What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?
Date
2023
Authors
Deslandes, A.
Parange, N.
Childs, J.T.
Osborne, B.
Hull, M.L.
Panuccio, C.
Croft, A.
Bezak, E.
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Journal article
Citation
Journal of Medical Imaging and Radiation Oncology, 2023; 67(3):267-276
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Alison Deslandes, Nayana Parange, Jessie T. Childs, Brooke Osborne, M. Louise Hull, Catrina Panuccio, Anthea Croft, and Eva Bezak
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Abstract
Introduction: This study aimed to assess the accuracy of transvaginal ultrasound (TVUS) for the mapping of endometriosis before surgery when performed by sonographers in an outpatient women’s imaging centre. Methods: A prospective longitudinal cohort study was performed. The study group comprised of 201 women who underwent a comprehensive TVUS assessment, performed by a sonographer. Laparoscopy was performed as the reference standard. Complete TVUS and surgical data were available for 53 women who were included in the final analysis. Results: Endometriosis was confirmed at a surgery in 50/53 (94.3%) participants, with 25/53 (47.2%) having deep endometriosis (DE) nodules and/or endometriomas present. TVUS for mapping of DE had an overall sensitivity of 84.0%, specificity of 89.3%, PPV of 87.5%, NPV of 86.2%, LR+ of 7.85, LR+ of 0.18, and accuracy of 86.8% (P < 0.001). Ovarian immobility had poor sensitivity for detecting localised superficial endometriosis, DE, adhesions, and/or endometriomas (Left = 61.9% and right = 13.3%) but high specificities (left = 87.5% and right = 94.7%). Site-specific tenderness had low sensitivities and moderate specificities for the same. All soft markers of endometriosis failed to reach statistical significance except for left ovarian immobility (P = <0.001). Conclusion: Sonographers well experienced in obstetric and gynaecological imaging, working in an outpatient women’s imaging setting can accurately map DE; however, the performance of soft markers for detection of SE was poor.
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© 2022 The Authors. Journal of Medical Imaging and Radiation Oncology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Radiologists. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.