Preoperative Ultrasound Scoring of Endometriosis by AAGL 2021 Endometriosis Classification Is Concordant with Laparoscopic Surgical Findings and Distinguishes Early from Advanced Stages

Imagem de Miniatura
Arquivos
art_ABRAO_Preoperative_Ultrasound_Scoring_of_Endometriosis_by_AAGL_2021_2023.PDF (591.91 KB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE INC
Autores
GINGOLD, Julian A.
RIUS, Mariona
GONCALVES, Manoel Orlando
GIOVANNI, Alessandra Di
MALZONI, Mario
CARMONA, Francisco
Citação
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, v.30, n.5, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Study Objective: To compare the accuracy of preoperative ultrasound (US) in predicting the laparoscopically defined 2021 American Association of Gynecologic Laparoscopists (AAGL) Endometriosis Staging. Design: Retrospective multicenter study of patients treated at 3 specialized endometriosis centers. Setting: Three specialized endometriosis surgical centers in Sao Paulo (Brazil), Barcelona (Spain), and Avellino (Italy) participated. Patients: A total of 878 patients aged 15 to 45 years with no history of pelvic malignancy underwent laparoscopic (LPS) treatment for suspected endometriosis. Interventions: Retrospective review of preoperative transvaginal and transabdominal US (index test) assessed for endometriosis at all sites used in the 2021 AAGL Endometriosis Classification and classified patients into AAGL-US stages 1 to 4. Results were compared with reference-standard LPS (AAGL-LPS) staging. Measurements and Main Results: The AAGL-US and AAGL-LPS stage were concordant in 586 cases (66.7%) (weighted kappa [WK] 0.759; intraclass correlation = 0.906), with the highest agreement observed in patients with no endometriosis (n = 70, 75.3% concordance), AAGL-LPS stage 1 (104, 50.7%) and stage 4 disease (358, 88.2%). Endometriosis was most accurately diagnosed in the rectum/sigmoid colon (WK 0.862), bladder (WK 0.911), and ovaries (WK 0.835/0.795 for right/left, respectively) and least accurately diagnosed at superficial peritoneal (WK 0.442), tubal (WK 0.391/0.363 for right/left, respectively), and retrocervical/uterosacral ligament (WK 0.656) sites. Conclusion: Sonographic estimation of the 2021 AAGL Endometriosis Staging is greatest in AAGL-LPS stages 1 and 4 and among patients with no endometriosis. US best identifies endometriosis of the ovaries, bladder, and bowel but is more limited for the tubes and superficial peritoneum. Journal of Minimally Invasive Gynecology (2023) 30, 363- 373.
Palavras-chave
Endometriosis, Staging, Ultrasound, Laparoscopy, Infertility, Pelvic pain
URI
https://observatorio.fm.usp.br/handle/OPI/54741
Referências
  1. Abrao Mauricio S, 2021, J Minim Invasive Gynecol, V28, P1941, DOI 10.1016/j.jmig.2021.09.709
  2. Abrao MS, 2020, J MINIM INVAS GYN, V27, P883, DOI 10.1016/j.jmig.2019.06.010
  3. Adamson GD, 2010, FERTIL STERIL, V94, P1609, DOI 10.1016/j.fertnstert.2009.09.035
  4. [Anonymous], 1979, FERTIL STERIL, V32, P633
  5. Bazot M, 2004, ULTRASOUND OBST GYN, V24, P180, DOI 10.1002/uog.1108
  6. Becker CM, 2022, HUM REPROD OPEN, V2022, DOI 10.1093/hropen/hoac009
  7. Camboni A, 2021, INT J MOL SCI, V22, DOI 10.3390/ijms222010974
  8. Canis M, 1997, FERTIL STERIL, V67, P817
  9. Goncalves MOD, 2010, HUM REPROD, V25, P665, DOI 10.1093/humrep/dep433
  10. Exacoustos C, 2014, FERTIL STERIL, V102, P143, DOI 10.1016/j.fertnstert.2014.03.043
  11. Goncalves MO, 2021, HUM REPROD, V36, P1492, DOI 10.1093/humrep/deab085
  12. Guerriero S, 2016, ULTRASOUND OBST GYN, V48, P318, DOI 10.1002/uog.15955
  13. Guerriero S, 2008, HUM REPROD, V23, P2452, DOI 10.1093/humrep/den293
  14. Harris PA, 2019, J BIOMED INFORM, V95, DOI 10.1016/j.jbi.2019.103208
  15. Malzoni M, 2020, J MINIM INVAS GYN, V27, P1141, DOI 10.1016/j.jmig.2019.08.034
  16. Malzoni M, 2016, J MINIM INVAS GYN, V23, P512, DOI 10.1016/j.jmig.2015.09.024
  17. McHugh ML, 2012, BIOCHEM MEDICA, V22, P276, DOI 10.11613/bm.2012.031
  18. Nisenblat V, 2016, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD009591.pub2
  19. Roman H, 2022, J MINIM INVAS GYN, V29, P767, DOI 10.1016/j.jmig.2022.02.007
  20. Ros C, 2021, ULTRASOUND OBST GYN, V57, P335, DOI 10.1002/uog.22058
  21. Ros C, 2017, J MINIM INVAS GYN, V24, P1146, DOI 10.1016/j.jmig.2017.06.024
  22. Spencer S, 2022, CURR OPIN OBSTET GYN, V34, P300, DOI 10.1097/GCO.0000000000000806
  23. Tuttlies F, 2005, Zentralbl Gynakol, V127, P275, DOI 10.1055/s-2005-836904
  24. Young SW, 2021, J ULTRAS MED, V40, P1091, DOI 10.1002/jum.15484

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOG
Artigos e Materiais de Revistas Científicas - LIM/58