EP27.09: An audit of our experience on the use of hysterosalpingo‐contrast‐sonography (HyCoSy)

Abstract

Results: From the 3155 volume datasets included in this study, two-hundred and ninety-four cases presented with CUA. 95.21% volume datasets were declared by both operators as interpretable. The intraobserver agreement was 0.88 and the interobserver agreement was 0.89 (95% CI:, 0.72, 0.93), representing very good agreement. Conclusions:The subjective assessment of 3D transvaginal US findings (also called the pattern recognition) is an excellent method for discriminating between a normal and an abnormal shaped uterus. These results may support incorporating this tool in routine gynecological scanning. Objectives: To assess the diagnostic test accuracy of measurements suggested by ESHRE/ESGE and ASRM for distinguishing between normal/arcuate and septate uterus using experts' opinion as reference standard. Methods: We included 100 women evaluated between Jun-2016 and Jul-2016 with suspected uterine anomaly. The images of the coronal plane of these uteri were submitted to 15 experts for distinguishing between normal/arcuate (normal uterine morphology or degree of distortion caused by the internal indentation is not clinically relevant) and septate uterus (the degree of distortion caused by the internal indentation is clinically relevant). Two observers (>10y experience with 3D-ultrasound), blinded to each other results and to the opinion of the experts, measured the indentation depth, indentation angle, and indentation to wall thickness (I:WT) ratio. The average value was used to assess the area under ROC curve (AUROC) and the best cut-off values using Youden's index. EP27.07Results: There were 18 septate and 82 normal/arcuate uteri based on the experts' opinion. The diagnostic test accuracy of the three measurements was very good: AUROC=1.00/0.96/0.99, 95%CI=0.96-1.00/0.90-0.99/0.94-1.00; indentation depth, indentation angle and I:WT ratio respectively. The best cut-off values were: indentation depth ≥10mm, indentation angle ≤136 • , and I:WT ratio ≥110%. Conclusions: All the three measurements have good diagnostic test accuracy for distinguishing between normal/arcuate and septate uterus. However, the suggested cut-off values for indentation angle (<90 • by ASRM) and for I:WT ratio (>50% by ESHRE-ESGE) should be revised. EP27.08Feasibility study on the use of ultrasound scan for the insertion of postpartum contraceptive device (PPIUD) following vaginal delivery T. Padeniya District General Hospital, Nawalapitiya, Kandy, Sri LankaObjectives: Aim of this study was to evaluate the feasibility of new method of ultrasound guided insertion of intra uterine copper contraceptive (IUD) during post partum period. Methods: This study was conducted prospectively in one of the district general hospital in Sri Lanka. All consented woman without contraindications were positioned dorsally and strict sterile technique was gathered. Non dominant hand was used to stabilise the uterus at the posterior fornix. IUD was placed at the fundus of the uterus under ultrasound guidance using dominant hand while the other operator holding the u...