IF: 0.478
Cite Score:
0.54
THOMSON REUTERS - SCOPUS

Ultrasound in the Diagnosis of Endometriosis

AUTHORS

Maryam Niknejadi 1 , * , Ashraf Moini 3 , Zohreh Rashidi 1 , Fatemeh Niknejad 1 , Hadieh Haghighi 1 , Reza Salmanyazdi 4 , Gholamreza Khalili 5

AUTHORS INFORMATION

1 Department of Reproductive Imaging at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran

3 Department of Gynecology and Obstetrics, Arash Womens Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

4 Department of Epidemiology and Reproductive Health at Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran

5 Department of Andrology at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran

ARTICLE INFORMATION

Iranian Journal of Radiology: 11 (30th Iranian Congress of Radiology); e21412
Published Online: February 28, 2014
Article Type: Research Article
Crossmark

Crossmark

CHEKING

READ FULL TEXT
Abstract

Background: To evaluate diagnostic accuracy of transvaginal sonography and laparoscopy in the diagnosis of endometriosis.

Patients and Methods: This was a prospective study of women scheduled for laparoscopy because of infertility assessment. Consecutive patients were assessed prospectively using TVS before laparoscopy and the findings of preoperative TVS were compared with the results obtained by laparoscopy as a gold standard. The sensitivity, specificity, positive (PPV) and negative (NPV) predictive values, and accuracy were calculated for the diagnosis of endometriosis.

Results: In total, 262 women (mean age 31 + 4.47) had preoperative TVS and laparoscopies. Of these, 78 had endometriosis. Diagnostic accuracy was assessed; the sensitivity and specificity of the TVS in the diagnosis of pelvic endometriosis were 53% and 95%, respectively, and the positive and negative predictive value were 63% and 92%, respectively. The diagnostic accuracy was 88%.

Conclusions: TVS is a good test for assessing pelvic endometriosis. Good specificity and sensitivity were obtained in the diagnosis of deep endometriosis. TVS is particularly accurate in detecting deep endometriosis, which could facilitate more effective triaging of women for appropriate surgical care.

Keywords

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
Full Text

Full text is available in PDF

COMMENTS

LEAVE A COMMENT HERE: