Reproducibility of evaluation of the uterus by transvaginal sonography, hysterosonographic examination, hysteroscopy and magnetic resonance imaging

Dueholm, Margit; Lundorf, Erik; Sørensen, Joan Solberg; Ledertoug, Susanne; Olesen, Frede; Laursen, Hanne

doi:10.1093/humrep/17.1.195

Cited by 106 publications

(49 citation statements)

References 19 publications

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“…As suggested by Jurkovic,33 the storage of raw data may contribute to a more precise examination and consequently may result in high reliability, especially because the patient is no longer present and the data can be reviewed extensively. Our data support this view because the reproducibility of 3D-SIS is considerably better compared with a previous reliability analysis of SIS by Dueholm et al 34 They found a κ value for interobserver agreement of 0.48. It is well known that interpretation of SIS is more difficult if the endometrium is thick.…”

Section: Discussionsupporting

confidence: 89%

“…It is well known that interpretation of SIS is more difficult if the endometrium is thick. Although we are unaware of the timing of the cycle in the study by Dueholm et al, 34 we performed all SIS and 3D-SIS just after the bleeding had stopped. The interobserver agreement for SIS may increase if the procedure is performed strictly during the first days of the menstrual cycle.…”

Section: Discussionmentioning

confidence: 99%

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The Clinical Value of 3‐Dimensional Saline Infusion Sonography in Addition to 2‐Dimensional Saline Infusion Sonography in Women With Abnormal Uterine Bleeding

Kroon

Louwe

Trimbos

et al. 2004

J of Ultrasound Medicine

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Objective. To evaluate the clinical relevance of 3-dimensional saline infusion sonography (3D-SIS) in addition to conventional SIS in women with abnormal uterine bleeding suspected of having intrauterine abnormalities. Methods. All women suspected of having intrauterine abnormalities were eligible. Before 3D-SIS, conventional SIS was performed. The results of these techniques were compared with the "combined method reference standard" (hysteroscopy, endometrial sampling, and clinical followup in cases with normal SIS findings). Diagnostic characteristics (with 95% confidence intervals [CIs]) of 3D-SIS and SIS were calculated as well as their respective accuracy in evaluating the histologic nature, the intrauterine extension, and the location of intrauterine abnormalities. Moreover, the reliability (κ value) and clinical relevance of 3D-SIS were assessed. Results. A total of 49 women were included, and 4 women were excluded. The positive predictive values of 3D-SIS and SIS were, respectively, 1.00 and 0.86 (95% CI, 0.72-0.99; P = .15), and the diagnostic accuracy values were 0.98 (95% CI, 0.94-1.0) and 0.91 (95% CI, 0.83-0.99; P = .08). Saline infusion sonography and 3D-SIS were equally accurate in evaluating the histologic nature, intrauterine extent, and location of intrauterine abnormalities (respective κ values: 0.85 versus 0.93; P = .88; 0.83 versus 0.83; and 0.77 versus 0.80; P = .81). The reliability of 3D-SIS was good: intraobserver and interobserver agreement (κ) were 0.78 and 0.72. Three women (6.7%) had the benefit of additional 3D-SIS: in these women, SIS wrongly led to a diagnosis of intrauterine abnormalities (P = .08). Conclusions. Three-dimensional saline infusion sonography is valid and reliable in women suspected of having intrauterine abnormalities and may indeed have relevant clinical value in addition to conventional SIS.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

The Clinical Value of 3‐Dimensional Saline Infusion Sonography in Addition to 2‐Dimensional Saline Infusion Sonography in Women With Abnormal Uterine Bleeding

Kroon

Louwe

Trimbos

et al. 2004

J of Ultrasound Medicine

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“…Furthermore, we demonstrated that both treatment arms reduced uterine volume and blood flow inside the uterus, a change that could have been the cause of the effect of the treatment. There is great variation in the ultrasound diagnostic accuracy of adenomyosis; we depended on this accuracy for the diagnosis of eligible participants [15].…”

Section: Discussionmentioning

confidence: 99%

Levonorgestrel-releasing intrauterine system versus a low-dose combined oral contraceptive for treatment of adenomyotic uteri: a randomized clinical trial

Shaaban¹,

Ali²,

Sabra³

et al. 2015

Contraception

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“…In practice, this is what we observed with the patient presented in this report: she experienced complete resolution of her urinary symptoms immediately after UAE, before significant reduction in fibroid or uterine mass occurred; the 14-cc shrinkage is most likely due to loss of blood flow to the previously plump vascular tumor. In the literature, Dueholm et al [7] evaluated perfusion and volume changes in relation to clinical outcome, obtaining MRI scans before, immediately following, and 1 and 4 months after UAE. They demonstrated that immediate reduction in enhancement at 90 seconds within the leiomyomata, indicating decreased perfusion, correlated with clinical response; however, that volume reduction did not.…”

Section: Discussionmentioning

confidence: 99%

Fibroid-induced acute urinary retention: treatment by uterine artery embolization

Arleo

Tal

2007

Int Urogynecol J

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A 39-year-old gravida 2 para 2 woman presented to our Hospital's Emergency Department with complaints of difficulty voiding. She had an enlarged leiomyomatous uterus, for which she was not receiving any current treatment. A Foley catheter placed yielded 1,500 cc of clear yellow urine; however, the patient remained Foley-dependent for 2 weeks until she underwent uterine artery embolization (UAE). Twenty-four hours afterwards, the Foley catheter was removed and the patient spontaneously voided with negligible post-void residual. There was no recurrence of urinary retention or development of any other urinary symptoms during the outpatient follow-up period. Repeat pelvic magnetic resonance imaging (MRI) 1 week after UAE showed negligible reduction in the size of the fibroids and uterus in comparison with a pre-procedure MRI. The Vascular Steal Theory, first presented in this paper, discusses this improvement in symptoms without significant change in size.

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Reproducibility of evaluation of the uterus by transvaginal sonography, hysterosonographic examination, hysteroscopy and magnetic resonance imaging

Cited by 106 publications

References 19 publications

The Clinical Value of 3‐Dimensional Saline Infusion Sonography in Addition to 2‐Dimensional Saline Infusion Sonography in Women With Abnormal Uterine Bleeding

The Clinical Value of 3‐Dimensional Saline Infusion Sonography in Addition to 2‐Dimensional Saline Infusion Sonography in Women With Abnormal Uterine Bleeding

Levonorgestrel-releasing intrauterine system versus a low-dose combined oral contraceptive for treatment of adenomyotic uteri: a randomized clinical trial

Fibroid-induced acute urinary retention: treatment by uterine artery embolization

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