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DOI: 10.1055/a-2263-7193
Noninvasive diagnostic imaging of pelvic venous disorders
Nicht invasive diagnostische Bildgebung von Beckenvenen-ErkrankungenSupported by: Uniwersytet Medyczny w Lublinie 329
Abstract
It is estimated that chronic pelvic pain (CPP) may affect up to 24% of women. Unfortunately, very often, despite extensive diagnostics, the cause of CPP remains unknown. The pathophysiology of CPP could be explained to a large extent by the occurrence of pelvic venous disorders (PVD). Although pelvic venography is still considered the gold standard for the diagnosis of PVD, noninvasive diagnostic imaging techniques seem to be instrumental in the initial identification of patients with PVD. This literature review aimed to analyze and evaluate the usefulness of noninvasive diagnostic imaging techniques like transvaginal ultrasonography, transabdominal ultrasonography, magnetic resonance, and computed tomography in the diagnosis and identification of patients with PVD. Forty-one articles published between 1984 and 2023 were included in this literature review. Based on this literature review, we conclude that the clinical application of noninvasive diagnostic techniques in the diagnosis of PVD seems to be very promising. Future studies investigating the role of noninvasive diagnostic imaging techniques in the diagnosis of PVD are required.
Zusammenfassung
Schätzungen zufolge sind bis zu 24% aller Frauen von chronischen Beckenschmerzen (CPP: „Chronic Pelvic Pain“) betroffen. Leider bleibt die Ursache von CPP trotz umfassender Diagnostik sehr oft unbekannt. Die Pathophysiologie von CPP könnte zu einem großen Teil durch das Auftreten von Beckenvenen-Erkrankungen (PVD: „Pelvic Venous Disorders“) erklärt werden. Obwohl die Beckenvenografie nach wie vor als Goldstandard für die Diagnose der PVD gilt, scheinen nicht invasive diagnostische Bildgebungstechniken bei der Erstidentifizierung von Patienten mit PVD hilfreich zu sein.
Diese Literaturrecherche zielte darauf ab, den Nutzen nicht invasiver diagnostischer Bildgebungstechniken wie transvaginaler Ultraschall, transabdominaler Ultraschall, Magnetresonanztomografie und Computertomografie bei der Diagnose und Identifizierung von Patienten mit PVD zu analysieren und zu bewerten.
In diese Literaturübersicht wurden 41 Artikel einbezogen, die zwischen 1984 und 2023 veröffentlicht wurden. Basierend auf dieser Literaturrecherche kommen wir zu dem Schluss, dass die klinische Anwendung nicht invasiver Diagnosetechniken bei der Diagnose von PVD sehr vielversprechend zu sein scheint.
Zukünftige Studien, die die Rolle nicht invasiver diagnostischer Bildgebungstechniken bei der Diagnose von PVD untersuchen, sind erforderlich.
Keywords
Pelvic Venous Disorders - Chronic Pelvic Pain - Ultrasonography - MRI - Noninvasive diagnostic imagingPublication History
Received: 16 April 2023
Accepted after revision: 25 January 2024
Accepted Manuscript online:
07 February 2024
Article published online:
06 May 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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