Romanian/English Version: Imagistica prin Rezonanta Magnetica vs. Ecografia transvaginala pentru o cercetare completa in randul pacientelor cu endometrioza profund infiltrativa.

Romanian/English Version: Imagistica prin Rezonanta Magnetica vs. Ecografia transvaginala pentru o cercetare completa in randul pacientelor cu endometrioza profund infiltrativa./ Magnetic resonance imaging versus transvaginal ultrasound for complete survey of the pelvic compartments among patients with deep infiltrating endometriosis.
RO: Un studiu realizat de catre specialistii din cadrul Spitalului Universitar “La Paz” din Madrid, Spania a demonstrat ca, cel putin in cadrul cercetarii care a inclus 48 de paciente cu endometrioza, ecografia transvaginala ofera o localizare/diagnosticare mai buna a endometriozei vaginale si recto-vaginale, comparativ cu RMN-ul (Rezonanta Magnetica). Cu toate astea, RMN-ul ar trebui recomandat daca exista o suspiciune de endometrioza pe vezica urinara. Marimea nodulilor prezenti nu a fost influentata de o investigatie sau cealalta.
 
Experienta mea: Aproape in totalitate, diagnosticul pus dupa consultul endometriozic + ecografia transvaginala a fost acelasi ca la RMN. Bineinteles, acesta din urma a fost ceva mai detaliat, insa in mare, informatia de baza, imaginea de ansamblu a fost aceeasi ca la consult. E important, insa, de mentionat, ca in aceste cazuri, conteaza enorm experienta si capacitatea medicului de a vedea focarele endometriozice. Daca ar exista cursuri/schimb de experienta etc, toate axate pe asta, costurile implicate in endometrioza ar fi mult mai mici pentru ca, acum, un RMN cu protocol in endometrioza costa foarte mult. Mai multe despre studiul mentionat mai sus, aici.
Observatie: Indiferent de rezultatele acestui studiu sau de experienta/parerea mea, primordial este sfatul medicului vostru curant. Informatiile de mai sus, insa, vin ca o confirmare a faptului ca, totusi, daca s-ar dori, implicarea medicilor ar putea fi mai mare, costurile aferente pacientelor mult mai mici si managerierea endometriozei mai usoara. In plus, este imbucurator ca se fac astfel de studii de care ar trebui sa stie toti medicii.

Daca vreti sa cititi si alte materiale despre endometrioza si un stil de viata sanatos, urmariti-mi blogul si pe Facebook sau Instagram.

EN: A study made at the University Hospital “La Paz”, Madrid, Spain showed that, at least in this particular study that involved 48 endometriosis patients, transvaginal ultrasound (TVU) provided a more accurate localization of vaginal and recto-vaginal endometriosis as compared with MRI. However, MRI should be recommended if a suspicion of bladder endometriosis exists. The nodule size did not seem to influence the accuracy of the two techniques.
 
My experience: Almost entirely, the diagnosis put after the endometriosis consult + the transvaginal ultrasound was the same as in the MRI. Of course, the latter was more detailed, but the general image/situation was the same as in my first consult. Yet, it is very important to mention that all depends on the experience and skills of the doctor to see the endometriosis lesions. However, if there would be courses, trainings, an exchange of experience between doctors/hospitals, the costs in treating and diagnosing endometriosis would be much lower because, for example now, an MRI with a protocol for endometriosis, costs a lot of money. More about the study here.
Comment: No matter the results of this study or my experience/opinion, the most important is your doctor’s advice. The above information is more like a confirmation of the fact that the doctors’implication could be higher, the costs could be lower and managing endometriosis could be easier. Besides, it is good that this type of studies are being made and all doctors should know about the results.
Do you want to read more articles about endometriosis and tips&tricks about a healthy lifestyle, follow my blog on Facebook and Instagram too.

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