[Preoperative imaging of deeply infiltrating endometriosis in: Transvaginal sonography, rectal endoscopic sonography and magnetic resonance imaging]
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⤵ 28 in-corpus citations
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Pelvic ultrasound, rectal echo-endoscopy, and MRI are imaging techniques used to assess deep endometriosis and guide surgical planning.
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Abstract
OBJECTIVES: Compare the accuracy of transvaginal ultrasonography (TVUS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI) before deeply infiltrating endometriosis surgery.
PATIENTS AND METHODS: A retrospective study with 25 deeply endometriosis patients underwent the three imaging examinations before surgery. Calculation of sensitivity, specificity, positive predictive value, negative predictive value and accuracy for the different locations: ovaries, uterosacral ligaments and torus, rectovaginal septum, rectosigmoid junction, bladder.
RESULTS: Ovarian and deep pelvic endometriosis was found in surgery and confirmed by histology in all patients. Sensitivity and specificity are respectively: for ovaries: 88.2% and 71% of TVUS; 80% and 81.2% of RES; 87.5% and 71% of MRI. For uterosacral ligaments: 63% and 82,6% of TVUS; 37% and 100% of RES; 69% and 82.6% of MRI. For torus: 57.1% and 100% of TVUS; 76.2% and 100% of RES; 76.2% and 100% of MRI. For rectovaginal septum: 63.2% and 100% for TVUS; 89.5% and 66.7% of EER; 47.4% and 100% of MRI. For rectosigmoid junction: 73.7% and 66.7% of TVUS; 94.7% and 66.7% of RES; 89.5% and 50% of MRI. For bladder: 16.7% and 100% of TVUS; 16.7% and 100% of RES; 33.3% and 89.5% of MRI.
DISCUSSION AND CONCLUSION: We found that TVUS is the more performant for endometriomas, it is MRI for torus, uterosacral ligaments and little bladder lesions, RES for rectovaginal septum and rectosigmoid junction. So in the clinical practice, the three imaging examinations are complementary for the preoperative assessment of deeply endometriosis.
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References (19)
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Cited by (27)
- Head-to-head prospective comparison of diagnostic accuracy of preoperative ultrasonography and MRI in patients undergoing surgery for deep endometriosis using #Enzian classification 2026
- Navigating endometriosis diagnostic delay in 2040: Future directions in noninvasive diagnosis 2026
- Analysis of the Characteristics of Intestinal Endometriosis Lesions with Rectal Involvement Using Three-Dimensional Endorectal Ultrasound 2026
- Gut Microbiota Dysbiosis in Endometriosis: A Potential Link to Inflammation and Disease Progression 2025
- Mast Cell Tryptase and Carboxypeptidase A3 in the Formation of Ovarian Endometrioid Cysts 2023
- Transvaginal Ultrasound vs. Magnetic Resonance Imaging: What Is the Optimal Imaging Modality for the Diagnosis of Endometriosis? 2023
- Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis 2022
- Can New ENZIAN Score 2020 Represent a Staging System Improving MRI Structured Report? 2021
- Comparison of three-dimensional rectosonography, rectal endoscopic sonography and magnetic resonance imaging performances in the diagnosis of rectosigmoid endometriosis 2019
- The ENZIAN score as a preoperative MRI-based classification instrument for deep infiltrating endometriosis 2019
- Lower endoscopic ultrasound in preoperative evaluation of rectosigmoid endometriosis 2019
- Can Enhanced Techniques Improve the Diagnostic Accuracy of Transvaginal Sonography and Magnetic Resonance Imaging for Rectosigmoid Endometriosis? A Systematic Review and Meta-analysis 2019
- Imaging Modalities for Diagnosis of Deep Pelvic Endometriosis: Comparison between Trans-Vaginal Sonography, Rectal Endoscopy Sonography and Magnetic Resonance Imaging. A Head-to-Head Meta-Analysis 2019
- Imaging techniques in endometriosis 2018
- Absence of formyl peptide receptor 1 causes endometriotic lesion regression in a mouse model of surgically-induced endometriosis 2018
- Endometriose im Intestinaltrakt 2017
- Magnetic resonance imaging of pelvic endometriosis 2017
- Magnetic resonance imaging of pelvic endometriosis 2017
- Transvaginal ultrasound vs magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta-analysis 2017
- [Comparison of the accuracy of rectal endoscopic sonography and magnetic resonance imaging in the diagnosis of colorectal endometriosis] 2017
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta-analysis 2015
- Detection and localization of deep endometriosis by means of MRI and correlation with the ENZIAN score 2015
- Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in uterosacral ligaments, rectovaginal septum, vagina and bladder: systematic review and meta-analysis 2015
- Evaluation of the usefulness of the MRI jelly method for diagnosing complete cul-de-sac obliteration 2014
- Endometriosis 2014
- Diagnosis, management, and long-term outcomes of rectovaginal endometriosis 2013
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- europepmc
- last seen: 2026-10-13T06:10:10.580696+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:11:01.534134+00:00
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