Limited Added Value of Magnetic Resonance Imaging After Dynamic Transvaginal Ultrasound for Preoperative Staging of Endometriosis in Daily Practice: A Prospective Cohort Study

Berger, Judith P.; Rhemrev, Johann; Smeets, M. J. G. H.; Henneman, Onno D. F.; English, James; Jansen, Frank-Willem

doi:10.1002/jum.14783

Cited by 12 publications

(15 citation statements)

References 28 publications

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“…Magnetic resonance imaging (MRI) is an adjunct imaging tool that can be considered as completing or supplementing TVS for an accurate presurgical staging of UTE. Though a recent study did not identify an added value from MRI after TVS for overall endometriosis [ 30 ], a small retrospective diagnostic accuracy study did show MRI as having greater sensitivity than TVS for bladder DE [ 31 ]. As such, MRI may be most appropriate in centers where advanced TVS for UTE is not yet available or where TVS is negative and there is a high clinical suspicion of bladder DE.…”

Section: Bladder Endometriosismentioning

confidence: 99%

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

et al. 2020

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We aim to describe the diagnosis and surgical management of urinary tract endometriosis (UTE). We detail current diagnostic tools, including advanced transvaginal ultrasound, magnetic resonance imaging, and surgical diagnostic tools such as cystourethroscopy. While discussing surgical treatment options, we emphasize the importance of an interdisciplinary team for complex cases that involve the urinary tract. While bladder deep endometriosis (DE) is more straightforward in its surgical treatment, ureteral DE requires a high level of surgical skill. Specialists should be aware of the important entity of UTE, due to the serious health implications for women. When UTE exists, it is important to work within an interdisciplinary radiological and surgical team.

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Section: Bladder Endometriosismentioning

confidence: 99%

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

et al. 2020

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“…Among the survey responders, only just over one‐fourth knew about the possibility of diagnosis via advanced TVS and less than one‐fifth knew about the utility of MRI, and the majority do not believe that advanced TVS is not offered where they live. We did not inquire about MRI access as we advocate that ultrasound should be considered the first‐line imaging modality 16 . However, the same obstacles exist with MRI where an expert radiologist is essential to ensure the correct protocol and interpretation for endometriosis 17 .…”

Section: Discussionmentioning

confidence: 99%

Assessing the knowledge of endometriosis diagnostic tools in a large, international lay population: an online survey

Leonardi

Rocha

Tun-Ismail

et al. 2021

BJOG

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Objective To assess the general population’s knowledge regarding the utility and availability of tools to diagnosis endometriosis, with a focus on ultrasound. Design An international cross‐sectional online survey study was performed between August and October 2019. Setting and population 5301 respondents, representing 73 countries. Methods In all, 23 questions survey focused on knowledge of endometriosis diagnosis distributed globally via patient‐ and community‐endometriosis groups using social media. Main outcomes and measures Descriptive data of the knowledge of diagnostic tools for diagnosing endometriosis, including details about diagnosis using ultrasound. Results In all, 84.0% of respondents had been previously diagnosed with endometriosis, 71.5% of whom had been diagnosed at the time of surgery. Ultrasound and MRI were the methods of diagnosis in 6.5% and 1.8%, respectively. A total of 91.8%, 28.8% and 16.6% of respondents believed surgery, ultrasound and MRI could diagnose endometriosis, respectively (more than one answer allowed). In those diagnosed by surgery, 21.7% knew about ultrasound as a diagnosis method, whereas in those diagnosed non‐surgically, 51.5% knew (P < 0.001). In all, 14.7%, 31.1% and 18.2% stated superficial, ovarian and deep endometriosis could be diagnosed with ultrasound (32.9% stated they did not know which phenotypes of endometriosis could be diagnosed). Lastly, 58.4% of respondents do not believe they could access an advanced ultrasound in their region. Conclusions There is a limited appreciation for the role of non‐surgical diagnostic tests for endometriosis among lay respondents to this survey. Tweetable abstract International survey shows limited awareness of lay respondents about non‐surgical endometriosis diagnostic tools.

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“…We did not inquire about MRI access as we advocate that ultrasound should be considered the first-line imaging modality. 16 However, the same obstacles exist with MRI where an expert radiologist is essential to ensure the correct protocol and interpretation for endometriosis. 17 We believe the access to endometriosis MRI expertise would match that of advanced TVS.…”

Section: Discussionmentioning

confidence: 99%

Assessing the knowledge of endometriosis diagnostic tools in a large, international lay population: an online survey.

Leonardi

Rocha

Tun-Ismalil

et al. 2021

Preprint

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Objective: To assess the general population’s knowledge regarding the utility and availability of tools to diagnosis endometriosis, with focus on ultrasound. Design: An international cross-sectional online survey study was performed between August and October 2019. Setting and Population: 5301 respondents, representing 73 countries. Methods: 23 questions survey focused on knowledge of endometriosis diagnosis distributed globally via patient- and community-endometriosis groups using social media. Main outcomes and measures: Descriptive data of the knowledge of diagnostic tools for diagnosing endometriosis, including details about diagnosis using ultrasound. Results: 84.0% of respondents had been previously diagnosed with endometriosis, 71.5% of which were diagnosed at the time of surgery. Ultrasound and MRI were the methods of diagnosis in 6.5% and 1.8%, respectively. 91.8%, 28.8%, and 16.6% of respondents believed surgery, ultrasound and MRI could diagnose endometriosis, respectively (more than one answer allowed). In those diagnosed by surgery, 21.7% knew about ultrasound as a diagnosis method compared to 51.5% knowing in those diagnosed non-surgically (p<0.001). 14.7%, 31.1%, and 18.2% stated superficial, ovarian, and deep endometriosis could be diagnosed with ultrasound (32.9% stated they did not know which phenotypes of endometriosis could be diagnosed). 58.4% of respondents do not believe they could access an advanced ultrasound in their region. Conclusions: There are significant gaps in the understanding of diagnosing endometriosis using non-surgical tools in this study population.

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Limited Added Value of Magnetic Resonance Imaging After Dynamic Transvaginal Ultrasound for Preoperative Staging of Endometriosis in Daily Practice: A Prospective Cohort Study

Cited by 12 publications

References 28 publications

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

Assessing the knowledge of endometriosis diagnostic tools in a large, international lay population: an online survey

Assessing the knowledge of endometriosis diagnostic tools in a large, international lay population: an online survey.

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