Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis

Abstract

Objectives To compare the accuracy of multidetector computerized tomography enteroclysis (MDCT-e) and rectal water contrast transvaginal ultrasonography (RWC-TVS) in determining the 97.9% (47/48), 97.8% (45/46), 94.0% (47/50) and 95.8% (92/96)

Ultrasound techniques in the diagnosis of deep pelvic endometriosis: algorithm based on a systematic review and meta-analysis

“…Out of theses 12 articles, two studies evaluated the diagnostic value of SCSV in detecting DPE (4,19), three studies evaluated TG-TVS (20,38,39), and another three assessed RWC-TVS (21,37,40). Surprisingly, only two articles tested the TVS with bowel preparation (13,22), and finally two articles evaluated the diagnostic value of TVS sliding sign to identify DPE (23,41).…”

“…In the first round of literature search, out of 317 manuscripts, only 17 articles were included according to the inclusion and exclusion criteria (4,9,16,19,21,(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36). The following rounds of literature screen to detect manuscripts regarding modified techniques of TVS identified 12 eligible manuscripts, of which three were already identified in the first literature search (4,19,21) and nine were new manuscripts (13,20,22,23,(37)(38)(39)(40)(41).…”

“…We had 12 and three papers that reported information evaluating RES (440 cases) (9,25,28,30,33,37,(43)(44)(45)(46)(47)(48) and RWC-TVS (176 cases), respectively (21,37,40).…”

Accuracy of transvaginal sonography and contrast‐enhanced magnetic resonance‐colonography for the presurgical staging of deep infiltrating endometriosis

“…Biscaldi et al . proposed the use of multi‐slice computed tomography (MSCT) enteroclysis in determining the presence and depth of bowel endometriotic lesions, with excellent results compared with rectal water contrast TVS (accuracy, 97.9% and 95.8%, respectively). The most relevant disadvantage of MSCT enteroclysis is the exposure to radiation, particularly because the majority of patients are at reproductive age.…”

Transvaginal sonography with vs without bowel preparation in diagnosis of rectosigmoid endometriosis: prospective study

“…Transvaginal sonography (TVS) currently represents the first line of investigation for the diagnosis of rectosigmoid endometriosis. Previous studies have shown that TVS is as accurate as rectal endoscopic sonography, magnetic resonance imaging and multidetector computerized tomography enema for the diagnosis of rectosigmoid endometriosis. Furthermore, TVS is inexpensive compared with radiological imaging, it is well tolerated by the patient, non‐invasive and it does not require anesthesia.…”