Reliability of the European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy and American Society for Reproductive Medicine classification systems for congenital uterine anomalies detected using three-dimensional ultrasonography

Ludwin, Artur; Ludwin, I.; Kudła, Marek; Kottner, Jan

doi:10.1016/j.fertnstert.2015.06.019

Cited by 33 publications

(24 citation statements)

References 50 publications

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“…The reliability of currently used measurements may be compared with four available studies 11,17,33,34 . Revised interpretation of these studies' results using newly proposed cut-offs confirms that the reliability of measurements of internal indentation depth is significantly better than those of the indentation angle and the uterine wall thickness 23 .…”

Section: Discussionmentioning

confidence: 99%

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Ludwin

Martins

Nastri

et al. 2018

Ultrasound in Obstet & Gyne

101

127

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Section: Discussionmentioning

confidence: 99%

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Ludwin

Martins

Nastri

et al. 2018

Ultrasound in Obstet & Gyne

101

127

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show abstract

“…Instead they adopted a definition of uterine septum, if there is an IILFM > 50% of myometrial wall thickness [12]. Although ESHRE-ESGE classification has been criticized in few reports, it provides the long overdue morphometric criteria needed to make a diagnosis [16,20,21]. The main criticism is over diagnosis that may lead to over treatment.…”

Section: Introductionmentioning

confidence: 99%

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum/significant arcuate uterine anomaly in infertile patients in the era of transvaginal 3D ultrasound scan

Abuzeid

LaChance

Zaghmout

et al. 2020

Middle East Fertil Soc J

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Background:To determine the accuracy of measurement of internal indentation length on transvaginal 3D ultrasound scan (TV 3D US) in detecting patients with an incomplete uterine septum (IUS) or a significant arcuate uterine anomaly (AUA) based on the actual length as measured on diagnostic hysteroscopy. We compared the mean internal indentation length on TV 3D US and on diagnostic hysteroscopy in patients with IUS or a significant AUA. Results: This is a retrospective study of 546 patients who were found to have IUS (134) or significant AUA (412) on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The mean internal indentation length measured in millimeter on hysteroscopy was significantly higher than the mean internal indentation length measured on TV 3D US in patients with IUS (16.7 + 5.5 vs 5.5 + 4.2; P < 0.001), in patients with significant AUA (12.9 + 2.8 vs 3.9 + 4.6; P < 0.001), and in the overall population (13.8 + 4.0 vs 4.3 + 4.5; P < 0.001). The same findings were obtained when the comparison was limited to patients who had moderate significant internal indentation length (10-14 mm) and those with significant internal indentation length (15-25 mm). Conclusion: Data in this study suggests that the mean internal indentation length in patients with IUS or AUA can be underestimated on TV 3D US. A diagnostic hysteroscopy is the only gold standard to make the correct diagnosis in these patients.

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“…While this most recent classification system has overcome some problems associated with previous systems [41], it was shown in a comparison of the ESHRE-ESGE classification with the ASRM classification using 3D US [42] that the application of the ESHRE-ESGE criteria resulted in a relative overdiagnosis of septate uteri and insufficient inter-and intrarater reliability [43], which potentially might lead to unnecessary surgical overtreatment.…”

Section: Classification Systemsmentioning

confidence: 99%

MRI of female genital tract congenital anomalies: European Society of Urogenital Radiology (ESUR) guidelines

Maciel

Bharwani

et al. 2020

Eur Radiol

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Objective To develop imaging guidelines for the MR work-up of female genital tract congenital anomalies (FGTCA). Methods These guidelines were prepared based on a questionnaire sent to all members of the European Society of Urogenital Radiology (ESUR) Female Pelvic Imaging Working Group (FPI-WG), critical review of the literature and expert consensus decision. Results The returned questionnaires from 17 different institutions have shown reasonable homogeneity of practice. Recommendations with focus on patient preparation and MR protocol are proposed, as these are key to optimised examinations. Details on MR sequences and planning of uterus-orientated sequences are provided. Conclusions The multiplanar capabilities and soft tissue resolution of MRI provide superb characterisation of the wide spectrum of findings in FGTCA. A standardised imaging protocol and method of reporting ensures that the salient features are recognised, contributing to a correct diagnosis and classification of FGTCA, associated anomalies and complications. These imaging guidelines are based on current practice among expert radiologists in the field and incorporate up to date information regarding MR protocols and essentials of recently published classification systems. Key Points • MRI allows comprehensive evaluation of female genital tract congenital anomalies, in a single examination. • A dedicated MRI protocol comprises uterus-orientated sequences and vaginal and renal evaluation. • Integration of classification systems and structured reporting helps in successful communication of the imaging findings.

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Reliability of the European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy and American Society for Reproductive Medicine classification systems for congenital uterine anomalies detected using three-dimensional ultrasonography

Cited by 33 publications

References 50 publications

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum/significant arcuate uterine anomaly in infertile patients in the era of transvaginal 3D ultrasound scan

MRI of female genital tract congenital anomalies: European Society of Urogenital Radiology (ESUR) guidelines

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