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Table 4 Accuracy of pre-operative ultrasound diagnosis of pelvic adhesions in women with suspected endometriosis

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

Any adhesions on ovary N = 130

79.6 (95% CI 72.0 – 85.5)

91.9 (95% CI 87.9 – 94.6)

83.8 (95% CI 76.6 – 89.2)

89.5 (95% CI 85.2 – 92.6)

9.81 (95% CI 6.456 – 14.92)

0.222 (95% CI 0.160 – 0.310)

0.865 (95% CI 0.827 – 0.897)

P = 0.0001

Mod/Severe adhesions on ovary N = 123

83.7 (95% CI 76.2 – 89.2)

94.1 (95% CI 90.7 – 96.4)

86.6 (95% CI 79.3 – 91.6)

92.8 (95% CI 89.1 – 95.3)

14.288 (95% CI 8.826 – 23.131)

0.173 (95% CI 0.116 – 0.258)

0.889 (95% CI 0.854 – 0.919)

P = 0.0001

Severe adhesions on ovary N = 103

83.5 (95% CI 75.1 – 89.4)

93.5 (95% CI 90.1 – 95.8)

81.9 (95% CI 73.5)

94.2 (95% CI 90.8 – 96.3)

12.876 (95% CI 8.266 – 20.057)

0.176 (95% CI 0.114 – 0.273)

0.867 (95% CI 0.830 – 0.899)

P = 0.0001

Any adhesions in POD N = 54

83.3 (95% CI 71.3 – 91.0 )

95.1 (95% CI 90.3 – 97.6)

86.5 (95% CI 74.7 – 93.3)

93.8 (95% CI 88.7 – 96.7)

17.143 (95% CI 8.242 – 35.656)

0.175 (95% CI 0.096 – 0.318)

0.892 (95% CI 0.841 – 0.932)

P = 0.0001

Complete obliteration of POD N = 30

83.3 (95% CI 66.4 – 0.927)

97.0 (95% CI 93.2 – 98.7)

83.3 (95% CI 66.4 – 92.7)

97.0 (95% CI 93.2 – 98.7)

28.0 (95% CI 11.636 – 67.376)

0.172 (95% CI 0.077 – 0.383)

0.902 (95% CI 0.852 – 0.939)

P = 0.0001

  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, POD is pouch of Douglas.