Optimizing endometriosis diagnosis and mapping: The important role of advanced transvaginal ultrasound.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Álvaro Ramos-Reyes, Carlos Hernandez-Nieto, Homero Flores-Tamez, Homero Flores-Mendoza
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Abstract

Endometriosis is estimated to affect 5%-10% of women of reproductive age, making timely diagnosis essential for initiating treatment, alleviating symptoms, and reducing the risk of disease progression. Unfortunately, the diagnostic delay in this disease is estimated to be approximately 10 years. The aim of this study is to present a case series of three patients assessed with both imaging modalities for endometriosis diagnosis and mapping, advanced transvaginal ultrasound (ATVUS) and magnetic resonance imaging (MRI). The findings obtained by performing the ATVUS imaging study protocol with different pelvic compartments according to the International Deep Endometriosis Analysis (IDEA) consensus are described and contrasted with those for MRI, along with their correlation to surgical and histological findings. A single gynecologist with specialized training in ATVUS performed a systematic pelvic evaluation in patients with clinical suspicion of endometriosis. The physician performed the anatomo-sonographic assessments described by the IDEA consensus. A retrospective analysis of the three cases was performed comparing both imaging modalities and surgical and histological findings. It was demonstrated in this case series that endometriosis is detectable in distinct pelvic compartments by ATVUS, with results comparable to MRI, while offering the benefits of lower cost and widespread accessibility. In contrast, individuals, insurance companies, and healthcare systems in some countries might be unable or unwilling to cover MRI costs for endometriosis diagnosis or presurgical mapping. In conclusion, given the high prevalence of endometriosis, mastering ATVUS is essential. Future studies should aim to robustly evaluate the role of ATVUS alongside other imaging modalities, including MRI, to maximize diagnostic accuracy.

优化子宫内膜异位症的诊断和定位:经阴道超声的重要作用。
子宫内膜异位症估计影响5%-10%的育龄妇女,因此及时诊断对于开始治疗、缓解症状和降低疾病进展的风险至关重要。不幸的是,这种疾病的诊断延迟估计约为10年。本研究的目的是提出一个病例系列的三个患者评估两种成像方式子宫内膜异位症的诊断和绘图,先进的经阴道超声(ATVUS)和磁共振成像(MRI)。根据国际深部子宫内膜异位症分析(IDEA)共识,对不同盆腔室的ATVUS成像研究方案所获得的结果进行了描述,并与MRI结果进行了对比,以及它们与手术和组织学结果的相关性。一位接受过ATVUS专业培训的妇科医生对临床怀疑为子宫内膜异位症的患者进行了系统的盆腔评估。医生进行了IDEA共识所描述的解剖超声评估。回顾性分析三个病例,比较影像学和手术及组织学结果。在本病例系列中,通过ATVUS可以在不同的盆腔室中检测到子宫内膜异位症,其结果与MRI相当,同时具有成本较低和广泛可及性的优点。相比之下,一些国家的个人、保险公司和医疗保健系统可能无法或不愿意支付子宫内膜异位症诊断或术前测绘的MRI费用。总之,鉴于子宫内膜异位症的高患病率,掌握ATVUS是必不可少的。未来的研究应旨在强有力地评估ATVUS与其他成像方式(包括MRI)的作用,以最大限度地提高诊断准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
2.60%
发文量
493
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.
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