Sonographische Endometriosediagnostik

Julian Matthias Metzler, Michael Bajka
2025 · doi:10.5167/uzh-292470 · W7131270810
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This review explores the diagnostic capabilities of transvaginal ultrasound for endometriosis, highlighting its potential for improving early detection of ovarian endometriomas, deep infiltrating endometriosis, and adenomyosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The paper reviews current approaches to endometriosis diagnosis using ultrasound imaging, focusing on transvaginal sonography as the recommended first-choice method because it is noninvasive, widely available, and enables dynamic examinations. It reports that ultrasound can depict ovarian endometriomas, deep infiltrating endometriosis, and adenomyosis with diagnostic performance (sensitivity and specificity) that is at least comparable to magnetic resonance imaging. A stated caveat is that diagnosis can still be delayed in endometriosis, implying the need for improved imaging approaches to address this limitation. Relevance to endometriosis: This paper is centrally about endometriosis sonographic diagnostics and explicitly includes adenomyosis among the ultrasound-detectable conditions.

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Abstract

Abstract

Abstract

Endometriose ist eine komplexe Erkrankung mit oft verzögerter Diagnosestellung. Aktuelle Entwicklungen in der sonographischen Bildgebung haben das Potenzial, die Diagnostik erheblich zu verbessern. Die transvaginale Sonographie wird als Methode erster Wahl empfohlen, da sie nicht invasiv, aber breit verfügbar ist und dynamische Untersuchungen ermöglicht. Sie kann ovarielle Endometriome, tief infiltrierende Endometriose und Adenomyose mit einer Sensitivität und Spezifität darstellen, die mit der Magnetresonanztomographie mindestens ver Additional indexing Creators (Authors) Journal/Series Title Journal/Series Title Journal/Series Title Volume Volume Volume Number Number Number Page range/Item number Page range/Item number Page range/Item number Page end Page end Page end Item Type Item Type Item Type In collections Dewey Decimal Classifikation Dewey Decimal Classifikation Dewey Decimal Classifikation Language Language Language Publication date Publication date Publication date Date available Date available Date available ISSN or e-ISSN ISSN or e-ISSN ISSN or e-ISSN OA Status OA Status OA Status Free Access at Free Access at Free Access at Publisher DOI Citations Metzler, J. M., & Bajka, M. (2025). Sonographische Endometriosediagnostik. Journal Für Gynäkologische Endokrinologie/Schweiz, 28, 5–13. https://doi.org/10.1007/s41975-025-00382-1

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