Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis
Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis
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DOI：
10.1002/uog.1107
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发表时间：
2004-08-01
影响因子：
7.1
通讯作者：
Dousset, B
中科院分区：
文献类型：
--
作者：
Chapron, C;Vieira, M;Dousset, B
目的比较直肠超声内镜（rectal endoscopic ultrasound，REU）和磁共振成像（magnetic resonance imaging，MRI）对经病理证实的深度浸润性子宫内膜异位症（deep infiltration endometriosis，DIE）患者直肠壁受累的预测价值。超声和放射科医生，谁不知道的临床表现和患者的病史，但知道DIE是可疑的，被问到是否有参与消化wall.Results直肠DIE被证实在34的81例（42%）的组织学。对直肠癌的诊断，REU的敏感性、特异性、阳性预测值和阴性预测值分别为97.1%、89.4%、86.8%和97.7%，MRI分别为76.5%、97.9%，96.3%和85.2%结论REU诊断乳腺癌的敏感性和阴性预测值均高于MRI，提示REU对乳腺癌的诊断优于MRI。DIE患者的直肠受累。为了验证这些初步结果，需要对大量患者进行前瞻性研究。版权所有（C）2004 ISUOG.出版社：John Wiley Sons，Ltd
Objective To compare the accuracy of rectal endoscopic ultrasonography (REU) and magnetic resonance imaging (MRI) for predicting rectal wall involvement in patients presenting histologically proven deeply infiltrating endometriosis (DIE).Methods This was a retrospective study of a continuous series of 81 patients presenting histologically proven DIE who underwent preoperative investigations using both REU and MRI. The sonographer and the radiologist, who were unaware of the clinical findings and patient history, but knew that DIE was suspected, were asked whether there was involvement of the digestive wall.Results Rectal DIE was confirmed histologically in 34 of the 81 (42%) patients. For the diagnosis of rectal involvement, sensitivity, specificity and positive and negative predictive value for REU were 97.1%, 89.4%, 86.8% and 97.7% and for MRI they were 76.5%, 97.9%, 96.3% and 85.2%.Conclusion The sensitivity and negative predictive value of REU were higher than those of MRI suggesting that RE U performs better than MRI in the diagnosis of rectal involvement for patients presenting with DIE. Prospective studies with a large number of patients are needed in order to validate these preliminary results. Copyright (C) 2004 ISUOG. Published by John Wiley Sons, Ltd.