Preoperative imaging of deeply infiltrating endometriosis in: Transvaginal sonography, rectal endoscopic sonography and magnetic resonance imaging

被引:25
作者
Cazalis, C. Gauche [1 ]
Koskas, M. [1 ]
Martin, B. [1 ]
Palazzo, L. [1 ]
Madelenat, P. [1 ]
Yazbeck, C. [1 ]
机构
[1] Hop Bichat Claude Bernard, Serv Gynecol Obstet, F-75018 Paris, France
来源
GYNECOLOGIE OBSTETRIQUE & FERTILITE | 2012年 / 40卷 / 11期
关键词
Deeply infiltrating endometriosis; Ovarian endometriosis; Preoperative diagnostic; Transvaginal ultrasonography; Rectal endoscopic sonography; Magnetic resonance imaging; PELVIC ENDOMETRIOSIS; DIAGNOSIS; ACCURACY; ULTRASONOGRAPHY; PREDICTION;
D O I
10.1016/j.gyobfe.2012.09.014
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives. - Compare the accuracy of transvaginal ultrasonography (TVUS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI) before deeply infiltrating endometriosis surgery. Patients and methods. - A retrospective study with 25 deeply endometriosis patients underwent the three imaging examinations before surgery. Calculation of sensitivity, specificity, positive predictive value, negative predictive value and accuracy for the different locations: ovaries, uterosacral ligaments and torus, rectovaginal septum, rectosigmoid junction, bladder. Results. - Ovarian and deep pelvic endometriosis was found in surgery and confirmed by histology in all patients. Sensitivity and specificity are respectively: for ovaries: 88,2% and 71 % of TVUS; 80% and 81.2% of RES; 87.5% and 71 % of MRI. For uterosacral ligaments: 63% and 82,6% of TVUS; 37% and 100% of RES; 69% and 82.6% of MRI. For torus: 57.1 % and 100% of TVUS; 76.2% and 100% of RES; 76.2% and 100% of MRI. For rectovaginal septum: 63.2 % and 100 % for TVUS; 89.5 % and 66.7 % of EER; 47.4% and 100 % of MRI. For rectosigmoid junction: 73.7% and 66.7% of TVUS; 94.7% and 66.7% of RES; 89.5 % and 50% of MRI. For bladder: 16.7% and 100% of TVUS; 16.7% and 100% of RES; 33.3 % and 89.5 % of MRI. Discussion and conclusion: - We found that TVUS is the more performant for endometriomas, it is MRI for torus, uterosacral ligaments and little bladder lesions, RES for rectovaginal septum and rectosigmoid junction. So in the clinical practice, the three imaging examinations are complementary for the preoperative assessment of deeply endometriosis. (C) 2012 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:634 / 641
页数:8
相关论文
共 18 条
  • [1] Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis
    Abrao, Mauricio S.
    Goncalves, Manoel Orlando da C.
    Dias, Joao Antonio, Jr.
    Podgaec, Sergio
    Chamie, Luciana P.
    Blasbalg, Roberto
    [J]. HUMAN REPRODUCTION, 2007, 22 (12) : 3092 - 3097
  • [2] Endometriosis lesions that compromise the rectum deeper than the inner muscularis layer have more than 40% of the circumference of the rectum affected by the disease
    Abrao, Mauricio Simoes
    Podgaec, Sergio
    Dias, Jodo Antonio, Jr.
    Averbach, Marcelo
    Ferraz Silva, Luis Fernando
    de Carvalho, Filornena Marino
    [J]. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2008, 15 (03) : 280 - 285
  • [3] Comparison of magnetic resonance Imaging and transvaginal ultrasonography in diagnosing bladder endometriosis
    Balleyguier, C
    Chapron, C
    Dubuisson, JB
    Kinkel, K
    Fauconnier, A
    Vieira, M
    Hélénon, O
    Menu, Y
    [J]. JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2002, 9 (01): : 15 - 23
  • [4] Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis
    Bazot, M.
    Malzy, P.
    Cortez, A.
    Roseau, G.
    Amouyal, P.
    Darai, E.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2007, 30 (07) : 994 - 1001
  • [5] Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis
    Bazot, M
    Thomassin, I
    Hourani, R
    Cortez, A
    Darai, E
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2004, 24 (02) : 180 - 185
  • [6] Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease
    Bazot, M
    Darai, E
    Hourani, R
    Thomassin, I
    Cortez, A
    Uzan, S
    Buy, JN
    [J]. RADIOLOGY, 2004, 232 (02) : 379 - 389
  • [7] Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis:: a preliminary comparison
    Bazot, M
    Detchev, R
    Cortez, A
    Amouyal, P
    Uzan, S
    Daraï, E
    [J]. HUMAN REPRODUCTION, 2003, 18 (08) : 1686 - 1692
  • [8] Accuracy of magnetic resonance imaging and rectal endoscopic sonography for the prediction of location of deep pelvic endometriosis
    Bazot, Marc
    Bornier, Carole
    Dubernard, Gil
    Roseau, Gilles
    Cortez, Annie
    Darai, Emile
    [J]. HUMAN REPRODUCTION, 2007, 22 (05) : 1457 - 1463
  • [9] Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis
    Bazot, Marc
    Lafont, Clarisse
    Rouzier, Roman
    Roseau, Gilles
    Thomassin-Naggara, Isabelle
    Darai, Emile
    [J]. FERTILITY AND STERILITY, 2009, 92 (06) : 1825 - 1833
  • [10] Surgical management of deeply infiltrating endometriosis - An update
    Chapron, C
    Chopin, N
    Borghese, B
    Malartic, C
    Decuypere, F
    Foulot, H
    [J]. UTERUS AND HUMAN REPRODUCTION, 2004, 1034 : 326 - 337