Skip to main content

Table 3 Accuracy of pre-operative ultrasound diagnosis of endometriotic lesions affecting different pelvic organs

From: Ultrasound mapping of pelvic endometriosis: does the location and number of lesions affect the diagnostic accuracy? a multicentre diagnostic accuracy study

Site of disease

Sensitivity

Specificity

PPV

NPV

LR+

LR-

Area under ROC curve

Ovarian endometrioma N = 75

84.0 (95% CI 73.7 – 91.4)

95.6(95% CI 92.8 – 97.6)

81.8 (95% CI 71.8 – 90.6)

96.2 (95% CI 93.5 – 97.8)

19.26 (95% CI 11.431 – 32.451)

0.167 (95% CI 0.10 – 0.281)

0.898 (95% CI 0.864 – 0.926)

P = 0.0001

DIE of bladder N = 5

100 (95% CI 48.0 – 100)

100 (95% CI 98.1 – 100)

100 (95% CI 48.0 – 100)

100 (95% CI 98.1 – 100)

∞ (95% CI 0- ∞)

0.00 (95% CI 0- ∞)

1.00 (95% CI 0.981 – 1.00)

P = 0.000

DIE Rectum/Sigmoid N = 9

33.3 (95% CI 12.1 – 64.6)

98.9 (95% CI 96.2 – 99.7)

60 (95% CI 23.1 – 88.2)

96.9 (95% CI 93.4 – 98.6)

31.5 (95% CI 5.992 – 165.6)

0.674 (95% CI 0.424 – 1.07)

0.661 (95% CI 0.591 – 0.727)

P = 0.111

RV DIE N = 32

50.0 (95% CI 33.6 – 66.4)

100 (95% CI 97.7 – 100)

100 (95% CI 80.6 – 100)

96.9 (95% CI 93.4 – 98.6)

∞ (95% CI 0- ∞)

0.50 (95% CI 0.354 – 0.707)

0.758 (95% CI 0.692 – 0.816)

P = 0.0001

DIE of UVF N = 6

16.7 (95% CI 2.8 – 63.9)

99.0 (95% CI 96.3 – 99.8)

33.3 (95% CI 6.1 – 79.2)

97.4 (95% CI 94.2 – 98.9)

16.0 (95% CI 1.68 – 153.94)

0.84 (95% CI 0.589 – 1.205)

0.578 (95% CI 0.506 – 0.648)

P = 0.528

DIE of PSW N = 13

15.4 (95% CI 2.4 – 45.5)

98.17 (95% CI 96.3 – 99.3)

22.2 (95% CI 0.063 – 0.547)

97.2 (95% CI 95.0 – 98.4)

8.421 (95% CI 1.933 – 36.65)

0.862 (95% CI 0.683 – 1.087)

0.568 (95% CI 0.517 – 0.617)

P = 0.419

DIE of USL N = 40

10.0 (95% CI 2.9 – 23.7)

99.16(95% CI 97.6 – 99.8)

57.1 (95% CI 25.0 – 84.2)

90.7 (95% CI 87.5 – 93.2)

11.867 (95% CI 2.754 – 51.14)

0.908 (95% CI 0.818 – 1.007)

0.546 (95% CI 0.495 – 0.596)

P = 0.351

  1. PPV is positive predictive value, NPV is negative predictive value, +ve LH is positive likelihood ratio, -ve LH is negative likelihood ratio, ROC is receiver operating characteristics, DIE is deeply infiltrating endometriosis, RV is rectovaginal, UVF is utero vesical fold (separate from bladder), PSW is pelvic side wall, USL is uterosacral ligaments. (All bilateral anatomical locations were treated separately).