scholarly journals IDEAL study: magnetic resonance imaging for suspected deep endometriosis assessment prior to laparoscopy is as reliable as radiological imaging as a complement to transvaginal ultrasonography

2020 ◽  
Vol 56 (2) ◽  
pp. 255-266 ◽  
Author(s):  
D. Bielen ◽  
C. Tomassetti ◽  
D. Van Schoubroeck ◽  
D. Vanbeckevoort ◽  
L. De Wever ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Transvaginal Ultrasonography ◽  
Radiological Imaging ◽  
Resonance Imaging ◽  
Deep Endometriosis ◽  
Ideal Study

scholarly journals Early Learning Curve in the Assessment of Deep Pelvic Endometriosis for Ultrasound and Magnetic Resonance Imaging

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
T. Indrielle-Kelly ◽  
D. Fischerova ◽  
P. Hanuš ◽  
F. Frühauf ◽  
M. Fanta ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Learning Curve ◽  
Uterosacral Ligament ◽  
Learning Curves ◽  
Pelvic Endometriosis ◽  
Resonance Imaging ◽  
Deep Endometriosis ◽  
Kappa Agreement ◽  
Radiology Trainee

Purpose. We aimed to compare the learning curves of an ultrasound trainee (obstetrics and gynecology resident) and a radiology trainee when assessing pelvic endometriosis. Methods. Consecutive patients with suspected endometriosis were prospectively enrolled in a tertiary center. They underwent an ultrasound and magnetic resonance imaging preoperatively, which was reported according to the International Deep Endometriosis Analysis (IDEA) group consensus. Trainees reported on deep endometriosis (DE), endometriomas, frozen pelvis, and adenomyosis. Using the Kappa agreement, their findings were compared against laparoscopy/histology and expert findings. The learning curve was considered positive when performance improved over time and indeterminate in all other cases. Results. Reports from thirty-five women were divided chronologically into 3 equal blocks to assess the learning curve. For ultrasound, trainee versus expert showed a positive learning curve in overall pelvic DE assessment. There was an excellent agreement for adenomyosis (Kappa=1.00, p=0.09), frozen pelvis (Kappa=0.90, p=0.01), bowel (Kappa=1.00, p=0.01), and bladder DE assessment (Kappa=1.00, p=0.01). Endometrioma and uterosacral ligament assessment showed an indeterminate curve. For radiology, trainee versus expert showed a positive curve when detecting adenomyosis (Kappa=0.42, p=0.09) and bladder DE (Kappa=1.00, p=0.01). The assessment of endometriomas, frozen pelvis, overall pelvic DE, bowel, and uterosacral ligament DE showed indeterminate curve. Agreement between trainees and laparoscopy/histology showed a positive curve for bladder (both) and frozen pelvis (ultrasound only). Conclusion. A positive learning curve can be seen in some areas of pelvic endometriosis mapping after as little as 35 cases, but a bigger caseload is required to demonstrate the curve in full. The ultrasound trainee had positive learning curves in more anatomical locations (bladder, adenomyosis, overall bowel DE, frozen pelvis) than the radiology trainee (bladder, adenomyosis), which could be down to individual factors, differences in training, or the imaging method itself.

scholarly journals Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis

2007 ◽  
Vol 22 (12) ◽  
pp. 3092-3097 ◽  
Author(s):  
M. S. Abrao ◽  
M. O. d. C. Goncalves ◽  
J. A. Dias ◽  
S. Podgaec ◽  
L. P. Chamie ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Examination ◽  
Transvaginal Sonography ◽  
Resonance Imaging ◽  
Deep Endometriosis

P29.01: Comparative study between ultrasound and magnetic resonance imaging of the pelvis in the deep endometriosis

2011 ◽  
Vol 38 (S1) ◽  
pp. 264-265
Author(s):  
H. Werner ◽  
M. Marcondes ◽  
P. T. Berardo ◽  
A. C. Coutinho ◽  
M. A. Domingues ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Comparative Study ◽  
Resonance Imaging ◽  
Deep Endometriosis

scholarly journals Predictability of myometrial, lower uterine segment and cervical invasion with 3D transvaginal ultrasonography and magnetic resonance imaging in endometrial cancer patients: a prospective cohort study

2018 ◽  
Vol 20 (3) ◽  
pp. 348 ◽  
Author(s):  
Nuri Yildirim ◽  
Bahadir Saatli ◽  
Semir Kose ◽  
Ceren Sancar ◽  
Cagnur Ulukus ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Endometrial Cancer ◽  
Magnetic Resonance ◽  
Cancer Patients ◽  
Imaging Techniques ◽  
Three Dimensional ◽  
Lower Uterine Segment ◽  
Transvaginal Ultrasonography ◽  
Resonance Imaging ◽  
Sensitivity Specificity

Aims: The objective of this study is to identify the diagnostic performance of three-dimensional transvaginal ultrasonography (3D-US) and magnetic resonance imaging (MRI) in detecting myometrial, lower uterine segment and/or cervical invasion in endometrial cancer patients.Materials and methods: In this prospective study, 40 patients diagnosed with endometrial cancer were performed 3D-US and MRI, preoperatively. Deep myometrial, lower uterine segment and cervical invasion were evaluated subjectively and results were compared with the final histology as a gold standard.Results: Diagnostic accuracy of 3D-US for detecting deep myometrial, lower uterine segment and cervical invasion were 87.5%, 80% and 85%, respectively. The same results for MRI were 75%, 65% and 70%, respectively. For deep myometrial, lower uterine segment and/or cervical invasion in endometrial cancer, 3D-US had higher sensitivity, specificity, negative and positive predictive value and accuracy than MRI. The combination of these two imaging techniques had an increased sensitivity of detecting all parameters related with tumoral invasion but decreased specificity and the accuracy.Conclusion: 3D-US had better performance in detecting myometrial, lower uterine segment and/or cervical invasion than MRI in endometrial cancer patients. Combination of these techniques was not preferred according to this study.

scholarly journals DIAGNOSTIC ET TRAITEMENT DE LENDOMETRIOSE CHEZ LADOLESCENTE A PROPOS DE 160 CAS

2020 ◽  
Vol 8 (9) ◽  
pp. 1387-1392
Author(s):  
Omar Laghzaoui ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Social Life ◽  
Resonance Imaging ◽  
Pelvic Ultrasound ◽  
Deep Endometriosis ◽  
Medical Treatments ◽  
The Social ◽  
Diagnostic Et Traitement ◽  
Basic Examination

Endometriosis is a chronic gynecological pathology related to the presence of hormonally-dependent endometrial tissue outside the uterus. Its frequency in the adolescent is not negligible with a symptomatology dominated by pelvic pain twisted on the account of dysmenorrhea. Pelvic ultrasound is a basic examination for diagnostic guidance magnetic resonance imaging is more sensitive to visualizing deep endometriosis. Surgical and medical treatments are complementary. The evolution is marked by frequent recurrences in the teenager which can hinder the social life as well as the obstetric prognosis.

Sign in / Sign up

Export Citation Format

Share Document