Miami Sonogram Protocol for Mapping Deep Infiltrating Endometriosis (DIE)

At Miami Sonogram, our protocol significantly differs from the standard approach by integrating a range of advanced diagnostic techniques, including Elastography, O-RADS-IOTA score assessment, and Transperineal ultrasound. These methodologies enable a more comprehensive and precise evaluation of pelvic conditions, enhancing diagnostic accuracy and optimizing patient outcomes.

In addition to these innovative tools, our approach aligns with the best practices established by leading global authorities. We adhere to the guidelines of the International Deep Endometriosis Analysis Group, ensuring that our evaluations are thorough and evidence-based. Furthermore, our protocols follow the consensus recommendations set forth by the Society of Radiologists in Ultrasound, which further elevates the quality of care and diagnostic precision we offer our patients. This comprehensive approach underscores our commitment to providing superior imaging services and the most accurate diagnostic insights in the field of ultrasound for the diagnosis of Deep Infiltration Endometriosis. Also, our approach facilitate the surgical staging models of ENZIAN and AAGL classification.

Inclusion criteria for Ultrasound Mapping Endometriosis: Augmented pelvic ultrasound (APU) and Advanced Transvaginal ultrasound (A-TVs), should be performed exclusively in premenopausal or early postmenopausal individuals (within 5 years of menopause). This evaluation is recommended for patients presenting with chronic pelvic pain, infertility, or when endometriosis is clinically suspected. See symptoms: www.miamisonogram.com/ultrasound-mapping-for-endometriosis-in-miami/symptoms-of-endometriosis

General Modify Criteria for APU-ATVs.

Symptom:

1-Cyclical or noncyclical chronic pelvic pain

2-Cyclical abdominal and/or pelvic pain

3-Deep dyspareunia (painful intercourse)

4-Dyschezia (difficult or painful defecation)

5-Dysmenorrhea (severe cramps and pain during a woman's period)

6-Abdominal wall mass with cyclic pain

7-Unexplained dysuria (pain or discomfort when urinating). Vesical Tenesmus.

8-Menorrhagia (heavy or prolonged bleeding during your period)

9-History of Endometriosis

10-Infertility

11-Suspected endometriosis on clinical examination, or radiologically suspected endometriosis. 

Note: Deep Infiltrating Endometriosis can be present in asymptomatic patients. Asymptomatic DIE is not uncommon and may still lead to complications such as fertility issues, or progress without noticeable signs.