ULTRASOUND ELASTOGRAPHY IN THE DIAGNOSIS OF ENDOMETRIOSIS
Abstract
Elastography is the science that creates non-invasive images of the mechanical characteristics of tissues. Ultrasound elastography is currently used in ultrasound evaluation of breast, prostate, thyroid, pancreas, spleen, kidney, testicles and musculoskeletal, but no obstetric or gynecological indications are mentioned. Objectives: to verify the effectiveness of ultrasound elastography for the diagnosis of deep infiltrative endometriosis. Materials and methods: this is an integrative review, in which the guiding question was “How effective is ultrasound elastography in diagnosing deep infiltrative endometriosis?”. The search for articles took place in the PubMed database using the terms "Ultrasound elastography", "Elastosonography", "diagnosis" AND "endometriosis", combined with each other using the Boolean operator AND. Results and discussion: Elastography is capable of measuring the mechanical properties and elasticity of tissues. It is used to aid in the diagnosis of various diseases. Elastography showed high sensitivity and specificity for the diagnosis of deep pelvic endometriosis and its findings correlated with histopathological results, with high specificity and sensitivity values, which makes the method effective. Conclusion: in addition to offering a non-invasive and sensitive technique to better define endometriotic infiltration, ultrasound elastography also has better accuracy than all available diagnostic methods.
Author Biographies
Centro Universitário Claretiano - Rio Claro.
Centro Universitário Claretiano - Rio Claro.
Centro Universitário Claretiano - Rio Claro.
Universidade José do Rosário Vellano - UNIFENAS.
References
ALBAKR, A.; BEN-ISRAEL, D.; YANG, R.; KRUGER, A.; ALHOTHALI, W.; AL TOWIM, A.; LAMA, S.; AJLAN, A.; RIVA-CAMBRIN, J.; PRADA, F.; AL-HABIB, A.; SUTHERLAND, G. R. Ultrasound Elastography in Neurosurgery: Current Applications and Future Perspectives. World Neurosurg, v. 170, p. 195-205.e1, feb. 2023 DOI: https://doi.org/10.1016/j.wneu.2022.10.108
BAMBER, J.; COSGROVE, D.; DIETRICH, C. F.; FROMAGEAU, J.; BOJUNGA, J.; CALLIADA, F.; CANTISANI, V.; CORREAS, J. M.; D'ONOFRIO, M.; DRAKONAKI, E. E.; FINK, M.; FRIEDRICH-RUST, M.; GILJA, O. H.; HAVRE, R. F.; JENSSEN, C.; KLAUSER, A. S.; OHLINGER, R.; SAFTOIU, A.; SCHAEFER, F.; SPOREA, I.; PISCAGLIA, F. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med., v. 34, n. 2, p. 169-84, apr. 2013 DOI: https://doi.org/10.1055/s-0033-1335205
BRUNELLI, A. C.; BRITO, L. G. O.; MORO, F. A. S.; JALES, R. M.; YELA, D. A.; BENETTI-PINTO, C. L. Ultrasound Elastography for the Diagnosis of Endometriosis and Adenomyosis: A Systematic Review with Meta-analysis. Ultrasound Med Biol., v. 9, n. 3, p. 699-709, mar. 2023 DOI: https://doi.org/10.1016/j.ultrasmedbio.2022.11.006
BULUN, S. E.; YILMAZ, B. D.; SISON, C.; MIYAZAKI, K.; BERNARDI, L.; LIU, S.; KOHLMEIER, A.; YIN, P.; MILAD, M.; WEI, J. Endometriosis. Endocr Rev., v. 40, n. 4, p. 1048-1079, 1 aug. 2019 DOI: https://doi.org/10.1210/er.2018-00242
DAVIDHI, A.; RAFAILIDIS, V.; DESTANIS, E.; PRASSOPOULOS, P.; FOINITSIS, S. Ultrasound Elastography: another piece in the puzzle of carotid plaque vulnerability? Med Ultrason., v. 24, n. 3, p. 356-363, 31 aug. 2022 DOI: https://doi.org/10.11152/mu-3190
DEWILDE, Kobe et al. "Elastography in ultrasound assessment of the uterus." Journal of Endometriosis and Uterine Disorders, p. 100014, 2023.
