{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:34:27Z","timestamp":1776134067695,"version":"3.50.1"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Purpose To compare the location and sizes of deep endometriosis (DE) lesions evaluated by preoperative transvaginal sonography (TVS) in different #Enzian compartments with intraoperatively assessed DE location and size.<\/jats:p><jats:p>\n            Materials and Methods Retrospective data analysis of 93 women undergoing TVS and surgery for DE in 2019 at a tertiary referral center for endometriosis.<\/jats:p><jats:p>\n            Results #Enzian compartment C (rectum) showed the highest rate of exact concordance with 74% of cases, which increased to 87% when a tolerance margin of a maximum of 3mm for TVS measurements was taken into account. For compartment B (uterosacral ligaments, parametria) and compartment A (vagina, rectovaginal space), the rates of exact concordance were slightly lower. In compartment O (ovary), high exact concordance rates similar to those observed for compartment C were observed. In compartment T (tubo-ovarian unit), most reliable estimations were seen for slight (TVS T1) and severe adhesions (TVS T3). There were only a few cases of missed lesions as well as false positives on TVS: Sensitivity was 100% for all compartments except for A and B left (97%) and FB (urinary bladder, 86%); specificity was 100% for FB, FI (other intestinal locations), FU (ureters) and O right, 86%-98% for A, B right, C, O left and FO (other extragenital lesions) and 70% for B left.<\/jats:p><jats:p>\n            Conclusion The preoperative evaluation of the location and size of DE lesions by TVS in different #Enzian compartments is accurate, providing a detailed presurgical description of the extent of ovarian and deep endometriosis and associated minor or severe adhesions.<\/jats:p>","DOI":"10.1055\/a-1713-3573","type":"journal-article","created":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T23:16:07Z","timestamp":1648509367000},"page":"290-298","source":"Crossref","is-referenced-by-count":25,"title":["Comparison Between Sonography-Based and Surgical Evaluation of Endometriotic Lesions Using the #Enzian Classification \u2013 A Retrospective Data Analysis"],"prefix":"10.1055","volume":"44","author":[{"given":"Alessandra","family":"Di Giovanni","sequence":"first","affiliation":[{"name":"Centre for Advanced Pelvic Surgery, Endoscopica Malzoni, Avellino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4161-7328","authenticated-orcid":false,"given":"Eliana","family":"Montanari","sequence":"first","affiliation":[{"name":"Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria"},{"name":"Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gernot","family":"Hudelist","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria"},{"name":"Stiftung Endometrioseforschung (SEF), Westerstede, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Malzoni","sequence":"additional","affiliation":[{"name":"Centre for Advanced Pelvic Surgery, Endoscopica Malzoni, Avellino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joerg","family":"Keckstein","sequence":"additional","affiliation":[{"name":"Stiftung Endometrioseforschung (SEF), Westerstede, Germany"},{"name":"Gynecological Clinic Drs Keckstein, Villach, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/s1297-9589(03)00045-6","article-title":"Management of deep endometriosis","volume":"943","author":"C Chapron","year":"2001","journal-title":"Ann N Y Acad Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/s0015-0282(16)54244-7","article-title":"Suggestive evidence that 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Gynakol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14099","article-title":"The #Enzian classification: A comprehensive non-invasive and surgical description system for endometriosis","author":"J Keckstein","year":"2021","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1002\/uog.15955","article-title":"Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group","volume":"48","author":"S Guerriero","year":"2016","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2021.02.009","article-title":"Comparison between Sonography-based and Surgical Extent of Deep Endometriosis Using the Enzian Classification \u2013 A Prospective Diagnostic Accuracy Study","author":"G 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Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1713-3573.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:04:01Z","timestamp":1686096241000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1713-3573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,28]]},"references-count":8,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,6,6]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1713-3573","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,28]]}}}