Modern use of radiological diagnostic methods in patients with deep infiltrating endometriosis

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Abstract

Endometriosis is one of the most heterogeneous diseases in both its clinical manifestations and forms, and its course. Deep infiltrating endometriosis is a severe form of endometriosis, which currently occurs in every fifth patient with this disease. In clinical practice, timely diagnosis is extremely important, which contributes to the early start of treatment of these patients. However, delays in diagnosis can reach many years for a number of reasons. Those range from underestimation of symptoms by women, to difficulties in differential diagnosis with many other diseases that have a similar clinical picture. Among other reasons, there could be the experience and qualifications of specialists involved in the management of patients with suspected endometriosis.

This article presents a modern review of radiation methods for diagnosing deep infiltrating endometriosis such as various modes of ultrasound, magnetic resonance imaging, and computed tomography. The article provides current Russian and foreign literature on their advantages and disadvantages, the accuracy of diagnosing various forms of deep infiltrating endometriosis, as well as the possibility of staging and assessing the severity and prevalence of the disease using various visualization methods according to the existing classification systems. The effectiveness of preoperative diagnostics of deep infiltrating endometriosis simplifies the interaction between related specialists that treat these patients. It also allows for competent planning of the proposed surgical volume, predicting possible complications at the preoperative examination stage, and providing for preventive measures.

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About the authors

Elizaveta M. Tcybuk

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Author for correspondence.
Email: elizavetatcybuk@gmail.com
ORCID iD: 0000-0001-5803-1668
SPIN-code: 3466-7910
Russian Federation, Saint Petersburg

Elizaveta V. Shelaeva

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: eshelaeva@yandex.ru
ORCID iD: 0000-0002-9608-467X
SPIN-code: 7440-0555

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Anna A. Tsypurdeeva

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: tsypurdeeva@mail.ru
ORCID iD: 0000-0001-7774-2094
SPIN-code: 5208-9707

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Maria I. Yarmolinskaya

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605

Professor, Professor of the Russian Academy of Sciences, Honored Scientist of the Russian Federation

Russian Federation, Saint Petersburg

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2. Fig. 1. Bladder deep infiltrating endometriosis. B-mode (GE Healthcare Voluson E10, General Electric, USA).

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3. Fig. 2. Retrocervical deep infiltrating endometriosis. B-mode (GE Healthcare Voluson E10, General Electric, USA).

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389 от 15.07.2002 г.