Three‐dimensional transvaginal ultrasound vs magnetic resonance imaging for preoperative staging of deep myometrial and cervical invasion in patients with endometrial cancer: systematic review and meta‐analysis

Abstract

What are the novel findings of this work?Our systematic review and meta-analysis comparing the diagnostic test accuracy (DTA) of three-dimensional transvaginal ultrasound (3D-TVS) and magnetic resonance imaging (MRI) for deep myometrial invasion (DMI) and cervical invasion demonstrated good performance of 3D-TVS, confirming its value for preoperative staging and surgery planning in patients with endometrial cancer. What are the clinical implications of this work?This is the first systematic review to compare the DTA of 3D-TVS and MRI in the assessment of DMI and cervical invasion in patients with endometrial cancer. Given the importance of preoperative staging, accurate imaging assessment is essential for adequate surgical planning. The DTA of 3D-TVS was comparable with that of MRI, indicating that both techniques may be used for the evaluation of DMI and cervical invasion.

Transvaginal ultrasound versus magnetic resonance imaging in local staging of endometrial cancer

“…Some recent studies focusing of low risk histology cases have shown that TVS and MRI have similar diagnostic performance for identifying myometrial infiltration in such cases. [6][7][8] The results of this study should prompt new research. In modern Gynecologic Oncology, sentinel lymph node biopsy (SLNB) in endometrial cancer has become a standard of care in many institutions.…”

“…This fact might bias the results and could overestimate the actual diagnostic accuracy of both TVS and MRI in low‐risk cases, where preoperative assessment of myometrial and cervical invasion makes sense from the point of view of the gynecologic oncologist. Some recent studies focusing of low risk histology cases have shown that TVS and MRI have similar diagnostic performance for identifying myometrial infiltration in such cases 6–8 …”

“…Some recent studies focusing of low risk histology cases have shown that TVS and MRI have similar diagnostic performance for identifying myometrial infiltration in such cases. 6 , 7 , 8 …”

Resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, and bilateral partial external iliac arteries with artificial vessel replacement during radical endometrial cancer surgery: a case report

“…Preoperative analysis and surgical planning are essential before surgical lymphadenectomy. The meta-analysis discovered that 3D-transvaginal ultrasound and magnetic resonance imaging (MRI) have good diagnostic accuracy in detecting preoperative staging and surgical planning of endometrial cancer patients [ 12 ]. Positron emission tomography-computed tomography (PET-CT) has also been proven to have excellent preoperative staging and lymph node metastasis diagnostic performance [ 13 ].…”

Advances on Prevention and Screening of Gynecologic Tumors: Are We Stepping Forward?

“…Furthermore, the identification of women with hyperplasia and atypia is of paramount importance to reduce the burden of endometrial cancer. The identification of women suffering with abnormal uterine bleeding, and with those with abnormal endometrial thickness (evaluated by trans vaginal ultrasound (TVS)) [ 17 ] is making screening and early diagnosis possible, even in endometrial cancer patients [ 18 ]. Finding a screening test for endometrial cancer is challenging, but early detection is more and more possible.…”