardi et al. [8] | 102 | Uterosacral ligaments, rectovaginal space | TVS + MRI | 32.3 | 2012 |
Saba et al. [13] | 30 | Ovaries, uterosacral ligaments, rectosigmoid | MRI | 34 | 2011 |
Ovaries | TVS | MRI | ||
---|---|---|---|---|
Sensitivity | Specificity | Sensitivity | Specificity | |
Hudelist et al. [9] | 96% | 96% | - | - |
Cazalis et al. [10] | 88.2% | 71% | 87.5% | 71% |
Alborzi et al. [11] | 70.86% | 92.7% | 63.5% | 93.9% |
Saba et al. [13] | - | - | 92.6% | 91.3% |
Kruger et al. [14] | - | - | 86.3% | 73.6% |
USL | TVS | MRI | ||
---|---|---|---|---|
Sensitivity | Specificity | Sensitivity | Specificity | |
Hudelist et al. [9] | 63% | 98% | - | - |
Cazalis et al. [10] | 63% | 82.6% | 69% | 82.6% |
Alborzi et al. [11] | 70.8% | 92.7% | 63.5% | 93.9% |
Bazot et al. [12] | 78.3% | 66.7% | 84.4% | 88.9% |
Idrielle et al. [15] | 74% | 67% | 94% | 60% |
Kruger et al. [14] | - | - | 77% | 68% |
Saccardi et al. [8] | 55.6% | 95.6% | 95.6% | 75% |
Saba et al. [13] | - | - | 80% | 84.6% |
Rectovaginal Space | TVS | MRI | ||
---|---|---|---|---|
Sensitivity | Specificity | Sensitivity | Specificity | |
Hudelist et al. [9] | 64% | 99% | - | - |
Cazalis et al. [10] | 63.2% | 100% | 47.4% | 100% |
Alborzi et al. [11] | 86.3% | 94.8% | 95.2% | 71.1% |
Bazot et al. [12] | 9% | 98.7% | 54.5% | 98.7% |
Idrielle et al. [15] | 67% | 100% | 83% | 93% |
Saccardi et al. [8] | 63.9% | 88.9% | 83.3% | 77.8% |
Bladder | TVS | MRI | ||
---|---|---|---|---|
Sensitivity | Specificity | Sensitivity | Specificity | |
Hudelist et al. [9] | 50% | 98% | - | - |
Cazalis et al. [10] | 16.7% | 100% | 33.3% | 89.5% |
Alborzi et al. [11] | 100% | 99.6% | 100% | 99.6% |
Idrielle et al. [15] | 89% | 100% | 100% | 95% |
Kruger et al. [14] | - | - | 81% | 94% |
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Baușic, A.; Coroleucă, C.; Coroleucă, C.; Comandașu, D.; Matasariu, R.; Manu, A.; Frîncu, F.; Mehedințu, C.; Brătilă, E. Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis. Diagnostics 2022, 12, 1767. https://doi.org/10.3390/diagnostics12071767
Baușic A, Coroleucă C, Coroleucă C, Comandașu D, Matasariu R, Manu A, Frîncu F, Mehedințu C, Brătilă E. Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis. Diagnostics. 2022; 12(7):1767. https://doi.org/10.3390/diagnostics12071767
Chicago/Turabian StyleBaușic, Alexandra, Ciprian Coroleucă, Cătălin Coroleucă, Diana Comandașu, Roxana Matasariu, Andrei Manu, Francesca Frîncu, Claudia Mehedințu, and Elvira Brătilă. 2022. "Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis" Diagnostics 12, no. 7: 1767. https://doi.org/10.3390/diagnostics12071767