What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?

Deslandes, Alison; Parange, Nayana; Childs, Jessie; Osborne, Brooke; Hull, Louise; Panuccio, Catrina; Croft, Anthea; Bezak, Eva

doi:10.1111/1754-9485.13461

Cited by 5 publications

(1 citation statement)

References 47 publications

(91 reference statements)

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“…However, around the world, sonographers are developing enhanced skills permitting them to perform advanced pelvic ultrasound. 9,23,24 The USA and Australia have been leaders in enhancing the skills of sonographers. The Sonography Canada SonoCon 2022 featured its first focused talk on endometriosis to raise awareness and education among sonographers.…”

Section: Ultrasound Operatorsmentioning

confidence: 99%

CAR Practice Statement on Advanced Pelvic Ultrasound for Endometriosis

et al. 2023

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The Canadian Association of Radiologists (CAR) Endometriosis Working Group was tasked with providing guidance and benchmarks to ensure the quality of technique and interpretation for advanced imaging modalities associated with diagnosing endometriosis. This practice statement provides an overview of the state of the art of advanced pelvic ultrasound in the diagnosis and mapping of pelvic endometriosis. While acknowledging that advanced pelvic ultrasound in some practices falls within the scope of clinical colleagues rather than imaging departments, the statement seeks to guide radiologists interested in implementing these techniques into their practice for patients referred for evaluation and diagnosis of endometriosis. The statement covers indications, some components of the ultrasound assessment and technique, reporting, and recommendations for starting an ultrasound endometriosis evaluation program.

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Section: Ultrasound Operatorsmentioning

confidence: 99%

CAR Practice Statement on Advanced Pelvic Ultrasound for Endometriosis

et al. 2023

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Are sonographers the future ‘gold standard’ in the diagnosis of endometriosis?

Deslandes,

Panuccio,

Avery

et al. 2024

Sonography

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Diagnosis of endometriosis has traditionally relied on laparoscopic surgery, which was considered the ‘gold standard’ diagnostic tool. This is not ideal as surgery carries risk, is expensive, is difficult to access, and disrupts patients work or education due to the recovery time needed. As such, imaging has been investigated as a potential method for non‐invasive diagnosis, with transvaginal ultrasound showing high diagnostic accuracy for ovarian endometriomas and deep endometriosis. The advances in imaging capability led to recent international guidelines suggesting laparoscopy is no longer the ‘gold‐standard’ for diagnosis and encouraging clinicians to utilise medical imaging as part of their diagnostic work‐up for endometriosis. Imaging is emerging as not only a tool for planning endometriosis surgery but increasingly as the first approach for initial diagnosis. Given that transvaginal ultrasound is the primary imaging modality for assessment of gynaecological conditions, it is inevitable that sonographers will have a significant future role in endometriosis diagnosis. This moves away from endometriosis diagnosis being the exclusive realm of laparoscopic surgeons and increasingly involves medical imaging specialists. This review article will describe the origins of endometriosis ultrasound and the current capabilities of transvaginal ultrasound in this field. The expectations of sonographers in this evolving space will be explored, as well as recent novel research findings to gain insight into what the future of endometriosis diagnosis with ultrasound may look like.

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Proposed simplified protocol for initial assessment of endometriosis with transvaginal ultrasound

Deslandes,

Leonardi

2024

Ultrasound in Obstet & Gyne

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What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?

Cited by 5 publications

References 47 publications

CAR Practice Statement on Advanced Pelvic Ultrasound for Endometriosis

CAR Practice Statement on Advanced Pelvic Ultrasound for Endometriosis

Are sonographers the future ‘gold standard’ in the diagnosis of endometriosis?

Proposed simplified protocol for initial assessment of endometriosis with transvaginal ultrasound

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