Document Detail


Clinical application of virtual hysteroscopy by CO(2)-multidetector-row computed tomography to submucosal myomas.
MedLine Citation:
PMID:  15922985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: We produced virtual hysteroscopy (VH) images from the images obtained after expanding the uterine cavity of patients with submucosal myomas and performing multidetector-row computed tomography scans, and assessed them in comparison with hysteroscopic imaging and in relation to the advantages of VH. DESIGN: Cohort-control study (Canadian Task Force classification II-2). SETTING: Tokyo Medical University Hospital department of obstetrics and gynecology. PATIENTS: Thirty-one patients with submucosal myomas treated by endoscopic surgery. MEASUREMENTS AND MAIN RESULTS: The expandability of the uterine cavity by CO(2) gas was favorable in all 31 patients in whom imaging was performed, and it was possible to obtain clear VH images. The sites of origin of the submucosal myomas were clearly visualized; their imaging was consistent with imaging by hysteroscopy; and as a method of establishing the orientation of the uterine cavity, it was possible to obtain a greater amount of information than by hysteroscopy. CONCLUSION: Although the invasiveness of radiation exposure and contrast medium cannot be denied, the possibilities of and indications for VH, which by expanding and visualizing the uterine cavity enables the acquisition of navigation images of the uterine cavity that varies in morphology from patient to patient, are expected to continue to expand.
Authors:
Tomoyoshi Akaeda; Keiichi Isaka; Tomonori Nakaji; Dai Kakizaki; Kimihiko Abe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  12     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-05-30     Completed Date:  2005-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  261-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Tokyo Medical University Hospital, Tokyo, Japan. eda@pc4.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Carbon Dioxide
Female
Humans
Hysteroscopy / methods*
Leiomyoma / radiography*,  surgery*
Tomography, X-Ray Computed / methods*
Uterine Neoplasms / radiography*,  surgery*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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