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Parametrial assessment through TVS can improve surgical planning and outcomes

La evaluación parametrial a través de la ETV puede mejorar la planificación quirúrgica y los resultados

Parametrial assessment through TVS can improve surgical planning and outcomes

Article:

Transvaginal ultrasound for detecting parametrial involvement in suspected deep pelvic endometriosis: updated meta-analysis

Alcázar JL, Montoya C, Candau C, Catalan C, Orozco R, Pascual MÁ, Ajossa S, Guerriero S.
Ultrasound Obstet Gynecol. 2025 Aug 23.
DOI: 10.1002/uog.70004

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A group of researchers, including Dr Mª Angela Pascual, Head of R&D in Gynecological Imaging Diagnosis (DGI) at Dexeus Mujer, conducted an updated meta-analysis to evaluate the diagnostic performance of transvaginal ultrasound (TVS) in detecting lateral parametrial involvement in women with suspected deep pelvic endometriosis.

A literature search was performed in the Web of Science, PubMed, and Scopus databases between January 2021 and May 2024. Pooled sensitivity and specificity were calculated overall and for subgroup analyses considering parametrial laterality.

The authors conclude that the diagnostic performance of TVS for detecting parametrial involvement in women with suspected deep pelvic endometriosis is better than previously reported. This improvement may be attributed to the use of a standardized TVS examination technique and enhanced knowledge of pelvic ultrasound anatomy. Accurate parametrial assessment could improve surgical planning and patient outcomes.

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