Capacity building in endometriosis ultrasound: are we there yet?

Menakaya, U.

doi:10.1002/j.2205-0140.2015.tb00218.x

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…Recent published data provides the evidence for developing and introducing such capacity‐building program(s) in endometriosis sonography . This will increase the pool of sonographers and sonologists with expertise in endometriosis sonography in Australasia…”

Section: The Ultrasound‐based Endometriosis Staging System (Ubess) Wimentioning

confidence: 99%

Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

Menakaya

Rombauts

Johnson

2016

Aust NZ J Obst Gynaeco

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It has become necessary to re - examine the relevance of diagnostic laparoscopy in the two-stage approach to surgical management of symptomatic women with higher stage endometriosis following emerging evidence demonstrating acceptable diagnostic performance of alternative less invasive and less expensive imaging modalities. We highlight the relative merits of these presurgical diagnostic imaging modalities and propose strategies that address the challenge of transitioning to a new diagnostic paradigm in the management of symptomatic women with higher stage endometriosis.

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Section: The Ultrasound‐based Endometriosis Staging System (Ubess) Wimentioning

confidence: 99%

Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

Menakaya

Rombauts

Johnson

2016

Aust NZ J Obst Gynaeco

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“…The method of ultrasound imaging, utilising a sonographer to acquire images for off-line review by a sonologist or radiologist, which is common practice in several parts of the world, has created many barriers to the uptake of assessment for DE with TVUS among sonographers. [43][44][45] Primarily, an established imaging community have needed to learn novel techniques. As some of these techniques require the performance of dynamic manoeuvres, having a scan reported by a clinician who is not the person performing the techniques presents a challenge.…”

Section: Discussionmentioning

confidence: 99%

“…The method of ultrasound imaging, utilising a sonographer to acquire images for off‐line review by a sonologist or radiologist, which is common practice in several parts of the world, has created many barriers to the uptake of assessment for DE with TVUS among sonographers 43–45 . Primarily, an established imaging community have needed to learn novel techniques.…”

Section: Discussionmentioning

confidence: 99%

What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?

et al. 2022

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Introduction: This study aimed to assess the accuracy of transvaginal ultrasound (TVUS) for the mapping of endometriosis before surgery when performed by sonographers in an outpatient women's imaging centre. Methods: A prospective longitudinal cohort study was performed. The study group comprised of 201 women who underwent a comprehensive TVUS assessment, performed by a sonographer. Laparoscopy was performed as the reference standard. Complete TVUS and surgical data were available for 53 women who were included in the final analysis. Results: Endometriosis was confirmed at a surgery in 50/53 (94.3%) participants, with 25/53 (47.2%) having deep endometriosis (DE) nodules and/or endometriomas present. TVUS for mapping of DE had an overall sensitivity of 84.0%, specificity of 89.3%, PPV of 87.5%, NPV of 86.2%, LR+ of 7.85, LRÀ of 0.18, and accuracy of 86.8% (P < 0.001). Ovarian immobility had poor sensitivity for detecting localised superficial endometriosis, DE, adhesions, and/or endometriomas (Left = 61.9% and right = 13.3%) but high specificities (left = 87.5% and right = 94.7%). Site-specific tenderness had low sensitivities and moderate specificities for the same. All soft markers of endometriosis failed to reach statistical significance except for left ovarian immobility (P = <0.001). Conclusion: Sonographers well experienced in obstetric and gynaecological imaging, working in an outpatient women's imaging setting can accurately map DE; however, the performance of soft markers for detection of SE was poor.

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“…21 There is a paucity within the literature explaining why the uptake of eTVUS within routine sonographic practice has been slow. Skill of the sonographer and sonologist/radiologist [11][12][13] and clinical knowledge 13 have been alluded to within published works as such barriers. Additionally, the need to perform dynamic assessments (when the sonographer performing these is not the clinician reporting the findings), lack of adequate remuneration and scan time limitations have also been anecdotally reported in our professional encounters and conversations as barriers to the uptake of this technique.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the frequency of endometriosis, an assessment of the anterior and posterior compartments is not a routine inclusion in Australasian or American gynaecological ultrasound guidelines, 1,4 even with many studies to date showing good diagnostic accuracy for this technique. [5][6][7][8][9][10] Skill of the sonographer and sonologist/radiologist, [11][12][13] clinical knowledge, 13 scan time availability and lack of adequate Medicare reimbursement 14 are all factors which can pose a barrier for the performance of a comprehensive Correspondence to email: Alison.deslandes@mymail.unisa.edu.au doi: 10.1002/ajum.12288 examination for endometriosis, including an assessment of the anterior and posterior compartments, as part of a routine pelvic ultrasound. As many ultrasound departments experience very high patient loads, finding the additional time needed to extend scans can be challenging.…”

Section: Introductionmentioning

confidence: 99%

How long does a transvaginal ultrasound examination for endometriosis take in comparison to a routine transvaginal ultrasound examination?

Deslandes

Parange

Childs

et al. 2021

Australas J Ultrason Med

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Introduction: This study aimed to determine the additional time needed to perform an endometriosis transvaginal ultrasound (eTVUS) compared to routine transvaginal ultrasound (rTVUS). Methods: A retrospective case-control study was performed. The study group included 199 eTVUS performed between September 2019 and September 2020. The control group comprised 105 consecutive rTVUS studies performed in the same time period. The time stamps on the ultrasound images of all cases in both groups were reviewed to determine the time taken to perform each study. Mean, median, minimum and maximum scan times for both groups were calculated as was percentage difference between scan times. A two-tailed, unpaired t-test of the normalised data and a Mann-Whitney U test assessing time difference of scans between two groups were performed with P value <0.05 considered statistically significant. Results: Performing eTVUS took significantly longer than rTVUS with increases in the mean (8.4 vs 13.8 min, 64%), median (7 vs 12 min, 71%), minimum (4 vs 7 min, 75%) and maximum (19 vs 42 min, 121%) scan times. The Mann-Whitney U test indicated a statistically significant difference in the median scan times (5.0, CI 4.0-6.0), P < 0.001. An independent t-test of the normalised data revealed a significantly larger mean scan time for eTVUS than rTVUS, Mean = 9.05 95%CI [13.17-4.94], t(302) = 4.327, P < 0.001. R 2 = 0.583. Conclusion: Endometriosis transvaginal ultrasound added an average 5.4 min to rTVUS, which is statistically significant. For ultrasound departments wanting to offer this technique, doubling the scan time allocated to perform a transvaginal ultrasound (TVUS) is suggested.

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Capacity building in endometriosis ultrasound: are we there yet?

Cited by 7 publications

References 28 publications

Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?

How long does a transvaginal ultrasound examination for endometriosis take in comparison to a routine transvaginal ultrasound examination?

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