Importance of transvaginal ultrasound applying elastography for identifying deep infiltrating endometriosis - a feasibility study.

IF 2.9 3区医学 Q1 ACOUSTICS Ultraschall in Der Medizin Pub Date : 2014-12-01 Epub Date: 2014-07-11 DOI:10.1055/s-0034-1366747

M L Schiffmann, S D Schäfer, A N Schüring, L Kiesel, C Sauerland, M Götte, R Schmitz

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引用次数: 15

Abstract

Purpose: To evaluate the presence of a lesion indicative of endometriosis with transvaginal elastography.

Materials and methods: Transvaginal ultrasound and clinical examination were carried out in 48 women with clinical symptoms indicative of endometriosis. In 31 cases strain values were measured at two regions of interest (ROIs) in the Douglas's cul-de-sac during a cycle of compression and decompression with a vaginal probe.

Results: A significant difference was found for the ratio of the ROI measuring points in the Douglas' cul-de-sacs of women with a palpable nodule in examination compared to women without a palpable nodule (p = 0.002).

Conclusion: The ratio of strain values between two ROIs in the Douglas' s cul-de-sac is associated with the presence of an endometriotic lesion. In the future, these findings could allow for a more detailed pre-surgical evaluation and possibly serve as a novel diagnostic tool for predicting deep infiltrating endometriosis.

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经阴道超声应用弹性成像鉴别深浸润性子宫内膜异位症的可行性研究。

目的:评估子宫内膜异位症病变的存在与经阴道弹性成像。材料与方法:对48例有子宫内膜异位症临床症状的妇女进行阴道超声及临床检查。在31例病例中，在阴道探头的压缩和减压周期中，在道格拉斯死胡同的两个感兴趣区域(roi)测量应变值。结果:检查中有可触及结节的女性与无可触及结节的女性在Douglas' s死囊处ROI测点的比例有显著差异(p = 0.002)。结论:道格拉斯死胡同中两个roi之间的应变值之比与子宫内膜异位症病变的存在有关。在未来，这些发现可以允许更详细的术前评估，并可能作为一种新的诊断工具来预测深度浸润性子宫内膜异位症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ultraschall in Der Medizin 医学-核医学

CiteScore

5.30

自引率

8.80%

发文量

228

审稿时长

6-12 weeks

期刊介绍： Ultraschall in der Medizin / European Journal of Ultrasound publishes scientific papers and contributions from a variety of disciplines on the diagnostic and therapeutic applications of ultrasound with an emphasis on clinical application. Technical papers with a physiological theme as well as the interaction between ultrasound and biological systems might also occasionally be considered for peer review and publication, provided that the translational relevance is high and the link with clinical applications is tight. The editors and the publishers reserve the right to publish selected articles online only. Authors are welcome to submit supplementary video material. Letters and comments are also accepted, promoting a vivid exchange of opinions and scientific discussions.