Sonographische Endometriosediagnostik
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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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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