Pre-operative mapping and structured reporting of pelvic endometriotic lesions on dynamic ultrasound and its correlation on laparoscopy using the #ENZIAN classification

Vimee Bindra, Nori Madhavi, Madhavi Nori, Girija Shankar Mohanty, K Nivya, Nagalla Balakrishna, N Balakrishna
Archives of gynecology and obstetrics · 2022 · vol. 307(1) , pp. 179–186 · doi:10.1007/s00404-022-06494-4 · PMID:35286430 · W4221045603
article OA: closed CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This retrospective study evaluated dynamic ultrasound's diagnostic performance against laparoscopic assessment for deep infiltrating endometriosis using the #ENZIAN classification, finding high sensitivity and negative predictive values for various lesion locations.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study evaluated whether pre-operative dynamic ultrasound using the IDEA protocol with structured reporting and #ENZIAN (updated ENZIAN) scoring could accurately map deep infiltrating endometriosis lesions, by comparing ultrasound results to laparoscopic findings. Fifty patients at a tertiary multidisciplinary endometriosis center underwent dedicated pre-operative ultrasound and then planned laparoscopic excisional surgery, with lesions classified intraoperatively using standard #ENZIAN; limitations explicitly include the retrospective design and that no prospective interventions were performed. Reported sensitivities and negative predictive values varied by lesion location, with high performance for left/right ovarian, tubal, rectal, and rectovaginal lesions and 100% sensitivity/negative predictive value for rectovaginal lesions, adenomyosis, and ureteric lesions as confirmed on laparoscopy. This paper is centrally about endometriosis — it tests structured dynamic ultrasound mapping and #ENZIAN-based reporting against laparoscopy for deep infiltrating pelvic endometriotic lesions, with explicit inclusion of adenomyosis among lesion types.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Neoplasms Ovarian Neoplasms

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europepmc
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License: CC0 · commercial use OK