Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis

Bazot, Marc; Malzy, Philippe; Cortez, Annie; Roseau, G.; Amouyal, Paul; Daraı̈, Émile

doi:10.1002/uog.4070

Cited by 193 publications

(209 citation statements)

References 34 publications

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“…These results are similar to those of Guerriero et al (7), who indicated a specificity of 92% and a sensitivity of 67%, but lower than those of Abrao et al (26) and Bazot et al (5,9,(27)(28)(29). On the contrary our results are superior in terms of sensitivity compared with the data reported by Grasso et al (30) (33.3% sensitivity).…”

Section: Mri and Tg-tvus Had A Similar Diagnostic Accuracy And Good Isupporting

confidence: 90%

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

Saba

Guerriero

Sulcis

et al. 2011

Magnetic Resonance Imaging

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Purpose: To compare the diagnostic accuracy of MRI and ''tenderness-guided'' transvaginal ultrasonography (tg-TVUS) in the identification of recto-sigmoid endometriosis. Materials and Methods:Institutional Review Board approval for this study was obtained, and written informed consent was given by all patients. This study is compliant with the STARD (Standards for Reporting of Diagnostic Accuracy) method. Fifty-nine patients (mean age, 33 years; range, 21-44 years) with clinical suspicion of deep pelvic endometriosis were prospectively enrolled. They underwent tg-TVUS and MRI before surgery. The characteristics of the MRI signal were analyzed. Mapping of recto-sigmoid endometriosis was performed and tg-TVUS and MR imaging results were compared with surgical and pathological findings. Sensitivity, specificity, and the positive and negative likelihood ratio (LRþ and LRÀ) were calculated. Inter-technique concordance was assessed using the Cohen statistic, and receiver operating characteristic (ROC) curves were obtained. Logistic regression analysis was performed.Results: The prevalence of recto-sigmoid endometriosis was 51%. The specificity, sensitivity, and LRþ and LRÀ were 90%, 73%, 7.089 and 0.297, respectively, for MRI and 86%, 73%, 5.317 and 0.309, respectively, for tg-TVUS. The presence of a high T1 signal spot was an excellent specific finding (100%) but was associated with a low sensitivity (30%). Inter-technique concordance using the Cohen statistic indicated a kappa value of 0.658 (6 0.098 SD). According to the logistic regression equation obtained, the use of both tg-TVUS and MRI allows optimal diagnostic performance.Conclusion: MRI and tg-TVUS show similar results in the identification of recto-sigmoid endometriosis. The Cohen kappa value suggests that these methods may have complementary roles in the identification of recto-sigmoid endometriosis, depending on the site affected.

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Section: Mri and Tg-tvus Had A Similar Diagnostic Accuracy And Good Isupporting

confidence: 90%

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

Saba

Guerriero

Sulcis

et al. 2011

Magnetic Resonance Imaging

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“…Many studies have validated the non-surgical diagnosis of endometriomas and deep endometriosis through TV-US [14][15][16][17]. The ultrasound pattern showed similar modification in all patients: DIE plaques and nodules appeared less fibrotic and more homogeneous, with illdefined contours.…”

Section: Commentmentioning

confidence: 92%

The effect of the hormonal milieu of pregnancy on deep infiltrating endometriosis: serial ultrasound assessment of changes in size and pattern of deep endometriotic lesions

Coccia

Rizzello

Palagiano

et al. 2012

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Other investigators have shown that introital 3–dimensional sonography was highly effective in detecting endometriosis of the recto‐vaginal septum 15 . Bazot, et al compared the accuracy of TVS and rectal endoscopic sonography (RES) for the diagnosis of DIE and concluded that TVS is apparently more accurate than is RES for predicting DIE in specific locations, and should thus be the first‐line imaging technique in this setting 16 . Its low cost, availability and patient acceptability are also significant added advantages 23 …”

Section: Evolution Of Transvaginal Scan For Diagnosis Of Extra‐ovariamentioning

confidence: 99%

The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis?

Menakaya

Reid

Infante

et al. 2013

Australas J Ultrason Med

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Introduction: Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre‐operative knowledge of the location and extent of these lesions have resulted in the development of Transvaginal ultrasound (TVS) as the first‐line imaging modality for extra‐ovarian endometriosis. However, various techniques of TVS have been described in the literature for this purpose. Methods: In this review we will detail the evolution of TVS as the primary imaging modality in the pre‐operative diagnosis of posterior compartment deep infiltrating endometriosis (DIE). We will also discuss the potential of an emerging new real‐time diagnostic ultrasound‐based technique known as the ‘sliding sign’ in combination with office gel sonovaginography for the pre‐operative diagnosis of Pouch of Douglas obliteration and posterior compartment DIE. Conclusion: Implementation of the new real‐time dynamic, reproducible and simple ‘sliding sign’ in conjunction with SVG has the potential to challenge the current concept that traditional laparoscopy is the ‘gold standard’ modality for the diagnosis of women with posterior compartment DIE.

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Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis

Abstract: Objectives To compare the accuracy of transvaginal sonography (TVS) and rectal endoscopic sonography (RES) for the diagnosis of deep infiltrating endometriosis (DIE), with respect to surgical and histological findings. Methods

Cited by 193 publications

References 34 publications

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

The effect of the hormonal milieu of pregnancy on deep infiltrating endometriosis: serial ultrasound assessment of changes in size and pattern of deep endometriotic lesions

The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis?

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