scholarly journals Virtual cystoscopy and colonoscopy to assess deep infiltrating endometriosis

2019 ◽  
Vol 11 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Emmanuel Rault ◽  
Charles-André Philip ◽  
Marion Cortet ◽  
Gil Dubernard
Keyword(s):  
Virtual Colonoscopy ◽  
Bladder Wall ◽  
Detection Threshold ◽  
Three Dimensional ◽  
Transvaginal Sonography ◽  
Deep Infiltrating Endometriosis ◽  
First Line ◽  
Virtual Cystoscopy ◽  
3D Acquisition ◽  
Infiltrating Endometriosis

Introduction: Faced with a suspicion of endometriosis, transvaginal sonography is the first-line procedure to diagnose deep infiltrating endometriosis. Methods: We recently introduced the FlyThru® mode from TOSHIBA aplio 500. With the 3D acquisition (Multiplanar Reconstruction), we can assess the deep invasion of the endometriosis nodule into the digestive and bladder wall and provide a virtual colonoscopy or cystoscopy. The entire wall of the organ can be explored either by starting the animation or by rotating the arrow. The detection threshold can be adjusted manually from 45 to 100 in order to remove any artifacts. Results: We reported two deep infiltrating endometriosis nodules explored with FlyThru mode: the first one in the rectum and the second in the bladder. Similar to a colonoscopy, the virtual animation of the FlyThru mode showed the progression into the intestine lumen until the visualization of the bulge of the nodule. Operators can appreciate precisely the location, the degree of stenosis, and the circumferential involvement of the bowel wall. The bulges of the two nodules were also visible into the bladder. The size of the lesions was assessed and related to bladder volume, which represents important preoperative data. Conclusion: Three dimensional-transvaginal sonography combined with the FlyThru mode allows the enhanced practitioner to diagnose and assess the invasion of an endometriosis nodule in a single procedure.

scholarly journals OP11.01: Standardization of three dimensional ultrasonographic evaluation for the assessment of deep infiltrating endometriosis

2010 ◽  
Vol 36 (S1) ◽  
pp. 82-82
Author(s):  
S. Guerriero ◽  
J. Alcazar ◽  
S. Ajossa ◽  
M. Pilloni ◽  
B. Soggiu ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Deep Infiltrating Endometriosis ◽  
Infiltrating Endometriosis

Ultrasound Diagnosis of Pelvic Endometriosis

2011 ◽  
Vol 3 (2) ◽  
pp. 105-119
Author(s):  
Antonio Maiorana ◽  
Domenico Incandela ◽  
Laura Giambanco ◽  
Walter Alio ◽  
Luigi Alio
Keyword(s):  
Imaging Techniques ◽  
Diagnostic Technique ◽  
Ultrasound Diagnosis ◽  
Transvaginal Sonography ◽  
Anatomical Location ◽  
Deep Infiltrating Endometriosis ◽  
Pelvic Endometriosis ◽  
First Line ◽  
Intestinal Endometriosis ◽  
Deep Endometriosis

Purpose Endometriosis remains a challenging condition for clinicians, research scientists, and patients alike. Routine clinical examination is insufficient to diagnose and evaluate the extent of pelvic endometriosis which can be assessed by means of imaging techniques, including transvaginal sonography (TVS), transrectal sonography (TRS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI). Our purpose was to analyze the different imaging techniques and their efficacy for the ultrasound diagnosis of pelvic endometriosis. Materials and methods This review examined 85 studies on the ultrasound diagnosis of endometriosis published between 2005 and 2010. The structure of the review is based first on the anatomical location of the endometriosis lesion, and then on the study of the techniques used, including transvaginal sonography, transrectal sonography, rectal endoscopic sonography, and MRI. Results TVS is the first-line imaging technique for diagnosing pelvic endometriosis. Many studies have demonstrated that sensitivities and specificities of TVS for diagnosing endometriomas range from 75% to 91% and 88% to 99%, respectively, while for RES the percentages are 88% and 90%, respectively, for the diagnosis of intestinal endometriosis. TVS and RES can correctly diagnose posterior deep infiltrating endometriosis (DIE) with an accuracy of 86.4% and 74.1%, respectively. Conclusions The analysis of these results show that ultrasound is the first-line diagnostic technique for the diagnosis of pelvic endometriosis. RES can help to identify the presence and the degree of wall infiltration of bowel sites. However, in patients with a consistent clinical suspicion of deep endometriosis, MRI is a good “all in one” examination to diagnose and define the exact extent of DIE.

Deep Infiltrating Endometriosis: Making the Diagnosis

2019 ◽  
Vol 35 (6) ◽  
pp. 511-513
Author(s):  
Elliot M. Levine ◽  
Carlos M. Fernandez ◽  
Maggie Pham ◽  
Abraham Shashoua ◽  
Stephen Locher
Keyword(s):  
Diagnostic Laparoscopy ◽  
Signs And Symptoms ◽  
Uterosacral Ligament ◽  
Transvaginal Sonography ◽  
Deep Infiltrating Endometriosis ◽  
Diagnostic Ability ◽  
The Right ◽  
Infiltrating Endometriosis

A case is described of a patient who presented with signs and symptoms suggestive of endometriosis. She underwent a diagnostic laparoscopy, which failed to identify any features of endometriosis. The patient subsequently underwent a 3D transvaginal sonogram that demonstrated evidence of a deep infiltrating endometriosis, affecting the right uterosacral ligament. This case demonstrates the diagnostic ability of 3D transvaginal sonography and, at the same time, the potential deficiency of laparoscopy to make the diagnosis of deep infiltrating endometriosis.

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