Diagnostic performance of transvaginal sonography vs. magnetic resonance imaging for rectovaginal septum deep infiltrating endometriosis: a head-to-head comparative meta-analysis.
Clin Radiol
; 79(8): 618-627, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-38797608
ABSTRACT
AIM:
We aimed to compare the diagnostic performance of transvaginal sonography (TVS) versus magnetic resonance imaging (MRI) in identifying deep infiltrating endometriosis (DIE) in the rectovaginal septum (RVS) of affected patients. MATERIALS ANDMETHODS:
An extensive search was conducted in the PubMed, Embase databases to identify available publications up to November 2023. Studies evaluating the diagnostic perfor-mance of TVS and MRI for DIE in patients with rectovaginal septum involvement were all included. Sensitivity and specificity analyses employed the DerSi-monian and Laird method, complemented by the Freeman-Tukey double arc-sine trans-formation. Additionally, the study quality was rigorously evaluated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) method.RESULTS:
The meta-analysis encompassed 8 articles with a total of 721 patients. It revealed that the overall sensitivity of TVS was 0.51 (95% CI 0.31-0.72), contrasted with 0.74 (95% CI 0.66-0.82) for MRI. This finding suggests a higher sensitivity of MRI compared to TVS (P=0.04). Conversely, the overall specificity was 0.97 (95%CI 0.94-1.00) for TVS and 0.93 (95% CI 0.84-0.99) for MRI, indicating a comparable level of specificity between the two modalities (P=0.22).CONCLUSION:
Our meta-analysis reveals that MRI exhibits higher sensitivity and comparable specificity to TVS in patients with DIE of the RVS. However, the limited number of articles included may affect the evidence of these results. Therefore, further d number of articles included may affect the evidence of these results. Therefore, further research with larger sample sizes and prospective designs is essential to validate these findings.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Recto
/
Vagina
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Imagen por Resonancia Magnética
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Ultrasonografía
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Endometriosis
Límite:
Female
/
Humans
Idioma:
En
Año:
2024
Tipo del documento:
Article