Ultrasound In The Diagnosis Of Endometriosis
an Integrative Review
DOI:
https://doi.org/10.63162/v66n68e25569Keywords:
Imaging Diagnosis, Endometriosis, Endometrioma, Review, UltrasonographyAbstract
Transvaginal ultrasonography (TVUS) has established itself as an essential tool in the diagnosis of endometriosis, standing out for its high sensitivity and specificity, especially in the identification of endometriomas. Its low cost
and wide availability make it the first-choice exam for the initial detection of the disease, being able to map ovarian, pelvic and deep lesions. However, it has limitations in the identification of small lesions or in areas of difficult access, in addition to depending on the experience of the operator. Given these limitations, magnetic resonance imaging emerges as a complementary exam, providing a more detailed evaluation in complex cases and in preoperative planning. TVUS, however, has advantages over MRI in the detection of small peritoneal and intestinal lesions and in the assessment of pelvic mobility. Ultrasonography allows a detailed analysis of the distribution of lesions, aiding
in surgical planning and in the formation of multidisciplinary teams for more serious cases. In addition, it plays a fundamental role in the surveillance of pregnant patients, helping to differentiate decidualized endometriomas from ovarian tumors. Finally, TVUS plays an essential role in personalizing treatment and monitoring endometriosis, contributing to early diagnosis and improving patients’ quality of life.
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