Three‐dimensional saline contrast hysterosonography and surface rendering of uterine cavity pathology

Weinraub, Z.; Maymon, Ron; Shulman, Adrian; Bukovsky, J.; Kratochwil, A; Lee, A.; Herman, Amir

doi:10.1046/j.1469-0705.1996.08040277.x

Cited by 57 publications

(42 citation statements)

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“…Recently, sonohysterography (SHG) with sterile saline solution has also been used as a diagnostic tool for uterine cavity assessment [9][10][11] but published data regarding its accuracy are based on a small series of patients [12,13] .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Sonohysterography in Infertile Patient Work-Up: A Comparison with Transvaginal Ultrasonography and Hysteroscopy

Ragni

Diaferia

Vegetti

et al. 2005

Gynecol Obstet Invest

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Objective: The aim of this comparative study was to evaluate the accuracy of transvaginal ultrasonography (TVU), sonohysterography (SHG) with sterile saline solution compared to hysteroscopy in the diagnosis of intrauterine pathology in a population of infertile patients before an in vitro fertilization (IVF) program. Patients/Methods: 98 infertile patients with a mean age of 33.9 years (range 27–41) underwent TVU assessment and SHG with sterile saline solution immediately followed by hysteroscopy. Results: The clinical findings obtained by TVU, SHG and hysteroscopy were compared. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of TVU and SHG compared to hysteroscopy were calculated. The TVU sensitivity and specificity compared with hysteroscopy were 91 and 83% respectively. Using TVU, a 9.2% false positive rate (9 cases) and a 5.1% false negative rate (5 cases) were detected compared to hysteroscopy. The TVU PPV and NPV were 85.4 and 90% respectively. SHG yielded better results: sensitivity and specificity when compared to hysteroscopy were 98 and 94% respectively. The SHG PPV and NPV were 95 and 98% respectively. Accuracy of SHG was significantly better than TVU considering all intrauterine pathologies and polyps. Conclusion: In experienced hands, SHG is an easy, safe, and well-tolerated alternative to diagnostic hysteroscopy in the initial evaluation of uterine cavity infertile patients.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Sonohysterography in Infertile Patient Work-Up: A Comparison with Transvaginal Ultrasonography and Hysteroscopy

Ragni

Diaferia

Vegetti

et al. 2005

Gynecol Obstet Invest

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“…17 Increasing experience with 3D sonography in combination with many favorable reports on SIS resulted in the introduction of 3D-SIS. [18][19][20][21][22][23] Although some studies concluded that more research is necessary for a final decision about the clinical relevance of 3D-SIS, 18,23 others reported excellent specificity and positive predictive values for 3D-SIS. [19][20][21] Therefore, 3D-SIS may be of clinical relevance because its use may increase the positive predictive value of SIS and may prevent women with a normal uterine cavity from undergoing diagnostic hysteroscopy.…”

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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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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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“…It was initially used for gynecologic and obstetric imaging; other applications in adults followed [1][2][3][4][5]. With the introduction of transducers that are useful in children, the first efforts have been undertaken to evaluate its potential in pediatric imaging [6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Potential role of 3DUS in infants and children

Riccabona

2011

Pediatr Radiol

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The objective of this review is to discuss basic technical aspects as well as potential pediatric applications of three-dimensional ultrasound (3DUS). Different 3DUS-techniques are already commercially available. Most commonly, a transducer-integrated motor drives a scan-head to acquire a volumetric dataset, which is then reconstructed and viewed using various post-processing techniques. It has been proved feasible to apply 3DUS with pediatric transducers in typical pediatric investigations. Based on our own experiences and on review of the literature, 3DUS can be successfully used in infants and children for brain, spine, cardiac, urinary tract (particularly assessment of hydronephrosis, and virtual cystoscopy), and female genital (e.g., for assessment of uterine malformations) US, and for various other applications, particularly in small parts. Power Doppler data can be integrated, allowing 3DUS-angiography. Thus, 3DUS promises to become a useful adjunct for imaging children, particularly as it enhances ultrasound by offering additional, previously inaccessible planes, rendering options and surface assessments. 3DUS should be increasingly exploited, thus hopefully helping reduce the need for more invasive or burdening (e.g., ionizing radiation) investigations in children.

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Three‐dimensional saline contrast hysterosonography and surface rendering of uterine cavity pathology

Cited by 57 publications

References 0 publications

Effectiveness of Sonohysterography in Infertile Patient Work-Up: A Comparison with Transvaginal Ultrasonography and Hysteroscopy

Effectiveness of Sonohysterography in Infertile Patient Work-Up: A Comparison with Transvaginal Ultrasonography and Hysteroscopy

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

Potential role of 3DUS in infants and children

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