Accuracy of Three-Dimensional Ultrasonography in Differential Diagnosis of Septate and Bicornuate Uterus Compared with Office Hysteroscopy and Pelvic Magnetic Resonance Imaging

Faivre, E.; Fernandez, H.; Deffieux, X.; Gervaise, A.; Frydman, René; Levaillant, J.‐M.

doi:10.1016/j.jmig.2011.08.724

Cited by 121 publications

(62 citation statements)

References 31 publications

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“…21 The 3D TVS appears to be extremely more accurate than MRI for the diagnosis and differentiating septate and bicornuate uterus. 22 The main pathology findings in patients with abnormal uterine bleeding were endometrial polyps (45.9%) and submucous myomas (28%), 2 these findings were comparable with our findings which detected 21 myomas and 18 polyps with correct diagnosis 100% by 3DTVS, while MRI detected 26 myomas and 13 polyps with accuracy 74%. Thus, computerized reconstruction of 3D hysterosonography may in the future support the use of 3D ultrasound in characterization of intrauterine lesions.…”

Section: Discussionsupporting

confidence: 87%

Three-dimensional transvaginal ultrasound: clinical implementation in assessing uterine cavity

Tammam

Khodry

Elnagar

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 87%

Three-dimensional transvaginal ultrasound: clinical implementation in assessing uterine cavity

Tammam

Khodry

Elnagar

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…Transvaginal 3-dimensional ultrasonography appears to be extremely accurate for the diagnosis and classification of congenital uterine anomalies, better than hysteroscopy and MRI. It may become the only mandatory step in the assessment of the uterine cavity in patients with a suspected septate or bicornuate uterus 7 .…”

Section: Discussionmentioning

confidence: 99%

Septate uterus: incidental finding in multiparous woman with breech with bad obstetric history who had an emergency caesarean

Singh

Sheela

Sreeramulu

2018

Int J Reprod Contracept Obstet Gynecol

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The most common anomalies of reproductive tract are Mullerian duct anomalies, among which septate uterus is the commonest with highest reproductive failure rate. As there are some pitfalls in diagnosis therefore the incidence is difficult to be mentioned as many remain asymptomatic. A 20 year old G5P1L0A3 with 36+4 weeks of gestation with breech presentation in active labour came to our hospital. Patient had previous history of intrauterine death at 8 months of amenorrhea and previous abortions at 5, 5 and 4 months of amenorrhoea in the year 2011, 2013, and 2014 respectively. She underwent emergency caesarean section due to breech at 36+4 weeks in active labour with the delivery of a live late preterm female baby extracted by complete breech of weight 2.28kgs with bilateral CTEV of the baby. Intraoperative findings- of septate uterus–septum extending from fundus to external os, fundal dimpling present. Though rare but uterine anomalies should be suspected in patients with recurrent pregnancy loss, preterm birth and malpresentation.

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“…Faivre et al [5] and Ghi et al [7] have reported 100 % specificity and sensitivity for 3D USG, and a concordance of 100 and 96 %, respectively, when compared with laparoscopy and concurrent hysteroscopy. Faivre reported that 3D USG had higher concordance with laparoscopy than MRI.…”

Section: Congenital Anomaliesmentioning

confidence: 98%

“…The presence of nearby bowel movements and a retroflexed uterus hinders MRI evaluation [4]. It cannot always be interpreted by a radiologist experienced in uterine anomalies, which can reduce its accuracy [5]. The gold standard in the diagnosis of congenital uterine anomalies is laparoscopy performed concurrently with hysteroscopy.…”

Section: Congenital Anomaliesmentioning

confidence: 99%

Role of Three-Dimensional Ultrasound in Gynecology

Türkgeldi

Urman

Ata

2014

J Obstet Gynecol India

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Three-dimensional ultrasound (3D USG) is a fast-evolving imaging technique that holds a great potential for use in gynecology. Its sensitivity and specificity is reported to be close to 100 % for diagnosing congenital uterine anomalies, comparable with those of magnetic resonance imaging (MRI) and laparoscopy. With 3D USG, a coronal view of the uterus can be obtained, clearly outlining the external contour of the uterus and providing accurate information about the shape of the cavity. Although 3D USG may not perform well in thin endometria, combining it with saline infusion sonography (SIS) overcomes this problem. Research shows that 3D USG is more sensitive and specific than two-dimensional ultrasound (2D USG) in defining and mapping uterine lesions, such as fibroids, adenomyosis, and intrauterine synechia. In cases of suspected malignancy, 3D USG is mainly used in the initial evaluation of patients. Measuring various indices and mapping vascular architecture with 3D power Doppler have been proposed for evaluating adnexal masses. Although some studies raised hope, no consensus is reached about its use, success, and limitations. In urogynecology, translabial 3D USG is proved to be a valuable tool, as it provides instant access to the axial plane, which clearly depicts the relationship of the vagina, urethra, rectum, and the muscular pelvic floor. Studies report no significant differences between translabial 3D USG and MRI measurements for evaluation of the pelvic floor. In conclusion, adding 3D USG to routine gynecological workup can be beneficial for clinicians, as it provides fast and accurate results in a relatively cost-effective setting.

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Accuracy of Three-Dimensional Ultrasonography in Differential Diagnosis of Septate and Bicornuate Uterus Compared with Office Hysteroscopy and Pelvic Magnetic Resonance Imaging

Cited by 121 publications

References 31 publications

Three-dimensional transvaginal ultrasound: clinical implementation in assessing uterine cavity

Three-dimensional transvaginal ultrasound: clinical implementation in assessing uterine cavity

Septate uterus: incidental finding in multiparous woman with breech with bad obstetric history who had an emergency caesarean

Role of Three-Dimensional Ultrasound in Gynecology

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