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首页> 外文期刊>Journal of Medical Imaging and Health Informatics >The Clinical Value of Transvaginal Sonography Combined with Magnetic Resonance Imaging in Diagnosis of Deep Invasive Endometriosis in Pelvic Cavity
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The Clinical Value of Transvaginal Sonography Combined with Magnetic Resonance Imaging in Diagnosis of Deep Invasive Endometriosis in Pelvic Cavity

机译：经玄视超声成像与磁共振成像诊断骨盆腔深侵入子宫内膜异位症的临床价值

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Objective: The objective of this study is to analyze the diagnostic value of transvaginal sonography (TVS), magnetic resonance imaging (MRI) and their combination in patients with deep invasive endometriosis (DIE) in pelvic cavity. Method: In this study, 235 patients with DIE were selected as the study objects, and the lesion location of the patients was determined by TVS, MRI, and combined examination before surgery. According to the actual situation of the patient, laparoscopic or open surgery was performed to remove the lesion tissue, which was regarded as the gold standard. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of TVS, MRI, and combined diagnosis were compared. In addition, Kappa test was adopted to compare the consistency between different diagnostic methods and the gold standard. Results: The total Se of the DIE detected by THV was 91.61%, and the Sp was 90.74%. The total Se of DIE detected by MRI was 95.76%, and the Sp was 92.07%. The total Se of DIE detected by THV combined with MRI was 96.47%, and the Sp was 93.41%. The LR- value of DIE detected by TVS was 0.21, the LR- value detected by MRI was 0.18, and the LR- value detected by combined detection was 0.13. The kappa coefficient of DIE detected by TVS was 0.70, the kappa coefficient detected by MRI was 0.73, and the kappa coefficient by combined detection was 0.79. Conclusion: TVS combined with MRI to detect DIE has a higher sensitivity and specificity, a higher positive detection rate, and a higher consistency with the diagnostic results of gold standard.
机译：目的：分析经阴道超声（TVS）、磁共振成像（MRI）及其联合应用对盆腔深部浸润性子宫内膜异位症（DIE）的诊断价值。方法：本研究选择235例DIE患者为研究对象，通过TVS、MRI及术前联合检查确定病变部位。根据患者的实际情况，以腹腔镜或开腹手术切除病变组织为金标准。比较TVS、MRI及联合诊断的敏感性、特异性、阳性预测值、阴性预测值、阳性似然比和阴性似然比。此外，采用Kappa检验比较不同诊断方法与金标准的一致性。结果：THV检测总硒为91.61%，Sp为90.74%。MRI检出的DIE总Se为95.76%，Sp为92.07%。THV联合MRI检测DIE总硒为96.47%，Sp为93.41%。TVS检测的模具LR值为0.21，MRI检测的LR值为0.18，联合检测的LR值为0.13。TVS检测的模具kappa系数为0.70，MRI检测的kappa系数为0.73，联合检测的kappa系数为0.79。结论：TVS联合MRI检测DIE具有较高的敏感性和特异性，阳性检出率较高，与金标准诊断结果具有较高的一致性。

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