Endometriosis other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Diagnostic laparoscopy is the gold standard to assess the severity and extent of the disease. Transvaginal ultrasound is done in patients with a suspicion of endometriosis, it is helpful in differentiation of endometriomas from other cystic abnormalities of the pelvic structures. | Diagnostic [[laparoscopy]] is the gold standard to assess the severity and extent of the disease. [[Transvaginal ultrasound]] is done in patients with a suspicion of [[endometriosis]], it is helpful in differentiation of endometriomas from other cystic abnormalities of the pelvic structures. | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Abdominal and Transvaginal ultrasound=== | ===Abdominal and Transvaginal ultrasound=== | ||
*Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.<ref name="pmid19924468">{{cite journal| author=Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E et al.| title=Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. | journal=Abdom Imaging | year= 2010 | volume= 35 | issue= 6 | pages= 716-25 | pmid=19924468 | doi=10.1007/s00261-009-9587-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19924468 }} </ref><ref name="pmid18067126">{{cite journal| author=Park SB, Kim JK, Cho KS| title=Sonography of endometriosis in infrequent sites. | journal=J Clin Ultrasound | year= 2008 | volume= 36 | issue= 2 | pages= 91-7 | pmid=18067126 | doi=10.1002/jcu.20431 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18067126 }} </ref><ref name="pmid17646361">{{cite journal| author=Asch E, Levine D| title=Variations in appearance of endometriomas. | journal=J Ultrasound Med | year= 2007 | volume= 26 | issue= 8 | pages= 993-1002 | pmid=17646361 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17646361 }} </ref><ref name="pmid27405583">{{cite journal| author=Nisenblat V, Prentice L, Bossuyt PM, Farquhar C, Hull ML, Johnson N| title=Combination of the non-invasive tests for the diagnosis of endometriosis. | journal=Cochrane Database Syst Rev | year= 2016 | volume= 7 | issue= | pages= CD012281 | pmid=27405583 | doi=10.1002/14651858.CD012281 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27405583 }} </ref> | *Abdominal [[ultrasound]] helps in differentiating endometriomas from other [[cystic]] abnormalities. The [[Endometrium|endometrial]] lesions have increased vascularity and will demonstrate increased [[Doppler ultrasound|doppler]] flow.<ref name="pmid19924468">{{cite journal| author=Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E et al.| title=Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. | journal=Abdom Imaging | year= 2010 | volume= 35 | issue= 6 | pages= 716-25 | pmid=19924468 | doi=10.1007/s00261-009-9587-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19924468 }} </ref><ref name="pmid18067126">{{cite journal| author=Park SB, Kim JK, Cho KS| title=Sonography of endometriosis in infrequent sites. | journal=J Clin Ultrasound | year= 2008 | volume= 36 | issue= 2 | pages= 91-7 | pmid=18067126 | doi=10.1002/jcu.20431 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18067126 }} </ref><ref name="pmid17646361">{{cite journal| author=Asch E, Levine D| title=Variations in appearance of endometriomas. | journal=J Ultrasound Med | year= 2007 | volume= 26 | issue= 8 | pages= 993-1002 | pmid=17646361 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17646361 }} </ref><ref name="pmid27405583">{{cite journal| author=Nisenblat V, Prentice L, Bossuyt PM, Farquhar C, Hull ML, Johnson N| title=Combination of the non-invasive tests for the diagnosis of endometriosis. | journal=Cochrane Database Syst Rev | year= 2016 | volume= 7 | issue= | pages= CD012281 | pmid=27405583 | doi=10.1002/14651858.CD012281 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27405583 }} </ref> | ||
*Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound.<ref name="pmid18007126">{{cite journal| author=Dueholm M, Lundorf E| title=Transvaginal ultrasound or MRI for diagnosis of adenomyosis. | journal=Curr Opin Obstet Gynecol | year= 2007 | volume= 19 | issue= 6 | pages= 505-12 | pmid=18007126 | doi=10.1097/GCO.0b013e3282f1bf00 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18007126 }} </ref> | *[[Transvaginal ultrasound]] is useful in detection of deep seated [[endometriosis]] and [[Sigmoid|rectosigmoid]] [[endometriosis]]. It is more sensitive compared to abdominal ultrasound.<ref name="pmid18007126">{{cite journal| author=Dueholm M, Lundorf E| title=Transvaginal ultrasound or MRI for diagnosis of adenomyosis. | journal=Curr Opin Obstet Gynecol | year= 2007 | volume= 19 | issue= 6 | pages= 505-12 | pmid=18007126 | doi=10.1097/GCO.0b013e3282f1bf00 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18007126 }} </ref> | ||
===Diagnostic Laproscopy=== | ===Diagnostic Laproscopy=== | ||
*It is the gold standard for the diagnosis of endometriosis.<ref name="pmid12230063">{{cite journal| author=Wood C, Kuhn R, Tsaltas J| title=Laparoscopic diagnosis of endometriosis. | journal=Aust N Z J Obstet Gynaecol | year= 2002 | volume= 42 | issue= 3 | pages= 277-81 | pmid=12230063 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12230063 }} </ref> | *It is the gold standard for the diagnosis of [[endometriosis]].<ref name="pmid12230063">{{cite journal| author=Wood C, Kuhn R, Tsaltas J| title=Laparoscopic diagnosis of endometriosis. | journal=Aust N Z J Obstet Gynaecol | year= 2002 | volume= 42 | issue= 3 | pages= 277-81 | pmid=12230063 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12230063 }} </ref> | ||
*It is useful for the assessment of the extent of the disease. | *It is useful for the assessment of the extent of the disease. | ||
*A scoring system is developed based on the extent of the disease to calculate the Endometriosis Fertility Index | *A scoring system is developed based on the extent of the disease, to calculate the Endometriosis Fertility Index. It correlates the disease severity to having a successful [[conception]]. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 15:22, 20 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Diagnostic laparoscopy is the gold standard to assess the severity and extent of the disease. Transvaginal ultrasound is done in patients with a suspicion of endometriosis, it is helpful in differentiation of endometriomas from other cystic abnormalities of the pelvic structures.
Other Diagnostic Studies
Abdominal and Transvaginal ultrasound
- Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.[1][2][3][4]
- Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound.[5]
Diagnostic Laproscopy
- It is the gold standard for the diagnosis of endometriosis.[6]
- It is useful for the assessment of the extent of the disease.
- A scoring system is developed based on the extent of the disease, to calculate the Endometriosis Fertility Index. It correlates the disease severity to having a successful conception.
References
- ↑ Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E; et al. (2010). "Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography". Abdom Imaging. 35 (6): 716–25. doi:10.1007/s00261-009-9587-7. PMID 19924468.
- ↑ Park SB, Kim JK, Cho KS (2008). "Sonography of endometriosis in infrequent sites". J Clin Ultrasound. 36 (2): 91–7. doi:10.1002/jcu.20431. PMID 18067126.
- ↑ Asch E, Levine D (2007). "Variations in appearance of endometriomas". J Ultrasound Med. 26 (8): 993–1002. PMID 17646361.
- ↑ Nisenblat V, Prentice L, Bossuyt PM, Farquhar C, Hull ML, Johnson N (2016). "Combination of the non-invasive tests for the diagnosis of endometriosis". Cochrane Database Syst Rev. 7: CD012281. doi:10.1002/14651858.CD012281. PMID 27405583.
- ↑ Dueholm M, Lundorf E (2007). "Transvaginal ultrasound or MRI for diagnosis of adenomyosis". Curr Opin Obstet Gynecol. 19 (6): 505–12. doi:10.1097/GCO.0b013e3282f1bf00. PMID 18007126.
- ↑ Wood C, Kuhn R, Tsaltas J (2002). "Laparoscopic diagnosis of endometriosis". Aust N Z J Obstet Gynaecol. 42 (3): 277–81. PMID 12230063.