Routine vs. expert-guided transvaginal ultrasound in the diagnosis of endometriosis: A retrospective review
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| 024 | 7 | 0 | |a 10.1007/s00261-014-0243-5 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-014-0243-5 | ||
| 245 | 0 | 0 | |a Routine vs. expert-guided transvaginal ultrasound in the diagnosis of endometriosis: A retrospective review |h [Elektronische Daten] |c [Margaret Fraser, Sugandha Agarwal, Innie Chen, Sukhbir Singh] |
| 520 | 3 | |a Objective: The objective of this study is to evaluate the sensitivity of routine trans vaginal ultrasound (TVUS) compared to expert-guided transvaginal ultrasound (ETVUS) for the diagnosis of endometriosis. Methods: A retrospective chart review performed at a Canadian tertiary center specializing in the diagnosis and management of endometriosis. All cases with surgically confirmed endometriosis and an ETVUS completed at a single center were included for review and compared to routine TVUS performed for the same indication. Results: Forty cases met the inclusion criteria. Mean patient age of the study population at first surgical diagnosis was 31.2±6.9years. Dysmenorrhea (76.9%) and chronic pelvic pain (74.3%) were the most common presenting symptoms. Sensitivity of routine TVUS was 25% (10/40), compared to 78% (31/40) with ETVUS, (P<0.01). Comparisons were made based on site of disease. Routine TVUS and ETVUS detected bladder involvement in (0/40) vs. 5% (2/40); ureter (0/40) vs. 7.5% (3/40); ovary 25% (10/40) vs. 72.5% (29/40); retrocervical area (0/40) vs. 60% (24/40), rectosigmoid 5% (2/40) vs. 77.5% (31/40), respectively. Specific endometriotic lesions recognized by TVUS versus ETVUS, were: ovarian endometriomas in 25% (10/40) vs. 45% (18/40), adhesions leading to abnormal anatomy in 2.5% (1/40) vs. 77.5% (31/40); endometriotic implants or plaques in 2.5% (1/40) vs. 70% (28/40); and endometriotic nodules in 2.5% (1/40) vs. 35% (14/40), respectively. Routine TVUS diagnosis relied on the presence or absence of endometrioma (10/10), whereas ETVUS showed additional sites of disease in 97% (30/31) patients. Conclusions: ETVUS is more sensitive than routine TVUS to diagnose endometriosis, identifying lesions other than endometrioma and is of assistance in surgical planning and patient counseling. | |
| 540 | |a The Author(s), 2014 | ||
| 690 | 7 | |a Diagnosis |2 nationallicence | |
| 690 | 7 | |a Endometriosis |2 nationallicence | |
| 690 | 7 | |a Imaging |2 nationallicence | |
| 690 | 7 | |a Transvaginal ultrasound |2 nationallicence | |
| 690 | 7 | |a TVUS : Trans vaginal ultrasound |2 nationallicence | |
| 690 | 7 | |a ETVUS : Expert-guided trans vaginal ultrasound |2 nationallicence | |
| 700 | 1 | |a Fraser |D Margaret |u Department of Medical Imaging, University of Ottawa, 501, Smyth Road, K1H8L6, Ottawa, ON, Canada |4 aut | |
| 700 | 1 | |a Agarwal |D Sugandha |u Department of Obstetrics and Gynecology, University of Ottawa, K1H7W9, Ottawa, ON, Canada |4 aut | |
| 700 | 1 | |a Chen |D Innie |u Clinical Epidemiology Program, Ottawa Hospital Research Institute, K1Y4E9, Ottawa, ON, Canada |4 aut | |
| 700 | 1 | |a Singh |D Sukhbir |u Department of Obstetrics and Gynecology, University of Ottawa, K1H7W9, Ottawa, ON, Canada |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/3(2015-03-01), 587-594 |x 0942-8925 |q 40:3<587 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-014-0243-5 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00261-014-0243-5 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Fraser |D Margaret |u Department of Medical Imaging, University of Ottawa, 501, Smyth Road, K1H8L6, Ottawa, ON, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Agarwal |D Sugandha |u Department of Obstetrics and Gynecology, University of Ottawa, K1H7W9, Ottawa, ON, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Chen |D Innie |u Clinical Epidemiology Program, Ottawa Hospital Research Institute, K1Y4E9, Ottawa, ON, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Singh |D Sukhbir |u Department of Obstetrics and Gynecology, University of Ottawa, K1H7W9, Ottawa, ON, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/3(2015-03-01), 587-594 |x 0942-8925 |q 40:3<587 |1 2015 |2 40 |o 261 | ||