Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30122
Full metadata record
DC FieldValueLanguage
dc.contributor.authorSloss, Samantha-
dc.contributor.authorMooney, Samantha-
dc.contributor.authorEllett, Lenore-
dc.contributor.authorReadman, Emma-
dc.contributor.authorMa, Tony-
dc.contributor.authorBrouwer, Richard-
dc.contributor.authorYang, Natalie-
dc.contributor.authorIreland-Jenkin, Kerryn-
dc.contributor.authorStone, Kate-
dc.contributor.authorMaher, Peter-
dc.date2022-01-03-
dc.date.accessioned2022-06-23T00:23:09Z-
dc.date.available2022-06-23T00:23:09Z-
dc.date.issued2022-05-
dc.identifier.citationJournal of Minimally Invasive Gynecology 2022; 29(5): 633-640en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/30122-
dc.description.abstractTo determine the diagnostic accuracy of specialist-performed transvaginal ultrasound (TVUS) and pelvic magnetic resonance imaging (MRI) modalities in predicting depth of deep infiltrating endometriosis (DIE) of the rectosigmoid by comparison with histologic specimens obtained at surgery. A retrospective analysis, which met the Standards for Reporting of Diagnostic Accuracy Studies (2015) guidelines for a diagnostic accuracy study. Tertiary teaching hospital. A total of 194 cases who underwent preoperative discussion at the gynecologic endosurgery unit multidisciplinary meeting between January 2012 and December 2019 were eligible for inclusion. Retrospective assessment of the accuracy of TVUS and MRI in predicting histologic depth of rectosigmoid DIE after operative management. Al total of 135 surgeries were performed for DIE; 20 underwent a rectal shave, 14 had a disc/wedge resection, 38 an anterior/segmental resection, and 63 had no rectosigmoid surgery. Of the 52 patients with full-thickness rectal wall excision, all patients had at least one imaging modality available for review; 42 (81%) had both. At least one imaging modality was in agreement with histologic depth in 48 cases (92%) (sensitivity, 94%; specificity, 50%; positive predictive value [PPV], 97.9%; negative predictive value [NPV], 25.0%; area under the receiver operating curve, 0.720; 95% confidence interval, 0.229-1.000). When TVUS was assessed in isolation, the test remained sensitive for any rectal wall involvement (sensitivity, 93.6%; specificity, 50.0%; PPV, 97.8%; NPV, 25.0%; area under the receiver operating curve, 0.718; 95% confidence interval, 0.227-1.000). When only MRI was assessed, the test demonstrated both high sensitivity and specificity for rectal wall disease (sensitivity, 86.4%; specificity, 100%; PPV, 100%; NPV, 14.2). Specialist-performed TVUS and MRI are accurate in predicting depth of disease in rectosigmoid endometriosis. These modalities were similar in their diagnostic performance at assessing depth of rectal wall involvement, and their use is justified in the preoperative planning of these gynecologic surgeries.en
dc.language.isoeng
dc.subjectDeep infiltrating endometriosisen
dc.subjectDiagnostic accuracyen
dc.subjectMagnetic resonance imagingen
dc.subjectSurgical approachen
dc.subjectTransvaginal ultrasounden
dc.titlePreoperative Imaging in Patients with Deep Infiltrating Endometriosis: An Important Aid in Predicting Depth of Infiltration in Rectosigmoid Disease.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of Minimally Invasive Gynecologyen
dc.identifier.affiliationAnatomical Pathologyen
dc.identifier.affiliationGynaecology & Family Planningen
dc.identifier.affiliationSurgeryen
dc.identifier.affiliationRadiologyen
dc.identifier.affiliationDepartment of Medical Imaging, Mercy Hospital for Womenen
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/34990811/en
dc.identifier.doi10.1016/j.jmig.2021.12.015en
dc.type.contentTexten
dc.identifier.orcid0000-0002-6957-8949en
dc.identifier.orcid0000-0001-5742-9148en
dc.identifier.pubmedid34990811
local.name.researcherIreland-Jenkin, Kerryn
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptRadiology-
crisitem.author.deptAnatomical Pathology-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

32
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.