scholarly journals Diagnostic Accuracy of 3D-transvaginal Ultrasound Compared to Hysteroscopy in Detecting Uterine Abnormalities Before ICSI

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M Alsherbiny ◽  
A A M Riad ◽  
H A Hamdoun
Keyword(s):  
Diagnostic Accuracy ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Uterine Cavity ◽  
University Hospital ◽  
Uterine Disease ◽  
Ibn Sina ◽  
Volume Imaging ◽  
Uterine Anomalies ◽  
3D Sonography

Abstract Introduction Various forms of female infertility were associated with congenital uterine anomalies and acquired uterine disease. In fact, the myometrium can only be indirectly imaged by X-ray hysterosalpingography but is directly seen on Ultrasonography. More recently, further advances in ultrasonography have led to three-dimensional multiplanar or volume imaging (three-dimensional ultrasonography [3DUS]) in which sonographic images are obtained from a volume of ultrasonographic data (rather than from a slice of data) the application of 3DUS to gynecologic imaging has suggested a role for transvaginal 3DUS in the assessment of uterine anomalies and endometrial lesions. Aim To evaluate the diagnostic accuracy and sensitivity of Hysteroscopy vs TV3D in the evaluation of the uterine abnormalities in infertile women before ICSI. Methodology This is a study including 60 patients were selected from the outpatient gynecological clinic, private center at Sohag government (Ibn Sina Center) in collaboration with (Ain Shams University Hospital in IVF unit) from12/2017 -8/2018. All cases files are computerized and saved in Ibn Sina Center. Results The overall result of accuracy of different modalities was 98.3% for 3D sonography and the accuracy of different modalities in detection of endometrial polyp was 93.3% for 3D sonography and 100% for hysteroscopy. The accuracy of different modalities in detection of septate uterus was 100% for 3D sonography and hysteroscopy. The accuracy of different modalities in detection of intrauterine adhesions was 100% for 100% for 3D and hysteroscopy. Conclusion Hysteroscopy is the gold standard diagnostic & therapeutic tool for uterine anomalies (bicornuate, septate, arcuate, polyp), However 3D ultrasonography is diagnostic tool only but superior to hysteroscopy in certain lesions e.g. (subserous and intramural fibroid). Recommendation we recommend 3D to become soon as the diagnostic procedure of choice in assessment of suspected uterine lesions. Furthermore, we recommend that 3D US, if available, to be performed routinely for all cases of uterine cavity anomalies and prior to corrective uterine surgery.

scholarly journals Diagnostic Accuracy of Three-dimensional Ultrasonography in Detection of Endometrial Lesions compared with Hysteroscopy in Infertile Women

2016 ◽  
Vol 10 (4) ◽  
pp. 393-397
Author(s):  
Firoozeh Ahmadi ◽  
Farnaz Akhbari ◽  
Fatemeh Niknejad ◽  
Hadieh Haghighi ◽  
Zahra Ghahremani ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Sensitivity And Specificity ◽  
Predictive Value ◽  
Gold Standard ◽  
Three Dimensional ◽  
Assessment Method ◽  
Diagnostic Efficiency ◽  
Infertile Women ◽  
Reliable Assessment ◽  
Uterine Anomalies

