Can anyone screen for deep infiltrating endometriosis with transvaginal ultrasound?

Abstract

After one week of DIE-TVUS training, competency can be achieved within forty procedures, allowing diagnosis of DIE with similar diagnostic accuracy as reported by centres of excellence.

Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group

“…They also found that interpretation of the sliding sign at the retrocervix was better than that at the posterior upper uterine fundus. Experienced operators who have performed in excess of 2500 scans reach proficiency in performing the sliding sign maneuver and detecting POD obliteration after approximately 40 examinations.…”

“…Similar to detection of POD obliteration, experienced operators who have performed in excess of 2500 scans reach proficiency in the detection of rectal DIE nodules using TVS after approximately 40 examinations. With the exception of DIE affecting the RVS, TVS in the hands of well‐trained staff is a highly accurate and reproducible method for non‐invasive diagnosis of DIE.…”

Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta‐analysis

“…We examined the full text of the remaining 43 articles. Twenty‐four studies were discarded because they did not meet the inclusion criteria and the remaining 19 studies were included in the review and meta‐analysis. No additional relevant studies were found from references cited in the papers included in the review.…”

Learning curve for ultrasonographic diagnosis of deep infiltrating endometriosis using structured offline training program

“…state that TVS techniques fail to reduce the gap between the ‘brilliant results’ achieved by investigators proposing these techniques and those ‘less satisfactory’ collected during routine clinical practice owing to poor repeatability, high interoperator variability, and inadequate period of the training that is necessary to achieve sufficient levels of expertise. Others, however, have found that with only 1 week of DIE‐TVS training, competency can be achieved within 40 procedures, enabling diagnosis of DIE with similar diagnostic accuracy to that reported by centers of excellence. Eisenberg et al .…”