Intraoperative Ultrasound as a Decision-Making Tool in Modern Gynecologic Oncology

Mohamed Lakany, M.Sc. DINA I. EL GENDY ASMAA R. EL LAKANY, Amana Sharif, Asma Sharif, Móiad Alazzam, Catherine Howell, S.A. Mitchell, Sian Mitchell, Christina Pappa, Dana Shibli, Lisa Story, Ahmad Sayasneh
Journal of personalized medicine · 2025 · vol. 15(7) , pp. 296 · doi:10.3390/jpm15070296 · PMID:40710413 · PMC12296077 · W4412654119
review OA: gold CC0
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Intraoperative ultrasound enhances gynecologic oncology surgery by improving tumor localization, increasing complete resection rates, reducing lymphadenectomies, and aiding fertility preservation, despite learning curves and cost barriers.

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Abstract

Background: Intraoperative ultrasound (IOUS) is revolutionizing gynecologic oncology surgery by overcoming the limitations of traditional imaging and intraoperative assessment. Its real-time, high-resolution capabilities address critical needs in tumor localization, fertility preservation, refined intraoperative decisions, and complete cytoreduction. Methods: We reviewed clinical studies (1998–2024) evaluating IOUS applications, analyzing data on detection accuracy, surgical outcomes, and implementation challenges from peer-reviewed literature and institutional experiences. Results: IOUS demonstrates 88–93% sensitivity for subcentimeter metastases, refining surgical decisions in 25–40% of cases. Key outcomes include increased complete resection rates (68% to 87%), a 38% reduction in unnecessary lymphadenectomies, and successful fertility preservation in 92% of cases. Limitations include learning curves, 12% false-negative rate for micrometastases, and significant capital investment cost barriers. Conclusions: IOUS represents a transformative advance in precision surgery, improving both oncologic outcomes and quality of life. While standardization and accessibility challenges remain, ongoing technological innovations promise to solidify its role as a surgical standard.

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