scholarly journals P26.08: Screening for congenital uterine anomalies by three-dimensional transvaginal ultrasound in premenopausal women: the online added information

2017 ◽  
Vol 50 ◽  
pp. 241-241
Author(s):  
S. Tudorache ◽  
M. Cara ◽  
R. Dragusin ◽  
M. Florea ◽  
A. Ceausescu ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Premenopausal Women ◽  
Uterine Anomalies

scholarly journals Virtual hysteroscopy: a new non invasive approach for the assessment of uterine cavity

2017 ◽  
Vol 19 (2) ◽  
pp. 216 ◽  
Author(s):  
Paulo Sergio Cossi ◽  
Heron Werner ◽  
Alberto Borges Peixoto ◽  
Wellington P Martins ◽  
Edward Araujo Júnior
Keyword(s):  
Three Dimensional ◽  
Uterine Cavity ◽  
Premenopausal Women ◽  
Invasive Approach ◽  
Non Invasive ◽  
Uterine Anomalies ◽  
Detailed Assessment ◽  
Diagnostic Hysteroscopy ◽  
Scan Data ◽  
Endometrial Pathology

Endometrial pathology is frequent in premenopausal women and the diagnostic hysteroscopy is considered the gold standard for assessing endometrial cavity and congenital uterine anomalies. However it is an invasive and uncomfortable procedure. Saline contrast hysterosalgingography and hysterosalpingo-contrast sonography allow detailed assessment of the uterine cavity. We propose a virtual hysteroscopy from three-dimensional saline and three-dimensional hysterosalpingo-contrast sonography scan data to generate a virtual reality as a new noninvasive procedure for assessing the uterine cavity in uterine congenital anomaly and endometrial pathology cases as well.

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 Benign Ovarian Cysts with Raised CA-125 Levels: Do We Need to Evaluate the Fallopian Tubes?

2020 ◽  
Vol 12 (04) ◽  
pp. 276-280
Author(s):  
Devesh Sharma ◽  
Anjali Vinocha
Keyword(s):  
Ovarian Cancer ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Premenopausal Women ◽  
Carbohydrate Antigen ◽  
Ca 125 ◽  
Ovarian Cysts ◽  
Fallopian Tubes ◽  
Case Record ◽  
Carbohydrate Antigen 125

Abstract Objectives It is not clearly known whether some benign (simple) ovarian cysts can convert into cancerous cysts. Size of cyst and wall abnormalities do predict the potentiality of malignancy. Not many studies have been done to explore the malignant potential of large-sized (> 5 cm) unilocular ovarian cysts without wall abnormalities. This study evaluated the correlation between ultrasonographic size of benign ovarian cysts and carbohydrate antigen 125 (CA-125) levels. Methodology Sixty (60) premenopausal women were recruited for the study preoperatively, based on transvaginal ultrasound (TVUS) findings present in the case record sheet received along with the CA-125 sample in the biochemistry laboratories. Those cases with elevated CA-125 levels were selected, where patients had unilocular ovarian cysts without wall abnormalities. CA-125 was done using ECLIA methodology (Cobas e411, Germany). Statistical correlation was calculated between the ovarian cyst size and CA-125 levels using Spearman’s Rho coefficient. Results Mean age group of subjects were 29.7 ± 7.3 years and mean value of CA-125 (normal < 35 IU/mL) was found to be increased: 118.0 ± 147.1 IU/mL so was the mean diameter of cysts (cut off ≤ 5 cm): 48.6 ± 59.8 cm. No correlation was found between CA-125 levels and volume of ovarian cyst (r = 0.005, p = 0.680) for all subjects. Conclusions The lack of correlation between size of ovarian cysts and CA-125 levels provides a hint that the ovarian cyst epithelium does not directly express CA-125 and it may come from sites like the fallopian tube. Thus, raised level of CA-125 in benign ovarian cyst should be followed-up more closely, demanding assessment of fallopian tubes for early diagnosis of ovarian cancer. Also, algorithms can be explored to include size of ovarian cyst and CA 125 levels to predict ovarian cancer.

A new method for volumetric measurement of the normal female cervix by three‐dimensional transvaginal ultrasound

2021 ◽  
Author(s):  
Matija Prka ◽  
Albert Despot ◽  
Alemka Brnčić Fischer ◽  
Herman Haller ◽  
Ana Tikvica Luetić ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
New Method ◽  
Normal Female ◽  
Volumetric Measurement

P11.08: Three-dimensional ultrasound in diagnosis of septate uterus in patients with suspected congenital uterine anomalies

2010 ◽  
Vol 36 (S1) ◽  
pp. 210-210
Author(s):  
B. Graupera ◽  
M. Pascual ◽  
B. Úbeda ◽  
L. Hereter ◽  
C. Pedrero ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Septate Uterus ◽  
Uterine Anomalies

scholarly journals Endometrial Volume Measured by VOCAL Compared to Office Hysteroscopy for Diagnosis of Endometrial Polyps in Premenopausal Women with Abnormal Uterine Bleeding

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Mohamed Laban ◽  
Sherif H. Hussain ◽  
Alaa S. Hassanin ◽  
Waleed M. Khalaf ◽  
Mohamed K. Etman ◽  
...  
Keyword(s):  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Premenopausal Women ◽  
Abnormal Uterine Bleeding ◽  
Final Analysis ◽  
Uterine Bleeding ◽  
Endometrial Polyps ◽  
Predictive Values ◽  
Endometrial Volume ◽  
Sensitivity Specificity

The aim is to compare hysteroscopy, two-dimensional transvaginal ultrasound (2D TVUS), and three-dimensional (3D) Virtual Organ Computer-aided AnaLysis™ (VOCAL) to detect endometrial polyps (EPs) in premenopausal women with abnormal uterine bleeding (AUB). This prospective study was done at Ain Shams Maternity Hospital, Egypt, from March 5, 2015, to December 30, 2015, enrolling 118 premenopausal women with AUB. 2D TVUS, 3D VOCAL, and hysteroscopy were done. 109 patients reached final analysis. 36 women (33%) were diagnosed with EP by 2D TVUS. 50 (45.9%) had EP by hysteroscopy. Endometrial thickness was 10.1 mm by 2D TVUS and endometrial volume was 4.92 mL by VOCAL in women with EP by hysteroscopy compared to 9.9 mm and 3.50 mL in women with no EP, respectively (P=0.223;P=0.06). 2D TVUS has sensitivity, specificity, and positive and negative predictive values of 54%, 84.7%, 75%, and 68.5%, respectively. Endometrial thickness of >7.5 mm has sensitivity, specificity, positive and negative predictive values, and overall accuracy of 82%, 37.3%, 52.6%, 71%, and 57.8%, respectively. Endometrial volume of >1.2 mL has sensitivity, specificity, positive and negative predictive values, and overall accuracy of 90%, 42.4%, 57%, 83.3%, and 64.2%, respectively. 3D VOCAL may be used as a noninvasive method for the diagnosis of EP in premenopausal women with AUB.

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.

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