https://m2.mtmt.hu/ hun 2026-09-21 11:36 JournalArticle 33643790 VALIDATED true Faculty of Medicine, Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary Department of Gynaecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria Department of Obstetrics and Gynecology, Rudolfinerhaus Private Clinic and Campus, Vienna, Austria Department of Clinical Studies in Obstetrics and Gynecology, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary 1st Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary Export Date: 05 June 2025; Cited By: 6; Correspondence Address: G. Szabó; Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Baross u. 27., 1088, Hungary; email: szabo.gabor6@med.semmelweis-univ.hu; CODEN: ULMED 0 false 2026-09-03T08:14:23.945+0000 2024-06-26T10:28:42.948+0000 2023-02-16T13:39:40.666+0000 true 10026077 Szabó Gábor /api/author/10026077 Author true 10026077 2026-02-17T12:20:45.649+0000 2026-02-17T12:20:45.649+0000 2024-06-26T10:28:43.296+0000 true 10015544 Csajbók Edit /api/admin/10015544 Admin true 10015544 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Szabó, Gábor Diagnostic accuracy of the IDEA protocol for non invasive diagnosis of rectosigmoid DE – a prospective cohort study true true /api/journal/4342 REVIEWED true false 4342 false 4342 true 0172-4614 1438-8782 Journal FOREIGN 45 1 61 68 61 8 2024 Objectives: To test the accuracy of TVS applying the IDEA approach for suspected rectosigmoid DE and to determine the frequency of other pelvic diseases mimicking DE in patients undergoing surgery.Materials und Methods: Prospective single center observational study including consecutive women undergoing TVS for clinically suspected rectosigmoid DE followed by conservative or surgical therapy. TVS findings were compared with those obtained by laparoscopy and confirmed histologically.Results: Of the 671 included patients, 128 women opted for medical therapy, and 6 patients decided for surgery but did not give consent to participate in the study. 537 women were enrolled in the final analysis. 279 (52%) exhibited surgically confirmed rectosigmoid DE. The sensitivity and specificity, positive and negative predictive value (PPV, NPV), positive and negative likelihood ratio (LR+/-) and accuracy of TVS for diagnosing DE in the rectosigmoid were 93.5%, 94.6%, 94.9%, 93.1%, 17.24, 0.07, 94.04%. 12 women who were clinically suspected for DE and mimicked sonographic signs fulfilling the IDEA criteria did exhibit other pathologies. Diagnoses were as follows: vaginal Gartner duct cyst (3/291;1.0%), anorectal abscess (3/291;1.0%), rectal cancer (2/291;0.7%), hydrosalpinx (2/291;0.7%), metastatic endometrial cancer (1/291;0.35%) and Crohn’s disease (1/291;0.35%).Conclusion: TVS for diagnosing colorectal DE applying the IDEA criteria is highly accurate for presurgical diagnosis. However, additional pelvic pathologies are encountered in 4-5% of women attending for suspected rectosigmoid DE. These need to be taken into account when investigating patients for suspected DE.Ziel: Die Prüfung der diagnostischen Aussagekraft der TVS nach dem IDEA-Protokoll bei Verdacht auf rektosigmoidale TIE und Bestimmung der Häufigkeit möglicher anderwertiger pathologischer Veränderungen.Material und Methode:Prospektive TVS-basierte Beobachtungsstudie mit konsekutivem Einschluss von Patientinnen mit klinischem Verdacht auf rektosigmoidale TIE. Die Ergebnisse der TVS wurden mit den Ergebnissen der chirurgischen Therapie verglichen.Ergebnisse: Von den 671 Patientinnen, die sich einer TVS unterzogen, 128 Frauen entschieden sich für eine medikamentöse Therapie. 6 Patientinnen entschieden sich für einen chirurgischen Eingriff, gaben aber keine Zustimmung zur Teilnahme an der Studie. 537 Patientinnen wurden in die Studie aufgenommen. 279 (52%) Patientinnen wiesen histologisch verifizierte rektosigmoidale TIE auf. Die Sensitivität und Spezifität, der PPV der NPV, die LR+ und die LR- sowie die Genauigkeit der TVS zur Diagnose von rektosigmoidealen TIE lagen bei 93,5 %, 91,8 %, 94,9 % 89,7 %, 11,54, 0,07, 92,9 %. 12 Frauen, bei denen ein klinischer und sonografischer Verdacht auf rektosigmoidale TIE bestand wiesen andere Pathologien auf: Gartner-Gang Zyste der Vaginalwand (3/291;1,0 %), anorektaler Abszess (3/291;1,0 %), Rektumkarzinom (2/291;0,7 %), Hydrosalpinx (2/291;0,7 %), metastasierendes Endometriumkarzinom (1/291;0,35 %) und Morbus Crohn (1/291;0,35 %).Schlussfolgerungen:Die TVS zur prächirurgischen Diagnose der rektosigmoidalen TIE unter Anwendung des IDEA-Protokolls ist aussagekräftig. Bei etwa 4-5 % der Patientinnen mit sonografischen, IDEA-basierten Zeichen einer rektosigmoidalen TIE, müssen anderwertige Krankheiten in Betracht gezogen werden. true false 2023 true true true false true false NONE 2026-09-03 false 18 0 17 6 7 15 15 14 15 15 15 5 5 7 11 0 18 7 17 6 0 10 10 Folyóiratcikk Journal Article 24 17 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 1 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2024 0 9 2 9 2 2025 0 0 0 0 0 2026 0 9 5 9 5 Q2 false 10026013,10026077 false false false 2023-05-17T12:39:41.289+0000 Patológiai és Kísérleti Rákkutató Intézet (SE / AOK / I); Szülészeti és Nőgyógyászati Klinika (SE / AOK / K); Szülészeti és Nőgyógyászati Klinikai Ismeretek ... 