ABSTRACT Introduction Two of the most frequent procedures performed on infertile women are two-dimensional ultrasound (2DUS) and three-dimensional ultrasound (3DUS). Hysteroscopy is considered as the gold standard for evaluation of acquired endometrial lesions in infertile women; however, 3DUS is used as a noninvasive, less expensive, and reliable assessment method for evaluation of the intrauterine lesions in infertile women. We aimed to compare the diagnostic efficiency between 3DUS and hysteroscopy in the detection of lesions (polyps, submucous leiomyoma, and synechiae) in infertile women. Materials and methods In this prospective observational study, infertile women (n = 155) with indication of hysteroscopy were scheduled to undergo 3DUS prior to hysteroscopy from September 2010 to 2011. Women with suspected congenital uterine anomalies were excluded. The sensitivity and specificity values of 3DUS were compared with those of hysteroscopy. Hysteroscopy was used as the gold standard for diagnosis of intrauterine lesions in infertile women. Results Of the 155 women, 50 were found to have an intracavitary abnormality, 36 had polyps, 12 had myomas, and 7 had synechiae on hysteroscopic findings. Examination with 3DUS in the diagnosis of intrauterine lesions reached an accuracy of 94%, and 92.15 and 96.9% of sensitivity and specificity respectively. Positive predictive value (PPV) was 83.9%, and a negative predictive value (NPV) was 91.3% (LR+ = 10.75, LR+ = 0.065). Conclusion According to our results, 3DUS has a reliable diagnostic accuracy for intrauterine lesions, and it may limit unnecessary hysteroscopy in patients with normal results. How to cite this article Ahmadi F, Haghighi H, Ghahremani Z, Niknejad F, Akhbari F, Ramezanali F, Chehrazi M. Diagnostic Accuracy of Three-dimensional Ultrasonography in Detection of Endometrial Lesions compared with Hysteroscopy in Infertile Women. Donald School J Ultrasound Obstet Gynecol 2016;10(4):393-397.

Three-dimensional ultrasound in the diagnosis and the classification of congenital uterine anomalies using the ESHRE/ESGE classification: a diagnostic accuracy study

2019 ◽  
Vol 299 (3) ◽  
pp. 779-789 ◽  
Author(s):  
Anna Kougioumtsidou ◽  
Themistoklis Mikos ◽  
Grigoris F. Grimbizis ◽  
Aikaterini Karavida ◽  
Theodoros D. Theodoridis ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Three Dimensional ◽  
Diagnostic Accuracy Study ◽  
Uterine Anomalies ◽  
Accuracy Study

scholarly journals Diagnostic Performance of Ultrafast 3-Dimensional Ultrasound on the Small Bowel: Single Center Experience

2011 ◽  
Vol 4 ◽  
pp. CGast.S8143 ◽  
Author(s):  
Salah Elwagdy ◽  
Mokhtar Ragab Ramadan ◽  
Mohamed A. Farag ◽  
Manal Farag ◽  
Sahar Eladawy ◽  
...  
Keyword(s):  
Small Bowel ◽  
Image Quality ◽  
Diagnostic Accuracy ◽  
Tap Water ◽  
Three Dimensional ◽  
University Hospital ◽  
Abdominal Ultrasonography ◽  
3 Dimensional ◽  
Single Center Experience ◽  
Imaging Department

Background Increased speed and resolution of ultrasound have made it a first-line modality for the abdominal examination. During the last 5 years trans-abdominal ultrasonography has been used increasingly, for assessment of patients with small bowel (SB) diseases. Around 350 such examinations are performed annually in the diagnostic imaging department at Azhar University Hospital. Hence, the aim is to determine if the ultrafast three-dimensional ultrasound (U3D US) is potent for optimal examination of SB diseases. Patients and Methods Tap-water intake has been used to distend the SB. All patients have been examined in supine position. The U3D US data of 198 patients with SB diseases were assessed. The proximal and distal SB image quality along with the evaluation of bowel distention, motility and lesions were reported. Results Image quality was good in all examinations. Adequate demonstration of the proximal and distal SB was obtained in all of U3D US examinations. The inclusive diagnostic accuracy of U3D US was precise in 92.3%. Proximal SB was, however, less frequently involved, particularly in patients below the age of 30 years ( P = 0.050). Conclusion The diagnostic accuracy of U3D US enterography is valuable for detecting SB lesions. This modality is widely available, inexpensive and easy technique, can be used as an initial investigation in the evaluation of patients with SB disorders.

scholarly journals Three-dimensional Transvaginal Ultrasound vs Office Hysteroscopy for Assessment of Uterine Cavity in Assisted Reproductive Program

2016 ◽  
Vol 8 (4) ◽  
pp. 290-293
Author(s):  
Ushma Patel
Keyword(s):  
Predictive Value ◽  
Transvaginal Ultrasound ◽  
False Negative ◽  
Three Dimensional ◽  
Uterine Cavity ◽  
Safe Procedure ◽  
Office Hysteroscopy ◽  
Diagnostic Efficacy ◽  
Menstrual Cycles ◽  
Negative Results

