Modern methods of diagnostics of endometrial pathology: extended comparative analysis of ultrasound, hysteroscopy, magnetic resonance imaging and spectroscopy

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Abstract

Endometrial pathologies, including polyps, hyperplasia, and cancer, are a significant problem in gynecological practice. Despite advances in diagnostics, the choice of the optimal method remains a subject of debate. This article provides a detailed analysis of modern imaging methods and their role in differential diagnostics. Technical aspects, diagnostic accuracy (sensitivity, specificity), clinical limitations, cost-effectiveness, and prospects for technology development are considered. Based on systematized data from 180 studies, an algorithm for choosing a method depending on the clinical scenario is proposed.

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About the authors

D. V. Lystsev

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: rtchilova@gmail.com
ORCID iD: 0009-0006-3826-3174
Russian Federation, Moscow

V. A. Kaptilnyy

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: rtchilova@gmail.com
ORCID iD: 0000-0002-2656-132X
SPIN-code: 4312-3455

Associate Professor, Candidate of Medical Sciences

Russian Federation, Moscow

V. M. Zuev

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: rtchilova@gmail.com
ORCID iD: 0000-0001-8715-2020
SPIN-code: 2857-0309

Professor, MD

Russian Federation, Moscow

R. A. Chilova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Author for correspondence.
Email: rtchilova@gmail.com
ORCID iD: 0000-0001-6331-3109
SPIN-code: 4137-4848

Professor, MD

Russian Federation, Moscow

M. V. Poznyak

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: rtchilova@gmail.com
ORCID iD: 0009-0006-8217-0784
Russian Federation, Moscow

G. E. Sevastyanov

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: rtchilova@gmail.com
ORCID iD: 0009-0000-4823-9510
Russian Federation, Moscow

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