Modern ultrasound and MRI criteria in the diagnosis of external genital and deep infiltrative endometriosis

M.N. Alekseeva, E.P. Khaschenko, E.V. Uvarovа
In: Pediatric and Adolescent Reproductive Health · 2022 · vol. 18(4) , pp. 6–21 · doi:10.33029/1816-2134-2022-18-4-6-21 · W4321268540
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study evaluated modern ultrasound and MRI criteria for diagnosing external genital and deep infiltrative endometriosis, finding ultrasound sensitivity of 79-94% and MRI sensitivity of 94%.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This 2022 paper reviews how ultrasound and MRI criteria are used for early, noninvasive diagnosis of external genital and deep infiltrative endometriosis, emphasizing high-level ultrasound workflows (including a recommended 4-stage transvaginal/transrectal protocol with assessment of “soft signs,” organ sliding, and targeted examination of specific pelvic compartments) and reported diagnostic performance. It reports that transvaginal ultrasound shows sensitivity ranges around 79–94% with specificity about 94%, while MRI shows sensitivity up to about 94% with specificity around 77%, and it compiles key MRI findings for common locations (e.g., uterosacral ligaments and the rectosigmoid region) alongside detailed ultrasound criteria (such as features of rectovaginal involvement). The paper’s caveat is that diagnostic accuracy varies by compartment and lesion type, with the text noting substantial difficulty detecting some anterior compartment disease and lower sensitivity/specificity for certain sites (for example, very variable performance for rectosigmoid, bladder-related, or particular parameter regions). This paper is centrally about endometriosis — it specifically focuses on modern ultrasound and MRI diagnostic criteria for external genital and deep infiltrative endometriosis.

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Abstract

Modern ultrasound and MRI criteria in the diagnosis of external genital and deep infiltrative endometriosisCurrently the most urgent problem in gynecology is the early non-invasive diagnosis of endometriosis.A large number of women struggle with the consequences of this disease, because it diagnosed in the late stages.Radiation examination play a key role in early detection of the external genital and deep infiltrative endometriosis.It includes MRI of the pelvic organs, ultrasound after bimanual vaginal or rectal examination.The diagnosis of endometriosis can be confirmed with a four-stage ultrasound by a transvaginal or transrectal sensor, which includes routine examination of the uterus and appendages, assessment of mild and sliding symptoms, examination of the anterior and posterior compartments of the pelvis.Transrectal ultrasound allows to identify the foci of the endometriosis in the rectum, rectosigmoid junction, retrocervical space, in the vagina, on the sacral-uterine ligaments.The sensitivity of transvaginal ultrasound in the diagnosis of external genital and deep infiltrating endometriosis ranges from 79-94% and the specificity is 94%.MRI is another tool for detecting the early stages of the disease with a sensitivity of 94% and a specificity of 77%.

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Condition tags

endometriosisdie_deep_infiltrating

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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