scholarly journals VP63.17: A retrospective study on the diagnostic accuracy of transvaginal sonography of adenomyosis in a single tertiary hospital

2020 ◽  
Vol 56 (S1) ◽  
pp. 353-353
Author(s):  
A. Zamora ◽  
C. Cabitac‐Samonte
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Tertiary Hospital ◽  
Transvaginal Sonography

Sonographic and Hysteroscopic Assessment of Uterine Congenital Malformations: A Retrospective Study

2021 ◽  
Vol 5 (3) ◽  
pp. 1-4
Author(s):  
Orestis Tsonis ◽  
Fani Gkrozou ◽  
Evangelos Dimitriou ◽  
Iordanis Navrozoglou ◽  
Minas Paschopoulos
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Congenital Malformations ◽  
Endometrial Thickness ◽  
University Hospital ◽  
Transvaginal Sonography ◽  
Office Hysteroscopy ◽  
Sonographic Assessment ◽  
Uterine Malformations

Aim: Congenital uterine malformations are often diagnosed via Transvaginal Sonography (TVS) and/or office hysteroscopy. Few studies address the diagnostic accuracy of both techniques in detecting these abnormalities. The aim of this study is to evaluate sonographic and hysteroscopic findings in women with uterine congenital malformations. Methods and Materials: A nested retrospective study on 137 medical records of women with congenital malformations undergoing vaginoscopic office hysteroscopic and transvaginal sonographic assessment in the Endoscopic Unit, Department of Gynaecology, University Hospital of Ioannina, Greece was conducted. All women were examined initially via Transvaginal Sonography (TVS) and the sonographic findings were correlated with the hysteroscopic findings. Women with septate or bicornuate uteri confirmed their pathology through laparoscopy, a proposed gold standard technique. Result: Hysteroscopy was able to detect 136 out of 137 cases of congenital malformations with a false positive bicornuate uterus. Transvaginal sonography (TVS) showed moderate diagnostic accuracy accompanied by positive predictive value (PPV) at 79.79%, negative predictive value (NPV) at 99.17%, sensitivity at 79.79%, and finally specificity at 99.17%. Endometrial thickness assessed by TVS was found to be higher in cases of complete septate and bicornuate uteri. The incidence of congenital malformation within the total population was estimated at 4.56%. Conclusion: Diagnostic hysteroscopy is a reliable tool in detection uterine congenital malformations compared to two-dimensional sonography. Office hysteroscopy demonstrates high diagnostic accuracy and should replace traditional sonographic assessment in determining congenital uterine malformations. Clinical significance: Hysteroscopy is superior than TVS in detecting uterine congenital malformations.

scholarly journals Diagnostic Accuracy of Transvaginal Sonography in the Detection of Endometrial Polyps

2019 ◽  
Vol 36 (1) ◽  
pp. 31-35
Author(s):  
Yevheniia Poliakova ◽  
Nataliia Lutsenko
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
False Negative ◽  
Transvaginal Sonography ◽  
Endometrial Polyps ◽  
Sonographic Diagnosis ◽  
Dilation And Curettage ◽  
Uterine Anomalies ◽  
Sensitivity Specificity

Background: Transvaginal sonography (TVS) is considered a simple and generally accepted method for detecting uterine anomalies. With TVS, the uterus can be clearly visualized, but so far, the diagnostic accuracy of TVS varies across different studies. This retrospective study was devised to evaluate the accuracy of a sonographic diagnosis of endometrial polyps in a Ukrainian hospital. Methods: This was a single-center retrospective study of woman who underwent TVS and had hysteroscopy or dilation and curettage for endometrial pathology. A cohort of 156 women were included in this yearlong study. A comparative analysis was based on the preoperative diagnosis, according to TVS, compared with the postoperative histopathology results. Results: The overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of TVS in diagnosing endometrial polyps were 69%, 51%, 73%, 46%, and 63%, respectively. Conclusion: This retrospective study provided data on the lack of accuracy for a sonographic diagnosis of endometrial polyps. This was based on 26% of women whose diagnosis was not confirmed by histology. A false-negative result occurred for 54% of women who had polyps that were not detected at the preoperative stage. These data raise the question of the feasibility of further invasive procedures based on a single TVS study.

Challenges in Antenatal Corticosteroid Prescribing: A Retrospective Study

2020 ◽  
Vol 16 (4) ◽  
pp. 327-333
Author(s):  
Shannon Armstrong-Kempter ◽  
Lucinda Beech ◽  
Sarah J. Melov ◽  
Adrienne Kirby ◽  
Roshini Nayyar
Keyword(s):  
Retrospective Study ◽  
Obstetric Care ◽  
Patient Characteristics ◽  
Tertiary Hospital ◽  
Optimal Timing ◽  
Prescribing Practices ◽  
Antenatal Corticosteroids ◽  
Term Infants ◽  
Preterm Premature Rupture ◽  
To Receive

Background: The discovery of the benefits of antenatal corticosteroids (ACS) for preterm infants was one of the most significant developments in obstetric care. However, due to the difficulty in predicting preterm delivery, optimal use of ACS, is challenging. Objective: To describe prescribing practices for antenatal corticosteroids (ACS) at a tertiary hospital over five years to determine whether ACS were received at optimal timing; to determine patient characteristics of women receiving ACS at optimal timing; to determine patient characteristics of those who did not receive ACS as indicated and to examine the trend in ACS prescribing over the study period. Methods: We performed a retrospective study of all deliveries from January 2011 to December 2015. The rates of ACS prescription for each group of women (preterm, late preterm, and term) were recorded and analysed. Results: A total of 65% of women who delivered before 34 weeks’ gestation received ACS. Of these women, 63% delivered within 7 days of receiving ACS. Women most likely to receive ACS with optimal timing were primiparous (relative risk [RR], 1.25 [CI, 1.08-1.45]), or women diagnosed with pre-eclampsia (RR, 1.34 [CI 1.10-1.63]), preterm premature rupture of membranes (RR, 1.33 [CI, 1.15-1.54]) or threatened preterm labour (RR, 1.42 [CI, 1.22-1.65]). Conclusion: A significant number of women and babies are exposed to ACS without commensurate benefit, and a significant number who deliver preterm do not receive ACS. The percentage of preterm and term infants receiving ACS should be determined to optimise service delivery.

Spectrum of Primary Brain Tumors in a Tertiary Hospital in India: A Retrospective Study

2021 ◽  
Vol 11 (6) ◽  
pp. 658-664
Author(s):  
Baljit Singh ◽  
Diptajit Paul ◽  
Pawan Kumar ◽  
Anil Kumar Dhull ◽  
Rajeev Atri ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Brain Tumors ◽  
Tertiary Hospital ◽  
Primary Brain Tumors
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