{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:05:27Z","timestamp":1792191927324,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T00:00:00Z","timestamp":1525392000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To perform a systematic review of studies comparing the accuracy of transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI) in diagnosing deep infiltrating endometriosis (DIE) including only studies in which patients underwent both techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An extensive search was carried out in PubMed\/MEDLINE and Web of Science for papers from January 1989 to October 2016 comparing TVS and MRI in DIE. Studies were considered eligible for inclusion if they reported on the use of TVS and MRI in the same set of patients for the preoperative detection of endometriosis in pelvic locations in women with clinical suspicion of DIE and using surgical data as a reference standard. Quality was assessed using the QUADAS\u20102 tool. A random\u2010effects model was used to determine pooled sensitivity, specificity, positive and negative likelihood ratios (LR+ and LR\u2013) and diagnostic odds ratio (DOR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 375 citations identified, six studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009424) were considered eligible. For MRI in the detection of DIE in the rectosigmoid, pooled sensitivity was 0.85 (95% CI, 0.78\u20130.90), specificity was 0.95 (95% CI, 0.83\u20130.99), LR+ was 18.4 (95% CI, 4.7\u201372.4), LR\u2013 was 0.16 (95% CI, 0.11\u20130.24) and DOR was 116 (95% CI, 23\u2013585). For TVS in the detection of DIE in the rectosigmoid, pooled sensitivity was 0.85 (95% CI, 0.68\u20130.94), specificity was 0.96 (95% CI, 0.85\u20130.99), LR+ was 20.4 (95% CI, 4.7\u201388.5), LR\u2013 was 0.16 (95% CI, 0.07\u20130.38) and DOR was 127 (95% CI, 14\u20131126). For MRI in the detection of DIE in the rectovaginal septum, pooled sensitivity was 0.66 (95% CI, 0.51\u20130.79), specificity was 0.97 (95% CI, 0.89\u20130.99), LR+ was 22.5 (95% CI, 6.7\u201376.2), LR\u2013 was 0.38 (95% CI, 0.23\u20130.52) and DOR was 65 (95% CI, 21\u2013204). For TVS in the detection of DIE in the rectovaginal septum, pooled sensitivity was 0.59 (95% CI, 0.26\u20130.86), specificity was 0.97 (95% CI, 0.94\u20130.99), LR+ was 23.5 (95% CI, 9.1\u201360.5), LR\u2013 was 0.42 (95% CI, 0.18\u20130.97) and DOR was 56 (95% CI, 11\u2013275). For MRI in the detection of DIE in the uterosacral ligaments, pooled sensitivity was 0.70 (95% CI, 0.55\u20130.82), specificity was 0.93 (95% CI, 0.87\u20130.97), LR+ was 10.4 (95% CI, 5.1\u201321.2), LR\u2013 was 0.32 (95% CI, 0.20\u20130.51) and DOR was 32 (95% CI, 12\u201385). For TVS in the detection of DIE in the uterosacral ligaments, pooled sensitivity was 0.67 (95% CI, 0.55\u20130.77), specificity was 0.86 (95% CI, 0.73\u20130.93), LR+ was 4.8 (95% CI, 2.6\u20139.0), LR\u2013 was 0.38 (95% CI, 0.29\u20130.50) and DOR was 12 (95% CI, 7\u201324). Confidence intervals of pooled sensitivities, specificities and DOR were wide for both techniques in all the locations considered. Heterogeneity was moderate or high for sensitivity and specificity for both TVS and MRI in most locations assessed. According to QUADAS\u20102, the quality of the included studies was considered good for most domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The diagnostic performance of TVS and MRI is similar for detecting DIE involving rectosigmoid, uterosacral ligaments and rectovaginal septum. Copyright \u00a9 2017 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/uog.18961","type":"journal-article","created":{"date-parts":[[2017,11,20]],"date-time":"2017-11-20T08:22:35Z","timestamp":1511166155000},"page":"586-595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":216,"title":["Transvaginal ultrasound\n                    <i>vs<\/i>\n                    magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1359-7155","authenticated-orcid":false,"given":"S.","family":"Guerriero","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Cagliari Policlinico Universitario Duilio Casula  Monserrato Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Saba","sequence":"additional","affiliation":[{"name":"Department of Radiology Azienda Ospedaliero Universitaria (A.O.U.)  Monserrato Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Pascual","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction Institut Universitari Dexeus  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ajossa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Cagliari Policlinico Universitario Duilio Casula  Monserrato Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproduction Institut Universitari Dexeus  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Mais","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Cagliari Policlinico Universitario Duilio Casula  Monserrato Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9700-0853","authenticated-orcid":false,"given":"J. L.","family":"Alcazar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cl\u00ednica Universidad de Navarra, School of Medicine University of Navarra  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0804690"},{"key":"e_1_2_5_3_1","first-page":"415","article-title":"Insights into endometriosis\u2010associated endometrial dysfunctions: a review","volume":"1","author":"Bondza PK","year":"2009","journal-title":"Front Biosci (Elite Ed)"},{"key":"e_1_2_5_4_1","first-page":"349","article-title":"Endometriosis still a challenge","volume":"7","author":"Mehedintu C","year":"2014","journal-title":"J Med Life"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0284185114526086"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.08.050"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2017.01.001"},{"key":"e_1_2_5_8_1","first-page":"380","article-title":"Chronic pelvic pain in women","volume":"93","author":"Speer LM","year":"2016","journal-title":"Am Fam Physician"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.2217\/whe.15.48"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)55436-3"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.08.031"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-014-0091-3"},{"key":"e_1_2_5_13_1","first-page":"419","article-title":"Pathophysiology, diagnosis and treatment of endometriosis","volume":"56","author":"Schindler AE","year":"2004","journal-title":"Minerva Ginecol"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2015.10.005"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2010.01.019"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-3013-9"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deu054"},{"key":"e_1_2_5_18_1","first-page":"143","article-title":"Role of imaging in the management of endometriosis","volume":"65","author":"Guerriero S","year":"2013","journal-title":"Minerva Ginecol"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/den405"},{"key":"e_1_2_5_20_1","first-page":"CD009591","article-title":"Imaging modalities for the non\u2010invasive diagnosis of\u2009endometriosis","volume":"2","author":"Nisenblat V","year":"2016","journal-title":"Cochrane\u2009Database Syst Rev"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.05.002"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3470-7"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15762"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.2217\/bmm.15.62"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12474"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"e_1_2_5_27_1","unstructured":"EUnetHTA Guideline.Meta\u2010analysis of diagnostic test accuracy studies.http: \/\/www.eunethta.eu\/eunethta\u2010guidelines[Accessed January2016]."},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2005.01.016"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem187"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.09.005"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11179"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11102"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.22832"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2012.09.014"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15667"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15662"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15955"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.18961","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.18961","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T14:48:38Z","timestamp":1695480518000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.18961"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1002\/uog.18961"],"URL":"https:\/\/doi.org\/10.1002\/uog.18961","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.732136963.793586247","asserted-by":"object"}]},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]},"assertion":[{"value":"2017-07-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}