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<span class="author-name" mtid="10088759"><a href="/gui2/?type=authors&mode=browse&sel=10088759" target="_blank">Hudelist Gernot (<span class="authorship-author-name">Hudelist Gernot</span> <span class="authorAux-mtmt"> Obstetrician and Gynaecologist, Minimal invasiv...</span>) </a> </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10064401"><a href="/gui2/?type=authors&mode=browse&sel=10064401" target="_blank">Madár István (<span class="authorship-author-name">Madár István</span> <span class="authorAux-mtmt"> szülészet-nőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szülészeti és Nőgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10003345"><a href="/gui2/?type=authors&mode=browse&sel=10003345" target="_blank">Rigó János Jr. (<span class="authorship-author-name">Rigó János</span> <span class="authorAux-mtmt"> Szülészet-nőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Egészségtudományi Kar">ETK2007</span>/Szülészeti és Nőgyógyászati Klinikai Ismeretek Tanszék; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szülészeti és Nőgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10066686"><a href="/gui2/?type=authors&mode=browse&sel=10066686" target="_blank">Dobó Noémi (<span class="authorship-author-name">Dobó Noémi</span> <span class="authorAux-mtmt"> Szülészet-nőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szülészeti és Nőgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026799"><a href="/gui2/?type=authors&mode=browse&sel=10026799" target="_blank">Fintha Attila (<span class="authorship-author-name">Fintha Attila</span> <span class="authorAux-mtmt"> patológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Patológiai és Kísérleti Rákkutató Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Lipták Laura </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Kalovics Emma </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Fancsovits Veronika </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026013"><a href="/gui2/?type=authors&mode=browse&sel=10026013" target="_blank">Bokor Attila (<span class="authorship-author-name">Bokor Attila</span> <span class="authorAux-mtmt"> szülészet, nőgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szülészeti és Nőgyógyászati Klinika</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33643790" target="_blank">Diagnostic accuracy of the IDEA protocol for non invasive diagnosis of rectosigmoid DE – a prospective cohort study</a></div> <div> <span class="journal-title">ULTRASCHALL IN DER MEDIZIN</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0172-4614">0172-4614</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1438-8782">1438-8782</a>)</span>: <span class="journal-volume">45</span> <span class="journal-issue">1</span> <span class="page"> pp 61-68 </span> <span class="year">(2024)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1055/a-2034-2022" target="_blank" href="https://doi.org/10.1055/a-2034-2022"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000945930100005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000945930100005"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85159266385" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85159266385"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="36781162" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=36781162&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Radiology, Nuclear Medicine and Imaging&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 18</span> | Független: 7 | Függő: 11 | Nem jelölt: 0 | WoS jelölt: 14 | Scopus jelölt:&nbsp;15 | WoS/Scopus jelölt:&nbsp;15 | DOI jelölt:&nbsp;15 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33643790&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 10 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 33643790</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="lastModified">Utolsó módosítás: 2024.06.26. 12:28 Csajbók Edit (SE_KK_Admin5_CSE, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Faculty of Medicine, Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary Department of Gynaecology, Center for Endometriosis, Hospital St. John of God, Vienna, Austria Department of Obstetrics and Gynecology, Rudolfinerhaus Private Clinic and Campus, Vienna, Austria Department of Clinical Studi...</pre> </div></div>