The diagnostic value of combined clinical imaging model in deep infiltrating endometriosis of uterosacral ligaments
10.3969/j.issn.1002-1671.2025.01.014
- VernacularTitle:临床影像联合模型对子宫骶韧带深部浸润型子宫内膜异位症的诊断价值
- Author:
Cuishan LIANG
1
;
Liangfeng YAO
1
;
Dan GUI
1
;
Hongbo WU
1
;
Yunneng CUI
1
Author Information
1. 佛山市妇幼保健院放射科,广东 佛山 528000
- Publication Type:Journal Article
- Keywords:
deep infiltrating endometriosis;
uterosacral ligaments;
transvaginal ultrasound;
magnetic resonance imaging
- From:
Journal of Practical Radiology
2025;41(1):63-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnostic value of combined clinical imaging model in deep infiltrating endometriosis of uterosacral ligaments(USL-DIE).Methods The preoperative clinical symptoms,signs,transvaginal ultrasound(TVS)and MRI diagno-ses of 102 DIE patients were reviewed and subjected to univariate analysis,and the significant variables were screened and included in the multivariable logistic regression analysis to construct a combined clinical imaging model.The diagnostic value of statistically signifi-cant factors and combined model was assessed and compared using receiver operating characteristic(ROC)curve.Results The inci-dence of USL nodule with tenderness,the detection rates of TVS and MRI for USL-DIE were higher than those of other patients with DIE,and the differences were statistically significant.TVS(P=0.021)and MRI(P<0.001)were independent factors in the diag-nosis of USL-DIE.The combined clinical imaging model had the highest area under the curve(AUC)(0.909)and specificity(0.929)for the diagnosis of USL-DIE.Conclusion The combined clinical imaging model has a higher value for the comprehensive diagnosis of USL-DIE compared with clinical or imaging diagnosis alone.
