Comparison of Transvaginal Ultrasonography with Hysterosonography as a Screening Method in Patients with Abnormal Uterine Bleeding

Ryu, Jeong Ah; Kim, Bo Hyun; Lee, Jong Mee; Kim, Soo Ah; Lee, Sang Hoon

doi:10.3348/kjr.2004.5.1.39

Cited by 28 publications

(35 citation statements)

References 13 publications

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“…Few studies published so far indicated that SIS may have some advantages as compared to the TVS in differentiating diffuse mass but there is no clear advantage observed and more exploration is needed in this area. [4][5][6] The study was designed with the aim of comparison of SIS and TVS for detecting intracavitary abnormalities in women with abnormal uterine bleeding, using the final diagnosis, established at hysterectomy as reference.…”

Section: Introductionmentioning

confidence: 99%

Comparison of transvaginal sonography and saline infusion sonohysterography for the diagnosis of causes of abnormal uterine bleeding: a diagnostic accuracy study

Goyal¹,

chaudhari²,

Shrivastava³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: Introductionmentioning

confidence: 99%

Comparison of transvaginal sonography and saline infusion sonohysterography for the diagnosis of causes of abnormal uterine bleeding: a diagnostic accuracy study

Goyal¹,

chaudhari²,

Shrivastava³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…The sensitivity and specificity of SIS have been reported to be as high as 85-91% and 83-100%, respectively. (3,9,11,14) Our result have shown 0.96% Sensitivity, 0.90% Specificity, 0.96% PPV, and 0.90% NPV for SIS to diagnose intracavitary/endometrial lesions. Similar high accuracy rates ranging from 84% to 96% have been reported by other studies.…”

Section: Discussionmentioning

confidence: 75%

“…Several studies in recent literature have indicated that saline infusion sonography can differentiate intracavitary masses from more diffuse endometrial thickening. (6)(7)(8)(9)(10)(11) This study was performed to evaluate the role of SIS in detecting the endometrial lesion in women with AUB and thickened endometrium. Although, the use of fluid enhancement in abdominal ultrasound was described both for uterine and tubal observations.…”

Section: Introductionmentioning

confidence: 99%

Saline Infusion Sonography in Assessment of Endometrial Pathologies in Patients With Thickened Endometrium Presenting With Aub

Maravi¹,

Verma²,

Kaushal³

et al. 2016

jemds

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Abnormal Uterine Bleeding (AUB) is one of the commonest complaint of adult females presenting into the gynaecologic departments. In most of the patients the bleeding is due to the functional endometrial lesion, while the cause is hormonal in rest of the patients. These patients usually need invasive procedures like hysteroscopy or HSG for evaluation of intracavitary lesion. The aim of this study is to assess the role of Saline Infusion Sonography (SIS) in detecting the intracavitary (endometrial) lesions of uterus in patient with abnormal uterine bleeding and thickened endometrium on Transvaginal Ultrasound (TVS) and establishing its diagnostic accuracy. METHODThis prospective hospital-based study includes SIS examination of 80 adult female patients who presented with abnormal uterine bleeding and demonstrated thickened endometrium on transvaginal ultrasound at Department of Radiodiagnosis and Imaging, Gandhi Medical College and Hamidia Hospital, Bhopal (Madhya Pradesh), for the period of six months. Written informed consent from all the patients taken. All patients were evaluated on the same day and findings were recorded. RESULT60 patients out of 80 showed presence of functional endometrial lesion. Most common endometrial pathology was submucosal myoma followed by endometrial polyps. Most rare cases were of Uterine Synechiae {2 in number}. SIS yielded high sensitivity and specificity for intracavitary lesions and diagnostic accuracy for submucosal myoma and endometrial polyp was 100%. CONCLUSIONSIS proved to be highly sensitive and specific method to diagnose intracavitary lesion of uterus. The method is minimally invasive, well tolerated and easy to carry out under hospital settings with very less incidence of post-procedural complications (No major complication in this study). It can be used to replace hysteroscopy to diagnose various intracavitary (endometrial) lesion of uterus. KEYWORDSSaline Infusion Sonography (SIS), Thickened Endometrium, AUB, Endometrial Pathologies. HOW TO CITE THIS ARTICLE:Maravi P, Verma V, Kaushal L, et al. Saline infusion sonography in assessment of endometrial pathologies in patients with thickened endometrium presenting with AUB.

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“…[31][32][33] It consists of irregularly heaped-up tissue with a granular or at times necrotic appearance. It appears opaque, dry, pale yellow or white and friable.…”

Section: Dsjuogmentioning

confidence: 99%

Peri- and Postmenopausal Uterine Bleeding Transvaginal Ultrasound with Hysterosonography and Diagnostic Correlation with Hysteroscopy

Parihar¹,

Parihar²

2011

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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The recent years have seen medical science and technology expand by leaps and bounds. We have shifted focus from correction of the problem to prevention of the problem. Abnormal uterine bleeding is an important cause of ill health in perimenopausal women.In the perimenopausal years, there is an increase in the incidence of bleeding irregularities. This is because of an increase in the prevalence of benign and malignant uterine lesions. There has also been a significant increase in the number of women presenting with postmenopausal bleeding. At transvaginal ultrasonography (TVS), the finding of a thickened central endometrial complex, with or without cystic changes, is often nonspecific and may be caused by an endometrial polyp, submucosal fibroid, endometrial hyperplasia, carcinoma or cystic atrophy. In addition, because of an increased prevalence of adenomyosis or adenomyosis-like changes in women around this age group, proper transvaginal sonographic assessment of endometrial thickness and abnormalities is of utmost importance but maybe difficult in some women.When TVS cannot accurately measure the endometrial thickness or when there is a nonspecific thickened central endometrial complex, hysterosonography can provide additional information and can help in the diagnosis and final treatment. Hysterosonography, as an adjunct to TVS, allows identification of intracavitary lesions and focal and diffuse endometrial abnormalities and helps determine the abnormality. Final diagnosis confirmed by hysteroscopy. In this review, we discuss these common abnormalities and the correlation of TVS and hysterosonographic findings with hysteroscopic evaluation.

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Comparison of Transvaginal Ultrasonography with Hysterosonography as a Screening Method in Patients with Abnormal Uterine Bleeding

Cited by 28 publications

References 13 publications

Comparison of transvaginal sonography and saline infusion sonohysterography for the diagnosis of causes of abnormal uterine bleeding: a diagnostic accuracy study

Comparison of transvaginal sonography and saline infusion sonohysterography for the diagnosis of causes of abnormal uterine bleeding: a diagnostic accuracy study

Saline Infusion Sonography in Assessment of Endometrial Pathologies in Patients With Thickened Endometrium Presenting With Aub

Peri- and Postmenopausal Uterine Bleeding Transvaginal Ultrasound with Hysterosonography and Diagnostic Correlation with Hysteroscopy

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