Presentation of the Disease and Diagnostic Strategy

In: Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery · 2025 · pp. 3–19 · doi:10.1007/978-3-031-82750-1_1 · W4410897525
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This paper reviews the diagnostic strategy for endometriosis, analyzing clinical symptoms, examination, imaging (TVUS, MRI), biological markers, and decision-making algorithms, with special attention to adolescents.

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This chapter reviews diagnostic strategies for endometriosis, focusing on clinical symptoms, examinations, imaging, and biological markers, with detailed assessment of transvaginal ultrasonography (TVUS) versus magnetic resonance imaging (MRI). It reports that MRI is notably sensitive for detecting subtle pathological changes while TVUS is more specific for anatomical detail, and it emphasizes integrating these modalities with clinical assessment to improve diagnostic accuracy. The chapter also describes decision-making algorithms from prominent French and European societies and discusses how diagnostic strategies can be tailored for adolescents, noting that diagnostic complexity varies across patient populations as a key caveat. This paper is centrally about endometriosis — it provides an overview of diagnostic strategies comparing TVUS and MRI and summarizing society algorithms and special considerations for adolescents.

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Abstract

This chapter overviews the diagnostic strategy for endometriosis, encompassing clinical symptoms, examination, imaging techniques, and biological markers. Within the realm of imaging techniques, particular attention is devoted to discussing the diagnostic efficacy of transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI). Each modality’s strengths and limitations are thoroughly analyzed, elucidating the nuanced advantages and inconveniences associated with their use in diagnosing endometriosis. Notably, MRI emerges as a notably sensitive tool, capable of discerning subtle pathological changes indicative of endometriosis, whereas TVUS exhibits commendable specificity in delineating anatomical details. The integration of these imaging modalities with clinical assessment holds promise for enhancing diagnostic accuracy. Moreover, the article delves into the decision-making algorithms devised by prominent French and European medical societies, shedding light on the structured approaches employed by healthcare professionals in diagnosing endometriosis. Additionally, it offers specialized insights into tailoring diagnostic strategies to address the unique needs and challenges encountered in adolescent patients. Finally, this article provides a nuanced understanding of the diagnostic intricacies inherent in managing endometriosis across diverse patient populations. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Springer, Cham. https://doi.org/10.1007/978-3-031-82750-1_1 Download citation DOI: https://doi.org/10.1007/978-3-031-82750-1_1 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-031-82749-5 Online ISBN: 978-3-031-82750-1 eBook Packages: MedicineMedicine (R0)

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