ABSTRACT Introduction The success of an assisted reproductive program (ARP) depends on the embryo quality and the intrauterine environment. It has been reported up until now that abnormal uterine findings occur in nearly 34 to 62% of infertile women worldwide. Due to this reason, uterine cavity evaluation is commonly recommended to screen for fibroids, polyps, adhesions, and mullerian abnormalities. Uterine cavity evaluation is usually accomplished with three-dimensional (3D) transvaginal ultrasound (TVS), sonohysterography, hysterosalpingography, and office hysteroscopy (OH). Materials and methods Uterine cavity evaluation was carried out in 239 infertile females undergoing ARP with twodimensional (2D) followed by 3D vaginal ultrasonography on day 21 of their menstrual cycles. Later, OH was carried out on 5th or 6th day of menstrual cycles. Results Out of 239 women, 3D TVS was abnormal in 28 (11.71%) and OH was abnormal in 53 (22.17%). Three-dimensional TVS agreed with OH in 16 (30.18%) abnormal cases and 179 (93.71%) normal cases. False-positive results for 3D TVS were 12 (6.28%) and false-negative results were 37 (69.81%). In our study, sensitivity of 3D TVS was 30.1%, specificity was 93.7%, positive predictive value was 57.1%, and negative predictive value was 82.8%. Conclusion Office hysteroscopy is an easy and safe procedure and has a better diagnostic efficacy than 3D TVS for uterine cavity evaluation in women undergoing ARP. How to cite this article Mishra VV, Patel U, Gandhi K. Threedimensional Transvaginal Ultrasound vs Office Hysteroscopy for Assessment of Uterine Cavity in Assisted Reproductive Program. J South Asian Feder Obst Gynae 2016;8(4):290-293.

Use of ultrasound imaging for the diagnosis of abnormal uterine bleeding in the bonnet macaque (Macaca radiata)

2016 ◽  
Vol 51 (1) ◽  
pp. 65-74
Author(s):  
Uddhav K Chaudhari ◽  
M Imran ◽  
Dhananjay D Manjramkar ◽  
Siddhanath M Metkari ◽  
Nilesh P Sable ◽  
...  
Keyword(s):  
Endometrial Hyperplasia ◽  
Transvaginal Ultrasound ◽  
Uterine Cavity ◽  
Abnormal Uterine Bleeding ◽  
3D Ultrasound ◽  
Uterine Bleeding ◽  
Colour Doppler ◽  
Endometrial Polyps ◽  
Non Invasive ◽  
Uterine Anomalies

Ultrasound is a powerful, low-cost, non-invasive medical tool used by laboratory animal veterinarians for diagnostic imaging. Sonohysterography and transvaginal ultrasound are frequently used to assess uterine anomalies in women presenting with abnormal uterine bleeding (AUB). In the present study, we have evaluated the abdominal ultrasound of bonnet monkeys ( n = 8) showing spontaneous ovulatory ( n = 5) and anovulatory ( n = 3) AUB. The ovulatory ( n = 5) macaques showed cyclic AUB for 7–8 days. The anovulatory ( n = 3) macaques had irregular AUB with menstrual cycles of 40–45 days. The B-mode abdominal, colour Doppler and 3D ultrasound scans were performed during the proliferative phase of the menstrual cycle. Ultrasound examination revealed endometrial polyps in five macaques and endometrial hyperplasia in three animals. The width and length of endometrial polyps was around 0.5–1 cm (average 0.51 ± 0.23 cm × 0.96 ± 0.16 cm) with significant increase in endometrial thickness ( P < 0.0002). 3D ultrasound also showed a homogeneous mass in the uterine cavity and colour Doppler ultrasound showed increased vascularity in the endometrial polyps. Endometrial hyperplasia characteristically appeared as a thickened echogenic endometrium ( P < 0.0002). This study demonstrates the use of non-invasive ultrasound techniques in the diagnosis of AUB in macaques.

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