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Title: Effectiveness of ultrasound for endometriosis diagnosis
Authors: Chen-Dixon, Katie;Uzuner, Cansu;Mak, Jason ;Condous, George
Affliation: Central Coast Local Health District
Issue Date: 1-Oct-2022
Source: 34(5):324-331
Journal title: Current Opinion in Obstetrics & Gynecology
Department: Obstetrics & Gynaecology
Abstract: Endometriosis is a chronic benign gynaecological condition characterized by pelvic pain, subfertility and delay in diagnosis. There is an emerging philosophical shift from gold standard histopathological diagnosis through laparoscopy to establishing diagnosis through noninvasive imaging. The ENZIAN classification system was updated in 2021 to be suitable for both diagnostic imaging and laparoscopy. The accuracy of transvaginal ultrasound (TVUS) in diagnosing endometriosis varies depending on location of the lesion. A recent international pilot study found that when ultrasound is performed in accordance with the IDEA consensus, a higher detection of deep endometriosis is seen, with an overall sensitivity of 88% and specificity of 79% compared with direct surgical visualization. Although ultrasound can detect adenomyosis, deep endometriosis and endometriomas, it is not possible to reliably detect superficial endometriosis. In the instance of a negative ultrasound with persistence of symptoms despite medical therapy, laparoscopy should be considered for diagnosis and treatment.
DOI: 10.1097/GCO.0000000000000812
Publicaton type: Journal Article
Keywords: Gynaecology
Appears in Collections:Obstetrics / Paediatrics

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