DING, D.; CHEN, Y.; LIU, X.; JIANG, Z.; CAI, X.; GUO, S. W. Diagnosing Deep Endometriosis Using Transvaginal Elastosonography. Reprod Sci., v. 27, n. 7, p. 1411-1422, jul. 2020 DOI: https://doi.org/10.1007/s43032-019-00108-2
DONG, B.; WENG, Z.; LYU, G.; YANG, X.; WANG, H. The diagnostic performance of ultrasound elastography for biliary atresia: A meta-analysis. Front Public Health, v. 10, p. 973125, 2 oct. 2022 DOI: https://doi.org/10.3389/fpubh.2022.973125
ERCOLE, F. F.; MELO, L. S. D.; ALCOFORADO, C. L. G. C. Revisão integrativa versus revisão sistemática. Reme: Revista Mineira de Enfermagem, v. 18, n. 1, p. 09-11, 2014.
KOZMA, B.; PÁKOZDY, K.; LAMPÉ, R.; BERÉNYI, E.; TAKÁCS, P. Ultrahang-elasztográfia alkalmazásának lehetőségei a szülészet-nőgyógyászatban [Application of ultrasound elastography in obstetrics and gynecology]. Orv Hetil, v. 162, n. 18, p. 690-695, 2 mayo 2021. Hungarian DOI: https://doi.org/10.1556/650.2021.32094
MANCHANDA, Smita et al. "Quantitative sonoelastographic assessment of the normal uterus using shear wave elastography: An initial experience." Journal of Ultrasound in Medicine, v. 38, n. 12, p. 3183-3189, 2019.
MARFANI, G.; PHATAK, S. V.; MADURWAR, K. A.; SAMAD, S. Role of sonoelastography in diagnosing endometrial lesions: Our initial experience. Journal of Datta Meghe Institute of Medical Sciences University, v. 14, n. 1, p. 31-35, 2019.
MENDES, K. D. S.; SILVEIRA, R. C. D. C. P.; GALVÃO, C. M. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto-enfermagem, v. 17, p. 758-764, 2008.
ROLLA, E. Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Res, v. F1000, faculty Rev-529, 23 apr. 2019 DOI: https://doi.org/10.12688/f1000research.14817.1
SHAO J, SHI G, QI Z, ZHENG J, CHEN S. Advancements in the Application of Ultrasound Elastography in the Cervix. Ultrasound Med Biol., v. 47, n. 8, p. 2048-2063, aug. 2021 DOI: https://doi.org/10.1016/j.ultrasmedbio.2021.04.009
SIDHU, Paul S. et al. "The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (long version)." Ultraschall in der Medizin-European journal of ultrasound, v. 39, n. 02, p. e2-e44, 2018.
SIGRIST, Rosa M. S. et al. "Ultrasound elastography: review of techniques and clinical applications." Theranostics, v. 7, n. 5, p. 1303, 2017.
SOUSA, Luís; MARQUES-VIEIRA, Cristina; SEVERINO, Sandy; ANTUNES, Vanessa. Metodologia de Revisão Integrativa da Literatura em Enfermagem. Revista Investigação Enfermagem, v. 2, p. 17-26, 2017.
VORA, Zainab et al. "Transvaginal shear wave elastography for assessment of endometrial and subendometrial pathologies: a prospective pilot study." Journal of Ultrasound in Medicine, v. 41, n. 1, p. 61-70, 2022.
WOZNIAK, S.; CZUCZWAR, P.; SZKODZIAK, P.; WOZNIAKOWSKA, E.; MILART, P.; PASZKOWSKI, M.; PASZKOWSKI, T. Elastography Improves the Accuracy of Ultrasound in the Preoperative Assessment of abdominal wall endometriosis. Ultraschall Med., v. 36, n. 6, p. 623-9, dec. 2015. Epub 2015 Mar 3. PMID: 25734413 DOI: https://doi.org/10.1055/s-0034-1398834
XIE, M.; ZHANG, X.; ZHAN, J.; REN, Y.; WANG, W. Potential role of strain elastography for detection of the extent of large-scar endometriosis. J Ultrasound Med., v. 32, n. 9, p. 1635-42, sep. 2013 DOI: https://doi.org/10.7863/ultra.32.9.1635
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