{"paper_id":"25e100b3-4211-4640-9ff2-83d99ea286b6","body_text":"ECR 2015 / B-0587\nTransvaginal sonography vs uro-colon-CT in the diagnosis of deep infiltrating endometriosis of the anterior and posterior compartment\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2015\nPoster Number:\nB-0587\nType:\nScientific Paper\nKeywords:\nPelvis, Colon, Urinary Tract / Bladder, CT, Ultrasound, Diagnostic procedure, Tissue characterisation\nAuthors:\nD. Papadopoulos, F. Coppola, D. Valerio, C. Balacchi, L. Zannoni, S. Del Forno, R. Seracchioli, R. Golfieri; Bologna/IT\nDOI:\n10.1594/ecr2015/B-0587\nPurpose\nDeep infiltrating endometriosis (DIE) is defined by the presence of endometrial glands and stroma penetrating the retroperitoneal space to a depth of at least 5 mm.\nThe mostly affected anatomical site is the pelvis,\nwhere DIE can involve structures of both the anterior and the posterior compartment.\nIn order to mark the distinction between urinary and gastrointestinal involvement,\nwe considered ureters as part of the anterior compartment (along with the bladder) and rectovaginal septum,\nrectum,\nsigmoid and rectosigmoid junction as part of the posterior compartment...\nMethods and materials\nWe retrospectively analyzed 47 patients,\nselected on the basis of gynaecological examination,\nwith clinical suspicion of aDIE and/or pDIE,\nwho underwent TVS during gynecological examination and with indication to undergo U-CTC before laparoscopic surgery.\nTVSswereperformedby two gynecologists of the Center Of Chronic Pelvic Pain and Endometriosis,\nusing a GE Voluson S8 ultrasound system(GE Medical Systems,\nZipf,\nAustria).\nU-CTCs were performed using a 64 slice CT scanner (64 Lightspeed VCT,\nGE Healthcare,\nMilwaukee,\nWI,\nUS) with the following protocol: detector collimation 64 x 0.625 mm,\nrotation...\nResults\nThe pathologic examination revealed localizations of pDIE in 41/47 women and aDIE in 39/47 women.\nTVS showed higher overall accuracy and sensitivity in diagnosing pDIE [Fig. 1 Fig. 2] (sensitivity,\nspecificity and accuracy respectively 98%,\n33% and 89% for TVS and71%,\n50% and 68 % for U-CCT).\nSensitivity in detecting aDIE [Fig. 3] was slightly higher for TVS while specificity and accuracy were almost comparable for both techniques (sensitivity,\nspecificity and accuracy respectively 46%,\n96% and 78% for TVS and38%,\n96% and 75% for U-CCT)....\nConclusion\nTVS,performed by specialists inendometriosis,\nis considered the gold standard technique for patients with symptoms ofDIE,due to its better accuracyif compared withU-CTC.\nThis result could be partly explained by the fact that specialists in endometriosis can more easily complement ultrasonographic findings with anamnestic data,\npain scale scores and clinical examinations.\nU-CTCshould be indicated only for selected patients,\nwho presentnodules that result to bemore difficult todetect with TVS,\nlike localizations involving the sigmoid colon,\nthe rectosigmoid junction,\nthe ureters and the bladder dome.\nPersonal information\nDr.\nDimitris Papadopoulos\nRadiology Resident\nAlma Mater Studiorum,\nBologna University\nDepartment of Diagnostic and Prevention Medicine\nSant'Orsola-Malpighi Hospital\nVia Massarenti,\n9\n40138\nBologna,\nItaly\nDr Francesca Coppola\nConsultant Radiologist\nMalpighi Radiology Unit,\nDepartment of Diagnostic and Prevention Medicine\nSant'Orsola-Malpighi Hospital\n15,\nAlbertoni Street,\n40138\nBologna,\nItaly\nReferences\n1.\nChapron C.\net al.\nDeep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease.\nHuman Reproduction.\n2003; Vol.18,\nNo.4; 760±766.\n2.\nRoman et Al.\nAre digestive symptoms in women presenting with pelvic endometriosis specific to lesion localizations? A preliminary prospective study.\nHum Reprod.\n2012 Dec;27(12):3440-9.\n3.\nMoawad et Al.\nDiagnosis,\nmanagement,\nand long-term outcomes of rectovaginal endometriosis.Int J Womens Health.\n2013 Nov 8;5:753-63\n4.\nFerrero S.\net Al.\nMultidetector computerized tomography enteroclysis vs rectal water contrast transvaginal ultrasonography in determining the presence...","source_license":"CC0","license_restricted":false}