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Background:
To evaluate diagnostic accuracy of transvaginal sonography and laparoscopy in the diagnosis of endometriosis.
IJ Radiology
An Innovative Journal in the Field of Radiology
Ultrasound in the Diagnosis of Endometriosis
Author(s):
Maryam Niknejadi
1,*, 
Ashraf Moini3, Zohreh Rashidi1, Fatemeh Niknejad1, Hadieh Haghighi1, Reza Salmanyazdi4, Gholamreza Khalili51Department of Reproductive Imaging at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran
3Department of Gynecology and Obstetrics, Arash Womens Hospital, Tehran University of Medical Sciences, Tehran, IR Iran
4Department of Epidemiology and Reproductive Health at Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran
5Department of Andrology at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran
*Corresponding Author: Department of Reproductive Imaging at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, IR Iran. , [email protected]. Email: [email protected]
Published online:Feb 28, 2014
Article type:Research Article
How to Cite:Niknejadi M, Moini A, Rashidi Z, Niknejad F, Haghighi H, et al. Ultrasound in the Diagnosis of Endometriosis. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21412. doi: https://doi.org/10.5812/iranjradiol.21412
Abstract
Patients and Methods:
This was a prospective study of women scheduled for laparoscopy because of infertility assessment. Consecutive patients were assessed prospectively using TVS before laparoscopy and the findings of preoperative TVS were compared with the results obtained by laparoscopy as a gold standard. The sensitivity, specificity, positive (PPV) and negative (NPV) predictive values, and accuracy were calculated for the diagnosis of endometriosis.
Results:
In total, 262 women (mean age 31 + 4.47) had preoperative TVS and laparoscopies. Of these, 78 had endometriosis. Diagnostic accuracy was assessed; the sensitivity and specificity of the TVS in the diagnosis of pelvic endometriosis were 53% and 95%, respectively, and the positive and negative predictive value were 63% and 92%, respectively. The diagnostic accuracy was 88%.
Conclusions:
TVS is a good test for assessing pelvic endometriosis. Good specificity and sensitivity were obtained in the diagnosis of deep endometriosis. TVS is particularly accurate in detecting deep endometriosis, which could facilitate more effective triaging of women for appropriate surgical care.
Copyright
© 2014, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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