» Articles » PMID: 35251899

How Long Does a Transvaginal Ultrasound Examination for Endometriosis Take in Comparison to a Routine Transvaginal Ultrasound Examination?

Overview
Date 2022 Mar 7
PMID 35251899
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: This study aimed to determine the additional time needed to perform an endometriosis transvaginal ultrasound (eTVUS) compared to routine transvaginal ultrasound (rTVUS).

Methods: A retrospective case-control study was performed. The study group included 199 eTVUS performed between September 2019 and September 2020. The control group comprised 105 consecutive rTVUS studies performed in the same time period. The time stamps on the ultrasound images of all cases in both groups were reviewed to determine the time taken to perform each study. Mean, median, minimum and maximum scan times for both groups were calculated as was percentage difference between scan times. A two-tailed, unpaired t-test of the normalised data and a Mann-Whitney U test assessing time difference of scans between two groups were performed with P value <0.05 considered statistically significant.

Results: Performing eTVUS took significantly longer than rTVUS with increases in the mean (8.4 vs 13.8 min, 64%), median (7 vs 12 min, 71%), minimum (4 vs 7 min, 75%) and maximum (19 vs 42 min, 121%) scan times. The Mann-Whitney U test indicated a statistically significant difference in the median scan times (5.0, CI 4.0-6.0), P < 0.001. An independent t-test of the normalised data revealed a significantly larger mean scan time for eTVUS than rTVUS, Mean = 9.05 95%CI [13.17-4.94], t(302) = 4.327, P < 0.001. = 0.583.

Conclusion: Endometriosis transvaginal ultrasound added an average 5.4 min to rTVUS, which is statistically significant. For ultrasound departments wanting to offer this technique, doubling the scan time allocated to perform a transvaginal ultrasound (TVUS) is suggested.

Citing Articles

Advances in Imaging for Assessing Pelvic Endometriosis.

Guerriero S, Ajossa S, Pagliuca M, Borzacchelli A, Deiala F, Springer S Diagnostics (Basel). 2022; 12(12).

PMID: 36552967 PMC: 9777476. DOI: 10.3390/diagnostics12122960.


Transvaginal Ultrasound in the Diagnosis and Assessment of Endometriosis-An Overview: How, Why, and When.

Daniilidis A, Grigoriadis G, Dalakoura D, DAlterio M, Angioni S, Roman H Diagnostics (Basel). 2022; 12(12).

PMID: 36552919 PMC: 9777206. DOI: 10.3390/diagnostics12122912.


Quality and quantification: Is it time to rethink?.

Whalley G Australas J Ultrasound Med. 2022; 25(1):3-4.

PMID: 35251897 PMC: 8873618. DOI: 10.1002/ajum.12292.

References
1.
Bazot M, Thomassin I, Hourani R, Cortez A, Darai E . Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol. 2004; 24(2):180-5. DOI: 10.1002/uog.1108. View

2.
Leonardi M, Martins W, Espada M, Georgousopoulou E, Condous G . Prevalence of negative sliding sign representing pouch of Douglas obliteration during pelvic transvaginal ultrasound for any indication. Ultrasound Obstet Gynecol. 2020; 56(6):928-933. DOI: 10.1002/uog.22023. View

3.
Reid S, Winder S, Condous G . Sonovaginography: redefining the concept of a "normal pelvis" on transvaginal ultrasound pre-laparoscopic intervention for suspected endometriosis. Australas J Ultrasound Med. 2017; 14(2):21-24. PMC: 5024889. DOI: 10.1002/j.2205-0140.2011.tb00190.x. View

4.
Gerges B, Li W, Leonardi M, Mol B, Condous G . Meta-analysis and systematic review to determine the optimal imaging modality for the detection of bladder deep endometriosis. Eur J Obstet Gynecol Reprod Biol. 2021; 261:124-133. DOI: 10.1016/j.ejogrb.2021.04.030. View

5.
Agarwal S, Chapron C, Giudice L, Laufer M, Leyland N, Missmer S . Clinical diagnosis of endometriosis: a call to action. Am J Obstet Gynecol. 2019; 220(4):354.e1-354.e12. DOI: 10.1016/j.ajog.2018.12.039. View