| The added value of transvaginal sonohysterography over transvaginal sonography alone in women with known or suspected leiomyoma. | |
| | |
MedLine Citation:
|
PMID: 11883534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To assess whether sonohysterography provides added diagnostic value over transvaginal sonography in patients with suspected or known myomas by comparing diagnostic confidence, interobserver agreement, accuracy, and change in diagnoses when 2 independent observers interpreted transvaginal sonography alone and later interpreted transvaginal sonography and sonohysterography together. METHODS: Hard copy images from 72 women were interpreted independently by 2 sonologists on separate occasions, rating parameters (abnormal uterus, myoma in any location, submucous myoma, classification of location of a submucous myoma with respect to the uterine cavity, myoma remote from the cavity, adenomyosis, and focal and diffuse endometrial lesions) on a scale of 1 to 5 (1 indicated definitely no; 2, probably no; 3, uncertain; 4, probably yes; and 5, definitely yes). Correlation was made with clinical and imaging follow-up, surgery, and pathologic examination. RESULTS: The added information provided by sonohysterography resulted in improved diagnostic confidence for most parameters. Interobserver agreement was markedly improved for the diagnosis and location of submucous myomas and focal endometrial lesions. Sensitivity values for submucous myomas and focal endometrial lesions were 100% and 90% for transvaginal sonography and sonohysterography together and 100% and 70% for transvaginal sonography alone. CONCLUSIONS: We found that sonohysterography does provide additional information over transvaginal sonography alone and is an important adjunct to transvaginal sonography in symptomatic women with known or suspected myomas, particularly before surgical or medical therapy. |
| | |
Authors:
|
Eduardo Becker; Anna S Lev-Toaff; Emilia P Kaufman; Ethan J Halpern; Maria Isabel Edelweiss; Alfred B Kurtz |
Related Documents
:
|
8032194 - Feasibility of transcolonic and transgastric abdominal vascular ultrasound. 12960524 - Difference of optimal dose of contrast agent between gray-scale and power doppler imagi... 10669254 - Hemangioendothelioma of the parotid gland in infants: sonography and correlative mr ima... 15972714 - Sonographic evaluation of penile trauma. 10150644 - The role of radiology in percutaneous laser disc decompression. 1561644 - Incidental brain lesions on magnetic resonance imaging and neurobehavioral functions in... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 21 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 2002 Mar |
Date Detail:
|
Created Date: 2002-03-08 Completed Date: 2002-08-23 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
|
Languages: eng Pagination: 237-47 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Humans Leiomyoma / epidemiology, ultrasonography* Observer Variation Predictive Value of Tests Sensitivity and Specificity Ultrasonography / methods Uterine Neoplasms / epidemiology, ultrasonography* Uterus / ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transvaginal sonographic cervical length changes during normal pregnancy.
Next Document: Dual-spectra ultrasonography: an attenuation-compensating technique for myocardial perfusion analysi...