Three-dimensional ultrasound in the management of bladder endometriosis
To assess the performance of three-dimensional (3D) ultrasound with color Doppler in the diagnosis of bladder endometriosis compared with magnetic resonance imaging (MRI) and cystoscopy. Canadian Task Force classification II-3. Department of gynecology and obstetrics of a university hospital. Eight...
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| Vydáno v: | Journal of minimally invasive gynecology Ročník 22; číslo 3; s. 403 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.03.2015
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| ISSN: | 1553-4669, 1553-4669 |
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| Abstract | To assess the performance of three-dimensional (3D) ultrasound with color Doppler in the diagnosis of bladder endometriosis compared with magnetic resonance imaging (MRI) and cystoscopy.
Canadian Task Force classification II-3.
Department of gynecology and obstetrics of a university hospital.
Eight women who reported urinary tract symptoms suggestive of bladder endometriosis between May 2012 and November 2013.
For all cases, we assessed the size of the endometriotic nodule, its location on the bladder wall, and the distance between the lesion and the ureteral meatus, with pelvic 3D ultrasound (full bladder), uro-MRI, and cystoscopy. The results were compared with the postoperative histopathologic findings.
The pathology results differed from those produced by imaging by a mean ± SD of -3.5 ± 6.4 mm on transvaginal ultrasound (TVUS) and -5.75 ± 11.9 mm) for MRI. There was no significant difference between imaging and pathology findings (p = .20) or between the 2 imaging findings (TVUS and MRI) (p = .73). Results showed a trend toward better accuracy for 3D ultrasound than MRI with smaller SDs (p = .08). Cystoscopy and ultrasound were compared; however, without any tools to assess the distance in cystoscopy, no statistical result was possible.
Ultrasound seems to be superior to cystoscopy and is at least as effective as MRI in diagnosing and planning the surgery for bladder endometriosis. |
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| AbstractList | To assess the performance of three-dimensional (3D) ultrasound with color Doppler in the diagnosis of bladder endometriosis compared with magnetic resonance imaging (MRI) and cystoscopy.STUDY OBJECTIVETo assess the performance of three-dimensional (3D) ultrasound with color Doppler in the diagnosis of bladder endometriosis compared with magnetic resonance imaging (MRI) and cystoscopy.Canadian Task Force classification II-3.DESIGNCanadian Task Force classification II-3.Department of gynecology and obstetrics of a university hospital.SETTINGDepartment of gynecology and obstetrics of a university hospital.Eight women who reported urinary tract symptoms suggestive of bladder endometriosis between May 2012 and November 2013.PATIENTSEight women who reported urinary tract symptoms suggestive of bladder endometriosis between May 2012 and November 2013.For all cases, we assessed the size of the endometriotic nodule, its location on the bladder wall, and the distance between the lesion and the ureteral meatus, with pelvic 3D ultrasound (full bladder), uro-MRI, and cystoscopy. The results were compared with the postoperative histopathologic findings.INTERVENTIONSFor all cases, we assessed the size of the endometriotic nodule, its location on the bladder wall, and the distance between the lesion and the ureteral meatus, with pelvic 3D ultrasound (full bladder), uro-MRI, and cystoscopy. The results were compared with the postoperative histopathologic findings.The pathology results differed from those produced by imaging by a mean ± SD of -3.5 ± 6.4 mm on transvaginal ultrasound (TVUS) and -5.75 ± 11.9 mm) for MRI. There was no significant difference between imaging and pathology findings (p = .20) or between the 2 imaging findings (TVUS and MRI) (p = .73). Results showed a trend toward better accuracy for 3D ultrasound than MRI with smaller SDs (p = .08). Cystoscopy and ultrasound were compared; however, without any tools to assess the distance in cystoscopy, no statistical result was possible.MEASUREMENTS AND MAIN RESULTSThe pathology results differed from those produced by imaging by a mean ± SD of -3.5 ± 6.4 mm on transvaginal ultrasound (TVUS) and -5.75 ± 11.9 mm) for MRI. There was no significant difference between imaging and pathology findings (p = .20) or between the 2 imaging findings (TVUS and MRI) (p = .73). Results showed a trend toward better accuracy for 3D ultrasound than MRI with smaller SDs (p = .08). Cystoscopy and ultrasound were compared; however, without any tools to assess the distance in cystoscopy, no statistical result was possible.Ultrasound seems to be superior to cystoscopy and is at least as effective as MRI in diagnosing and planning the surgery for bladder endometriosis.CONCLUSIONUltrasound seems to be superior to cystoscopy and is at least as effective as MRI in diagnosing and planning the surgery for bladder endometriosis. To assess the performance of three-dimensional (3D) ultrasound with color Doppler in the diagnosis of bladder endometriosis compared with magnetic resonance imaging (MRI) and cystoscopy. Canadian Task Force classification II-3. Department of gynecology and obstetrics of a university hospital. Eight women who reported urinary tract symptoms suggestive of bladder endometriosis between May 2012 and November 2013. For all cases, we assessed the size of the endometriotic nodule, its location on the bladder wall, and the distance between the lesion and the ureteral meatus, with pelvic 3D ultrasound (full bladder), uro-MRI, and cystoscopy. The results were compared with the postoperative histopathologic findings. The pathology results differed from those produced by imaging by a mean ± SD of -3.5 ± 6.4 mm on transvaginal ultrasound (TVUS) and -5.75 ± 11.9 mm) for MRI. There was no significant difference between imaging and pathology findings (p = .20) or between the 2 imaging findings (TVUS and MRI) (p = .73). Results showed a trend toward better accuracy for 3D ultrasound than MRI with smaller SDs (p = .08). Cystoscopy and ultrasound were compared; however, without any tools to assess the distance in cystoscopy, no statistical result was possible. Ultrasound seems to be superior to cystoscopy and is at least as effective as MRI in diagnosing and planning the surgery for bladder endometriosis. |
| Author | Fassi-Fehri, Hakim Philip, Charles-André Bisch, Christian Thonnon, Cyrielle Coulon, Agnès de Saint-Hilaire, Pierre Dubernard, Gil |
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| Keywords | Cystectomy Cystoscopy Color Doppler MRI Bladder endometriosis 3D ultrasound |
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| SubjectTerms | Adult Cystoscopy Endometriosis - diagnostic imaging Endometriosis - pathology Endometriosis - surgery Female Humans Imaging, Three-Dimensional Magnetic Resonance Imaging Middle Aged Ultrasonography, Doppler, Color - methods Ureter - diagnostic imaging Ureter - pathology Urinary Bladder Diseases - diagnostic imaging Urinary Bladder Diseases - pathology Urinary Bladder Diseases - surgery |
| Title | Three-dimensional ultrasound in the management of bladder endometriosis |
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