Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement.

IF 8.3 Q1 OBSTETRICS & GYNECOLOGY Human reproduction open Pub Date : 2024-05-29 eCollection Date: 2024-01-01 DOI:10.1093/hropen/hoae029
G Condous, B Gerges, I Thomassin-Naggara, C Becker, C Tomassetti, H Krentel, B J van Herendael, M Malzoni, M S Abrao, E Saridogan, J Keckstein, G Hudelist
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Abstract

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and International Deep Endometriosis Analysis (IDEA) group, the European Endometriosis League (EEL), the European Society for Gynaecological Endoscopy (ESGE), ESHRE, the International Society for Gynecologic Endoscopy (ISGE), the American Association of Gynecologic Laparoscopists (AAGL) and the European Society of Urogenital Radiology (ESUR) elected an international, multidisciplinary panel of gynecological surgeons, sonographers, and radiologists, including a steering committee, which searched the literature for relevant articles in order to review the literature and provide evidence-based and clinically relevant statements on the use of imaging techniques for non-invasive diagnosis and classification of pelvic deep endometriosis. Preliminary statements were drafted based on review of the relevant literature. Following two rounds of revisions and voting orchestrated by chairs of the participating societies, consensus statements were finalized. A final version of the document was then resubmitted to the society chairs for approval. Twenty statements were drafted, of which 14 reached strong and three moderate agreement after the first voting round. The remaining three statements were discussed by all members of the steering committee and society chairs and rephrased, followed by an additional round of voting. At the conclusion of the process, 14 statements had strong and five statements moderate agreement, with one statement left in equipoise. This consensus work aims to guide clinicians involved in treating women with suspected endometriosis during patient assessment, counselling, and planning of surgical treatment strategies.

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用于诊断盆腔深部子宫内膜异位症的无创成像技术和子宫内膜异位症分类系统:国际共识声明。
国际妇产科超声学会 (ISUOG) 和国际子宫内膜异位症深度分析 (IDEA) 小组、欧洲子宫内膜异位症联盟 (EEL)、欧洲妇科内窥镜学会 (ESGE)、ESHRE、国际妇科内窥镜学会 (ISGE)、美国妇科腹腔镜医师协会 (AAGL) 和欧洲泌尿放射学会 (ESUR) 选举产生了一个国际性的多学科小组、由妇科外科医生、超声技师和放射科医生组成的多学科小组(包括一个指导委员会)对相关文献进行了检索,以便对文献进行审查,并就使用成像技术对盆腔深部子宫内膜异位症进行无创诊断和分类提供基于证据的临床相关声明。根据对相关文献的审查,起草了初步声明。经过两轮修订和参与协会主席的投票,最终确定了共识声明。随后,文件的最终版本再次提交给学会主席批准。共起草了 20 份声明,其中 14 份在第一轮投票后达成了强烈共识,3 份达成了中度共识。指导委员会全体成员和学会主席对其余三份声明进行了讨论,并重新措辞,随后又进行了一轮投票。投票结束后,14 份声明达成了强烈共识,5 份声明达成了中度共识,还有一份声明处于僵持状态。该共识旨在指导临床医生对疑似子宫内膜异位症妇女进行患者评估、咨询和手术治疗策略规划。
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12 weeks
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Membrane-bound receptor for advanced glycation end products (RAGE) is a stable biomarker of low-quality sperm. Women may not benefit from repeated frozen embryo transfers: a retrospective analysis of the cumulative live birth rate of 43 972 women. Sperm and leukocyte telomere length are related to sperm quality parameters in healthy men from the Led-Fertyl study. Reply: Emerging evidence of endometrial compaction in predicting ART outcomes. Emerging evidence of endometrial compaction in predicting ART outcomes.
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