{"paper_id":"7a5d7578-440f-4f3b-846c-249fd0022375","body_text":"Background:\nTo assess the predictive value of various transvaginal sonography findings in characterizing endometriosis.\nIJ Radiology\nAuthor(s):\n1MD, Radiologist, Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran\n2BSC, Department of Epidemiology and Reproductive Health, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran\n3PhD, Department of Epidemiology and reproductive health, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran\nPublished online:Apr 12, 2017\nArticle type:Abstract\nReceived:Dec 20, 2016\nAccepted:Feb 07, 2017\nHow to Cite:Niknejadi M, Javam M, Chehrazi M. Predictive Value of Transvaginal Ultrasound in Diagnosis of Endometriosis: A Three Year Study. I J Radiol. 2017;14(Special Issue):e48033. doi: https://doi.org/10.5812/iranjradiol.48033\nTo assess the predictive value of various transvaginal sonography findings in characterizing endometriosis.\nThis prospective investigation was conducted at Royan Institute, Tehran, Iran, from April 2010 till March 2013. All infertile women presenting with clinical symptoms of endometriosis, who were booked for laparoscopy, underwent a preoperative trasvaginal sonography by an expert radiologist. Endometriosis was diagnosed on TVS according to detecting one or more of following findings: echogenic points on serosal surface of the ovaries, ovarian endometrioma and signs of pelvic adhesion (blurred ovary margins, fixation of ovaries, deviation of ovaries or decreased distance between them). A logistic regression analysis was performed to identify prognostic factors in detection of presence of endometriosis. Each parameter was entered sequentially into the model based on hosmer-lemeshow algorithm. Values were calculated by Stata12 software regarding laparoscopy as gold standard.\nTotally, 101women were evaluated during the study. Endometriosis was present at laparoscopy in 58 patients. Mean age and the duration of infertility were calculated 30.78 4.79 and 4.2 2.91 years respectively. Frequencies of each sonographic finding were as follow: echogenic points (%31.68), ovarian endometrioma (%30.69), blurred ovary margin (%7.92), fixation of ovaries (%15.9), deviation of ovaries (%21.8), and decreased distance between ovaries (%8.9). As derived by logistic regression analysis, detection of ovarian endometrioma, fixation of ovaries and ovarian deviation strongly predicts endometriosis (odds ratio of 42.27, 46.89 and 14.78 respectively).\nOur study demonstrated that TVS has a reliable predictive value in diagnosis of endometriosis. Ovarian endometrioma, deviation of ovaries and ovarian fixation can be used as important criteria for radiologists and gynecologists.\nFull text is available in PDF\n© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.\n28\nFeb\n2014\nMaryam Niknejadi,\nAshraf Moini,\nZohreh Rashidi,\nFatemeh Niknejad,\nHadieh Haghighi,\nReza Salmanyazdi\n,et al.Niknejadi M, Moini A, Rashidi Z, Niknejad F, Haghighi H, et al. Ultrasound in the Diagnosis of Endometriosis. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21412. doi: https://doi.org/10.5812/iranjradiol.21412\n17\nSep\n2012\nMaryam Niknejadi,\nHadieh Haghighi,\nFiroozeh Ahmadi,\nFatemeh Niknejad,\nMohammad Chehrazi,\nAhmad Vosough\n,et al.Niknejadi M, Haghighi H, Ahmadi F, Niknejad F, Chehrazi M, et al. Diagnostic Accuracy of Transvaginal Sonography in the Detection of Uterine Abnormalities in Infertile Women. I J Radiol. 2012;9(3):e79461. doi:\n20\nJan\n2023\nNahid Sadighi,\nBehnaz Moradi,\nMasoumeh Gity,\nBehnaz Boroujerdirad,\nFateme Davari-tanha,\nReza Daneshvar\n,et al.Sadighi N, Moradi B, Gity M, Boroujerdirad B, Davari-tanha F, et al. Diagnostic Accuracy of Transvaginal Sonography for Deeply Infiltrating Endometriosis and Pouch of Douglas Obliteration in the Presence or Absence of Ovarian Endometrioma. I J Radiol. 2022;19(4):e127068. doi: https://doi.org/10.5812/iranjradiol-127068\n12\nApr\n2017\nFiroozeh Ahmadi,\nMaryam Javam,\nFatemeh Niknejad\nAhmadi F, Javam M, Niknejad F. Efficacy of Three-Dimensional Transvaginal Sonography in Diagnosis of Uterine Cavity Abnormalities Among Infertile Women: A Cross-Sectional Study. I J Radiol. 2017;14(Special Issue):e48026. doi: https://doi.org/10.5812/iranjradiol.48026\n29\nMay\n2013\nElham Shobairi,\nNasrin Jalilian,\nMansour Rezaie,\nSara Behafarid\nShobairi E, Jalilian N, Rezaie M, Behafarid S. Diagnostic index of doppler sonography in ectopic pregnancy. J Kermanshah Univ Med Sci. 2013;17(2):e77120. doi:\nDownload PDF65.24 KB\nCrossmark\nChecking\nComments\nNumber of Comments:0Cited by\n- Scopus by DOI: 0\nLast Update: 7 hours ago\n- Scopus by Title: 0\nLast Update: 7 hours ago\n- Scopus by Title (Ref): 0\nLast Update: 7 hours ago\n- CrossRef: 0\nLast Update: 6 days ago\nOrdering Reprints\nArticles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC\nSearch Relations\nAuthor(s):\nRelated Articles","source_license":"CC0","license_restricted":false}