{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:17:41Z","timestamp":1773382661670,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to assess the accuracy of transvaginal ultrasound (TVUS) for the mapping of endometriosis before surgery when performed by sonographers in an outpatient women's imaging centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective longitudinal cohort study was performed. The study group comprised of 201 women who underwent a comprehensive TVUS assessment, performed by a sonographer. Laparoscopy was performed as the reference standard. Complete TVUS and surgical data were available for 53 women who were included in the final analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Endometriosis was confirmed at a surgery in 50\/53 (94.3%) participants, with 25\/53 (47.2%) having deep endometriosis (DE) nodules and\/or endometriomas present. TVUS for mapping of DE had an overall sensitivity of 84.0%, specificity of 89.3%, PPV of 87.5%, NPV of 86.2%, LR+ of 7.85, LR\u2212 of 0.18, and accuracy of 86.8% (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Ovarian immobility had poor sensitivity for detecting localised superficial endometriosis, DE, adhesions, and\/or endometriomas (Left\u2009=\u200961.9% and right\u2009=\u200913.3%) but high specificities (left\u2009=\u200987.5% and right\u2009=\u200994.7%). Site\u2010specific tenderness had low sensitivities and moderate specificities for the same. All soft markers of endometriosis failed to reach statistical significance except for left ovarian immobility (<jats:italic>P<\/jats:italic>\u2009=\u2009&lt;0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sonographers well experienced in obstetric and gynaecological imaging, working in an outpatient women's imaging setting can accurately map DE; however, the performance of soft markers for detection of SE was poor.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13461","type":"journal-article","created":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T03:49:56Z","timestamp":1658980196000},"page":"267-276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["What is the accuracy of transvaginal ultrasound for endometriosis mapping prior to surgery when performed by a sonographer within an outpatient women's imaging centre?"],"prefix":"10.1111","volume":"67","author":[{"given":"Alison","family":"Deslandes","sequence":"first","affiliation":[{"name":"Specialist Imaging Partners  Adelaide South Australia Australia"},{"name":"Unit of Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayana","family":"Parange","sequence":"additional","affiliation":[{"name":"Unit of Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie T","family":"Childs","sequence":"additional","affiliation":[{"name":"Unit of Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"Osborne","sequence":"additional","affiliation":[{"name":"Unit of Allied Health and Human Performance University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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