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Endometriosis is a chronic gynecological disease characterized by the presence of endometrial glands and stroma beyond the confines of the uterus that frequently leads to chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Endometriotic lesions exhibit diverse phenotypes: ovarian, superficial, and deep endometriosis. The present chapter describes the application of three-dimensional (3D) ultrasonography in the diagnosis of these different phenotypes of endometriosis including deep endometriosis of the anterior and posterior pelvic compartments and superficial endometriosis, as well as the use of some enhanced techniques as sonovaginography. In addition, we discuss the role of offline virtual navigation of 3D volumes to decrease the length of the learning curve for the ultrasonographic diagnosis of endometriosis.

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Three-Dimensional Ultrasonography in Endometriosis

  • 章节

  • 发表日期：

    2026年

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  • Stefano Guerriero,
  • Marcelo Pedrassani,
  • Luciana Sassi Simon,
  • Greta Carta,
  • Silvia Ajossa,
  • Mariachiara Pagliuca,
  • Fabio Deiala,
  • Maria Ángela Pascual,
  • Betlem Graupera,
  • Luca Saba,
  • Juan Luis Alcazar

摘要

Endometriosis is a chronic gynecological disease characterized by the presence of endometrial glands and stroma beyond the confines of the uterus that frequently leads to chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Endometriotic lesions exhibit diverse phenotypes: ovarian, superficial, and deep endometriosis. The present chapter describes the application of three-dimensional (3D) ultrasonography in the diagnosis of these different phenotypes of endometriosis including deep endometriosis of the anterior and posterior pelvic compartments and superficial endometriosis, as well as the use of some enhanced techniques as sonovaginography. In addition, we discuss the role of offline virtual navigation of 3D volumes to decrease the length of the learning curve for the ultrasonographic diagnosis of endometriosis.