{"paper_id":"1a2aab47-ea49-422c-a2ab-7eeb928ae04a","body_text":"Decidualized posterior compartment deep endometriosis: three-dimensional rendering and Doppler-based vascular assessment\nCorresponding Author\nF. Barra\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy\nCorrespondence: Dr F. Barra, Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132 Genoa, Italy (e-mail: [email protected])\nSearch for more papers by this authorM. Maramai\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorF. Olcese\nAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy\nSearch for more papers by this authorD. Beleva\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorC. Gustavino\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorS. Ferrero\nAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy\nSearch for more papers by this authorCorresponding Author\nF. Barra\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Health Sciences (DISSAL), University of Genoa, Genoa, Italy\nCorrespondence: Dr F. Barra, Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132 Genoa, Italy (e-mail: [email protected])\nSearch for more papers by this authorM. Maramai\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorF. Olcese\nAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy\nSearch for more papers by this authorD. Beleva\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorC. Gustavino\nUnit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nSearch for more papers by this authorS. Ferrero\nAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy\nDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy\nSearch for more papers by this authorDATA AVAILABILITY STATEMENT\nData sharing not applicable to this article as no datasets were generated or analysed during the current study.\nSupporting Information\n| Filename | Description |\n|---|---|\n| uog70225-sup-0001-VideoS1.mp4MPEG-4 video, 3.2 MB |\nVideoclip S1 Cine loop of the 3D HDlive GlassBody reconstruction of deep endometriotic nodule shown in Figure 2b (8 weeks postpartum), obtained using Calc Cine mode (360° rotation around the y-axis in 3° increments) with high-definition transparent rendering and integrated color Doppler flow mapping, highlighting marked intralesional vascularity, particularly in the components involving the cranial rectovaginal septum and adjacent posterior compartment soft tissue. |\n| uog70225-sup-0002-VideoS2.mp4MPEG-4 video, 3.6 MB |\nVideoclip S2 Cine loop of the 3D HDlive GlassBody reconstruction of deep endometriotic nodule shown in Figure 4b (approximately 4 months postpartum), obtained using Calc Cine mode (360° rotation around the y-axis in 3° increments), highlighting a marked reduction in intralesional vascularity and a decrease in the spatial extent of vascular signals compared with the baseline examination, particularly within the cranial rectovaginal septum and adjacent posterior parametrial soft tissue. |\nPlease note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.\nReferences\n- 1Cha J, Sun X, Dey SK. Mechanisms of implantation: strategies for successful pregnancy. Nat Med. 2012; 18: 1754-1767.\n- 2Fruscella E, Testa AC, Ferrandina G, et al. Sonographic features of decidualized ovarian endometriosis suspicious for malignancy. Ultrasound Obstet Gynecol. 2004; 24: 578-580.\n- 3Mascilini F, Moruzzi C, Giansiracusa C, et al. Imaging in gynecological disease. 10: clinical and ultrasound characteristics of decidualized endometriomas surgically removed during pregnancy. Ultrasound Obstet Gynecol. 2014; 44: 354-360.\n- 4Barbieri M, Somigliana E, Oneda S, Ossola MW, Acaia B, Fedele L. Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity. Hum Reprod. 2009; 24: 1818-1824.\n- 5Leone Roberti Maggiore U, Ferrero S, Mangili G, et al. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes. Hum Reprod Update. 2016; 22: 70-103.\n- 6Bean E, Naftalin J, Horne A, Saridogan E, Cutner A, Jurkovic D. Prevalence of deep and ovarian endometriosis in early pregnancy: ultrasound diagnostic study. Ultrasound Obstet Gynecol. 2022; 59: 107-113.\n- 7Zajicek M, Berkowitz E, Yulzari V, et al. Ultrasound appearance of decidualized non-ovarian endometriotic lesions during pregnancy and after delivery. Ultrasound Obstet Gynecol. 2024; 63: 258-262.\n- 8Bean E, Knez J, Setty T, et al. Natural history of endometriosis in pregnancy: ultrasound study of morphology of deep endometriosis and ovarian endometrioma. Ultrasound Obstet Gynecol. 2023; 62: 585-593.\n- 9Guerriero S, Condous G, van den Bosch T, et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. 2016; 48: 318-332.\n- 10Guerriero S, Condous G, Rolla M, et al. Addendum to the consensus opinion from the International Deep Endometriosis Analysis (IDEA) group: sonographic evaluation of the parametrium. Ultrasound Obstet Gynecol. 2023; 64(2): 275-280.\n10.1002/uog.27558Google Scholar\n- 11Barra F, Zorzi C, Albanese M, et al. Ultrasonographic characterization of parametrial endometriosis: a prospective study. Fertil Steril. 2024; 122(1): 150-161.\n- 12Shenoy-Bhangle AS, Movilla PR, Joyce S, et al. The role of MRI in diagnosis and pre-surgical mapping of endometriosis. J Magn Reson Imaging. 2026; 63: 39-59.\n- 13Lim JH. Colorectal cancer: sonographic findings. 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