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Article

SonoElastoColposcopy: A New Tool for Cervical Dysplasia Assessment

by
José Antonio Sainz-Bueno
1,2,
Cristina Fernández-Conde de Paz
2,
Ainhoa Holgado
2,
José María Romo
2,
Teresa Reyes-Sánchez
2,
Fernando Fernández-Palacín
3 and
José Antonio García-Mejido
1,2,*
1
Department of Surgery, Faculty of Medicine, University of Seville and Gynecology, 41004 Sevilla, Spain
2
Andalusian Public Foundation for the Management of Health Research in Seville (FISEVI), 41009 Seville, Spain
3
Department of Statistics and Operational Research, University of Cadiz, 11003 Cadiz, Spain
*
Author to whom correspondence should be addressed.
Diagnostics 2025, 15(7), 806; https://doi.org/10.3390/diagnostics15070806
Submission received: 12 February 2025 / Revised: 13 March 2025 / Accepted: 19 March 2025 / Published: 22 March 2025
(This article belongs to the Special Issue Recent Advances in Gynecologic Oncology: Diagnosis and Management, 2nd Edition)
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Abstract

Background/Objectives: Up to 30% of cervical dysplastic lesions are missed by colposcopy alone. We performed a comparative evaluation of the diagnostic capacity for identifying cervical dysplastic lesions between shear wave elastography (SWE) of the endocervix and exocervix, defined as SonoElastoColposcopy (SEC), and colposcopy. Methods: A prospective observational study was conducted in 84 patients indicated for cervical conization surgery (presence of cervical intraepithelial neoplasia 2 or 3 (CIN-2 or 3), adenocarcinoma in situ (AIS), or high-grade suspicious lesions). All patients underwent colposcopy with lesion identification and biopsy, and SEC and SWE evaluation of the endocervix and exocervix with measurement of lesion stiffness (KPa). Cervical lesions identified by colposcopy or SEC were localized in quadrants, and a comparative evaluation of the diagnostic capacity of both techniques was performed in relation to the anatomical pathology of the cone biopsy. Results: A total of 82 women were evaluated (two cases were lost). The mean age was 38.84 ± 8.44 years. Colposcopy was adequate in 95.12% of cases. In SEC, we observed an elasticity in the lesion area of 105.42 ± 36.32 KPa compared to 19.98 ± 9.29 KPa (p < 0.0001) in the healthy area of the exocervix. In the endocervix, the results were 109.8 ± 40.86 KPa versus 18.5 ± 9.07 KPa (p < 0.0001), respectively. The concordance for colposcopy was 0.456 compared to 0.815 (p < 0.05) for SEC. Conclusions: SEC demonstrates a better ability to identify the area of cervical dysplastic lesions than colposcopy.
Keywords: elastography; cervix uteri; cervical dysplasia elastography; cervix uteri; cervical dysplasia

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MDPI and ACS Style

Sainz-Bueno, J.A.; Fernández-Conde de Paz, C.; Holgado, A.; Romo, J.M.; Reyes-Sánchez, T.; Fernández-Palacín, F.; García-Mejido, J.A. SonoElastoColposcopy: A New Tool for Cervical Dysplasia Assessment. Diagnostics 2025, 15, 806. https://doi.org/10.3390/diagnostics15070806

AMA Style

Sainz-Bueno JA, Fernández-Conde de Paz C, Holgado A, Romo JM, Reyes-Sánchez T, Fernández-Palacín F, García-Mejido JA. SonoElastoColposcopy: A New Tool for Cervical Dysplasia Assessment. Diagnostics. 2025; 15(7):806. https://doi.org/10.3390/diagnostics15070806

Chicago/Turabian Style

Sainz-Bueno, José Antonio, Cristina Fernández-Conde de Paz, Ainhoa Holgado, José María Romo, Teresa Reyes-Sánchez, Fernando Fernández-Palacín, and José Antonio García-Mejido. 2025. "SonoElastoColposcopy: A New Tool for Cervical Dysplasia Assessment" Diagnostics 15, no. 7: 806. https://doi.org/10.3390/diagnostics15070806

APA Style

Sainz-Bueno, J. A., Fernández-Conde de Paz, C., Holgado, A., Romo, J. M., Reyes-Sánchez, T., Fernández-Palacín, F., & García-Mejido, J. A. (2025). SonoElastoColposcopy: A New Tool for Cervical Dysplasia Assessment. Diagnostics, 15(7), 806. https://doi.org/10.3390/diagnostics15070806

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