Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

Jenna M Turocy; Beryl R Benacerraf

doi:10.1002/jcu.22483

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

J Clin Ultrasound. 2017 Jul 8;45(6):313-318. doi: 10.1002/jcu.22483. Epub 2017 Apr 17.

Authors

Jenna M Turocy¹, Beryl R Benacerraf²

Affiliations

¹ Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA.
² Departments of Radiology and Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA.

PMID: 28414865
DOI: 10.1002/jcu.22483

Abstract

This review summarizes the current evidence regarding the diagnostic accuracy of sonography (US) in women with deep infiltrating endometriosis (DIE). It is well known that transvaginal ultrasound (TVUS) can detect ovarian endometriomas with a high degree of sensitivity. In recent years, US has also been used to detect DIE. In the hands of an experienced sonologist, the sensitivity and specificity of TVUS in the detection of DIE is comparable to those of MRI. TVUS can eliminate the need for an MRI in the majority of patients and reduce the need for diagnostic laparoscopy, proving to be an important tool in preoperative planning. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:313-318, 2017.

Keywords: endometriosis; gynecology; transvaginal ultrasound; ultrasound; uterus.

Publication types

Review

MeSH terms

Endometriosis / diagnostic imaging*
Female
Humans
Pelvis / diagnostic imaging
Reproducibility of Results
Sensitivity and Specificity
Ultrasonography, Interventional / methods*
Vagina