Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography
Objective: To evaluate the performance of transvaginal ultrasonography (TVS) in diagnosis of deep infiltrating endometriosis (DIE).Methods: We retrospectively analyzed 198 patients with pathological diagnosis of DIE in our hospital from January 2017 to December 2019 and assessed the performances of...
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| Format: | Article |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2020.567929/full |
| _version_ | 1818116608887881728 |
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| author | Shaoli Yin Shaoli Yin Qi Lin Qi Lin Fanhua Xu Fanhua Xu Jinfeng Xu Jinfeng Xu Yujuan Zhang Yujuan Zhang |
| author_facet | Shaoli Yin Shaoli Yin Qi Lin Qi Lin Fanhua Xu Fanhua Xu Jinfeng Xu Jinfeng Xu Yujuan Zhang Yujuan Zhang |
| author_sort | Shaoli Yin |
| collection | DOAJ |
| description | Objective: To evaluate the performance of transvaginal ultrasonography (TVS) in diagnosis of deep infiltrating endometriosis (DIE).Methods: We retrospectively analyzed 198 patients with pathological diagnosis of DIE in our hospital from January 2017 to December 2019 and assessed the performances of pre-operative TVS diagnosis of DIE with regarding to sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV), using the pathological diagnosis as the ground truth. We also characterized the ultrasonographic features of the DIE lesions.Results: Among all the 198 cases, 170 cases were uterosacral ligament (USL) involvement, SE: 96.47% and SP: 85.71%; 79 cases were intestinal involvement, SE: 94.94% and SP: 94.96%; 57 cases were vaginal rectal septum (VRS) involvement, SE: 73.68% and SP: 94.33%; 20 cases were vaginal involvement, SE: 50% and SP: 97.21%; three cases were bladder involvement, SE: 66.7% and SP: 100%; nine cases were ureter involvement, SE: 55.56% and SP: 100%; and 10 cases were broad ligament involvement, SE: 10% and SP: 100%.Conclusion: TVS showed high accuracy in diagnosing DIE. |
| first_indexed | 2024-12-11T04:25:14Z |
| format | Article |
| id | doaj.art-0c9b528a248b410e9d5610159311ae83 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-11T04:25:14Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-0c9b528a248b410e9d5610159311ae832022-12-22T01:21:00ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-11-01710.3389/fmed.2020.567929567929Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal UltrasonographyShaoli Yin0Shaoli Yin1Qi Lin2Qi Lin3Fanhua Xu4Fanhua Xu5Jinfeng Xu6Jinfeng Xu7Yujuan Zhang8Yujuan Zhang9Department of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaShenzhen Medical Ultrasound Engineering Center, Shenzhen, ChinaDepartment of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaShenzhen Medical Ultrasound Engineering Center, Shenzhen, ChinaDepartment of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaShenzhen Medical Ultrasound Engineering Center, Shenzhen, ChinaDepartment of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaShenzhen Medical Ultrasound Engineering Center, Shenzhen, ChinaDepartment of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaShenzhen Medical Ultrasound Engineering Center, Shenzhen, ChinaObjective: To evaluate the performance of transvaginal ultrasonography (TVS) in diagnosis of deep infiltrating endometriosis (DIE).Methods: We retrospectively analyzed 198 patients with pathological diagnosis of DIE in our hospital from January 2017 to December 2019 and assessed the performances of pre-operative TVS diagnosis of DIE with regarding to sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV), using the pathological diagnosis as the ground truth. We also characterized the ultrasonographic features of the DIE lesions.Results: Among all the 198 cases, 170 cases were uterosacral ligament (USL) involvement, SE: 96.47% and SP: 85.71%; 79 cases were intestinal involvement, SE: 94.94% and SP: 94.96%; 57 cases were vaginal rectal septum (VRS) involvement, SE: 73.68% and SP: 94.33%; 20 cases were vaginal involvement, SE: 50% and SP: 97.21%; three cases were bladder involvement, SE: 66.7% and SP: 100%; nine cases were ureter involvement, SE: 55.56% and SP: 100%; and 10 cases were broad ligament involvement, SE: 10% and SP: 100%.Conclusion: TVS showed high accuracy in diagnosing DIE.https://www.frontiersin.org/articles/10.3389/fmed.2020.567929/fulltransvaginal ultrasonographydeep infiltrating endometriosis (DIE)uterosacral ligamentintestinaldiagnosis |
| spellingShingle | Shaoli Yin Shaoli Yin Qi Lin Qi Lin Fanhua Xu Fanhua Xu Jinfeng Xu Jinfeng Xu Yujuan Zhang Yujuan Zhang Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography Frontiers in Medicine transvaginal ultrasonography deep infiltrating endometriosis (DIE) uterosacral ligament intestinal diagnosis |
| title | Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography |
| title_full | Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography |
| title_fullStr | Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography |
| title_full_unstemmed | Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography |
| title_short | Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography |
| title_sort | diagnosis of deep infiltrating endometriosis using transvaginal ultrasonography |
| topic | transvaginal ultrasonography deep infiltrating endometriosis (DIE) uterosacral ligament intestinal diagnosis |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2020.567929/full |
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