Modern methods of diagnostics of endometrial pathology: extended comparative analysis of ultrasound, hysteroscopy, magnetic resonance imaging and spectroscopy

Endometrial pathologies, including polyps, hyperplasia, and cancer, are a significant problem in gynecological practice. Despite advances in diagnostics, the choice of the optimal method remains a subject of debate. This article provides a detailed analysis of modern imaging methods and their role in differential diagnostics. Technical aspects, diagnostic accuracy (sensitivity, specificity), clinical limitations, cost-effectiveness, and prospects for technology development are considered. Based on systematized data from 180 studies, an algorithm for choosing a method depending on the clinical scenario is proposed