Structured report for dynamic ultrasonography in patients with suspected or known endometriosis: Recommendations of the International Society for Gynecologic Endoscopy (ISGE)

Djokovic, Dusan; Pinto, P.; Herendael, Bruno J. van; Laganà, Antonio Simone; Thomas, Viju; Keckstein, J.

doi:10.1016/j.ejogrb.2021.06.035

Cited by 17 publications

(20 citation statements)

References 55 publications

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“…There is a gap in the standard of endometriosis care, which demands comprehensive and structured reporting of USG in routine clinical practice [15]. The use of a structured reporting system and common language of communication between sonologist and surgeon will enable both to assess every compartment in detail, and in turn, this will avoid diagnostic delays in endometriosis care and to plan surgical time and approach as well.…”

Section: Discussionmentioning

confidence: 99%

“…Su cient accuracy of dedicated meticulous protocol on TV scan provides good diagnostic performance in identi cation and mapping across the severity and spectrum of disease and is proven as a replacement test for deep pelvic endometriosis diagnosis rendering diagnostic laparoscopy obsolete [16]. The International Society of Gynecologic Endoscopy (ISGE) structured reporting template is an amalgamation of highly differentiated evaluation based on IDEA protocol and structured documentation of the USG ndings based on the #Enzian classi cation which can be used by the surgeon [15]. This merging of advances and innovations in the eld of ultrasound diagnostics and laparoscopy results in signi cantly simpli ed communication and improving both management and quality control for conservative and surgical treatments.…”

Section: Discussionmentioning

confidence: 99%

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Pre-operative mapping and structured reporting of pelvic endometriotic lesions on dynamic ultrasound and its correlation on laparoscopy using the #ENZIAN classification

Bindra

Nori²,

Mohanty³

et al. 2022

Arch Gynecol Obstet

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Purpose: The objective of this study was to evaluate and compare the diagnostic performance of ultrasonography (USG) assessment using structured reporting with intraoperative laparoscopic assessment in deep in ltrating endometriosis (DIE) using the recent update of the #ENZIAN classi cation.Methods: This was a retrospective study conducted in Tertiary Multi-disciplinary Endometriosis Care Hospital over a period of 8 months which included 50 patients who underwent a planned laparoscopic endometriosis excisional surgery after a dedicated USG assessment using International Deep Endometriosis Analysis (IDEA) protocol and #Enzian score (updated Enzian classi cation), between Feb 2021 to Sept 2021 at Apollo Hospitals, Hyderabad. The pre-operative USG ndings were reported in a structured reporting format and intraoperative ndings were classi ed using the standard #ENZIAN classi cation. No prospective interventions were done. A review of pre-operative ultrasound and laparoscopic ndings as per the #Enzian.Results: Sensitivity and the negative predictive value of ultrasound were 86% and 84.2% for peritoneal lesions, 97% and 93.3 % for left ovarian lesions, 93% and 91.6% for right ovarian lesions, 91% and 84% for left tubal lesions, 90% and 86.3 % for right tubal lesions, 93% and 75 % for uterosacral ligaments, 93.3 % and 97% for rectal lesions and sensitivity and negative predictive values were 100 % for rectovaginal lesions, adenomyosis, and ureteric lesions as con rmed on laparoscopy.Conclusion: Dynamic ultrasound assessment with a structured report based on IDEA protocol and #ENZIAN score is accurate for mapping of pelvic endometriosis in all forms, and it correlates with laparoscopic ndings, thus helps surgeon for better planning and providing a road map for surgeons. From a clinical perspective, a uniform and shared reporting system across imaging and therapeutic modalities will simplify communication, improving patient management by conservative or surgical treatments, avoiding multiple repeat surgeries, and improving quality of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pre-operative mapping and structured reporting of pelvic endometriotic lesions on dynamic ultrasound and its correlation on laparoscopy using the #ENZIAN classification

Bindra

Nori²,

Mohanty³

et al. 2022

Arch Gynecol Obstet

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“…In contrast, imaging techniques led to substantial improvements in the diagnosis of endometriosis [25,62,72]. The most helpful tools are transvaginal ultrasound (TVUS) [73,74] and MRI [62,72]. In addition, sigmoid, ileocecal, and urological lesions can be detected with supplementary radiological techniques such as transrectal sonography (TRS), rectal endoscopic sonography (RES) [75,76], multidetector CT scan with retrograde colonic opacification and late urography, and/or uro-MRI [62,77].…”

Section: Clinical Presentation and Diagnostic Toolsmentioning

confidence: 99%

Molecular Basis of Endometriosis and Endometrial Cancer: Current Knowledge and Future Perspectives

Terzić

Aimagambetova

Kunz

et al. 2021

IJMS

Self Cite

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The human endometrium is a unique tissue undergoing important changes through the menstrual cycle. Under the exposure of different risk factors in a woman’s lifetime, normal endometrial tissue can give rise to multiple pathologic conditions, including endometriosis and endometrial cancer. Etiology and pathophysiologic changes behind such conditions remain largely unclear. This review summarizes the current knowledge of the pathophysiology of endometriosis and its potential role in the development of endometrial cancer from a molecular perspective. A better understanding of the molecular basis of endometriosis and its role in the development of endometrial pathology will improve the approach to clinical management.

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“…Entsprechende intravaginale Herde stellen sich als sogenannte "Blue Spots" dar und sind meistens gut zu erkennen (▶ Abb. Zur Beschreibung des sonografischen Befundes mit Angaben zur genauen Lokalisation und zur Klassifizierung empfiehlt es sich, bereits im präoperativen Setting die #ENZIAN-Klassifikation [6] routinemäßig anzuwenden [7].…”

Section: Gynäkologische Untersuchungunclassified

Diagnostik und Therapie der tief infiltrierenden Endometriose (TIE)

Andress¹,

Kaufmann²,

Krämer³

2022

Frauenheilkunde up2date

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Structured report for dynamic ultrasonography in patients with suspected or known endometriosis: Recommendations of the International Society for Gynecologic Endoscopy (ISGE)

Cited by 17 publications

References 55 publications

Pre-operative mapping and structured reporting of pelvic endometriotic lesions on dynamic ultrasound and its correlation on laparoscopy using the #ENZIAN classification

Pre-operative mapping and structured reporting of pelvic endometriotic lesions on dynamic ultrasound and its correlation on laparoscopy using the #ENZIAN classification

Molecular Basis of Endometriosis and Endometrial Cancer: Current Knowledge and Future Perspectives

Diagnostik und Therapie der tief infiltrierenden Endometriose (TIE)

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