{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:54:06Z","timestamp":1791309246272,"version":"4.3.1"},"reference-count":38,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Sonovaginography (SVG) is a specialized ultrasound technique for evaluating certain locations of deep endometriosis (DE) in the posterior compartments. In this study, we assessed the diagnostic accuracy of saline\/gel SVG in the detection of DE lesions at the rectovaginal septum (RVS) and rectosigmoid (RS). A systematic search of PubMed, Embase, and Scopus yielded 10 eligible studies with a total of 1221 patients. For gel\u2010SVG, meta\u2010analysis was performed and sensitivity, specificity, and diagnostic odd ratio (DOR) were calculated using a random\u2010effects model and bivariate binomial model (95% confidence interval). To assess study quality and risk of bias, the QUADAS\u20102 tool was used. Based on our results, the meta\u2010analysis on Gel\u2010SVG studies showed for RVS a pooled specificity of 99% (94%\u2013100%), sensitivity of 82% (44%\u201396%), and DOR of 274 (95.87\u2013786.51); For RS lesions of six studies, the overall specificity, sensitivity, and DOR were 96% (93%\u201397%), 87% (81%\u201392%), and 118.79 (41.68\u2013338.52), respectively. For vaginal fornices, pooled data from five studies showed perfect specificity of 99% (98%\u2013100%), with a moderate sensitivity of 65% (33%\u201388%). Eventually, Uterosacral ligament (USL) lesions had the least DOR ratio at 31.45 (15.79\u201362.63), with a specificity of 97% (91%\u201399%) and sensitivity of 55% (31%\u201376%). SVG, as a low\u2010cost, widely available, non\u2010invasive technique, yields high diagnostic accuracy in detecting the posterior compartment DE lesions, particularly RVS and RS lesions, enhancing the accuracy of DE mapping and supporting the treatment planning.<\/jats:p>","DOI":"10.1002\/jcu.70311","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:35:56Z","timestamp":1782452156000},"page":"1995-2006","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Performance of Saline\/Gel Sonovaginography in Assessment of Deep Infiltrating Endometriosis at Posterior Compartments; A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"54","author":[{"given":"Fatemeh Shakki","family":"Katouli","sequence":"first","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Arash Women's Hospital  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoumeh","family":"Sarvari","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"},{"name":"Department of Medicine Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Torabi","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"},{"name":"Department of Radiology, Shariati Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2464-2473","authenticated-orcid":false,"given":"Narges","family":"Azizi","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahimeh","family":"Azizinik","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Yas and Amir\u2010Alam Hospitals  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadreza","family":"Tahamtan","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maziar","family":"Daneshvar","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amene","family":"Abiri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Arash Women's Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahshad","family":"Afsharzadeh","sequence":"additional","affiliation":[{"name":"Advanced Diagnostic and Interventional Radiology Research Center (ADIR) Tehran University of Medical Science, Medical Imaging Center  Tehran Iran"},{"name":"Department of Medicine Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12040820"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2023.12.008"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14209"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.09.005"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2533446"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.11152\/mu-875"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2012.06.029"},{"key":"e_1_2_14_9_1","first-page":"1","article-title":"ESHRE Guideline: Endometriosis","volume":"2022","author":"Christian M. 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