Three-dimensional sonohysterography for examination of the uterine cavity in women with abnormal uterine bleeding: Preliminary findings

Sconfienza, Luca Maria; Lacelli, Francesca; Caldiera, Valentina; Perrone, N.; Piscopo, Francesca; Gandolfo, Nicola; Serafini, Giovanni

doi:10.1016/j.jus.2009.09.002

Cited by 9 publications

(6 citation statements)

References 22 publications

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“…The high accuracy of 2D sonohysterography with intracavitary lesions -mainly polyps and submucous fibroids -is supported by several studies [5,11,[13][14][15][16][17]. Table 4 summarizes a comparison of our present results with those of formerly mentioned studies.…”

Section: Discussionsupporting

confidence: 81%

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Comparison between 2D sonohysterography, 3D sonohysterography, and diagnostic hysteroscopy for assessment of intrauterine lesions in premenopausal bleeding patients and their correlation with the histopathology

Nasr

Kader

Salem

et al. 2015

Evidence Based Womenʼs Health Journal

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ObjectiveThe aim of the study was to compare the accuracy of 2D saline-infusion sonohysterography (2D-SIS), 3D saline-infusion sonohysterography (3D-SIS), and hysteroscopy in the assessment of intracavitary uterine lesions in women with premenopausal bleeding and determine their correlation with the histopathological diagnosis. We also aimed to follow the treatment plan of each case according to the diagnosis reached. Study designThe study was prospective in design. Materials and methodsEighty premenopausal women with abnormal uterine bleeding and suspected intracavitary lesions were subjected to 2D saline sonohysterography, 3D saline sonohysterography, and diagnostic hysteroscopy. They were further managed accordingly. Results 2D-SIS had a sensitivity, specificity, positive predictive value, and negative predictive value of 86.4, 92.3, 88.7, and 91.3%, respectively, when compared with diagnostic hysteroscopy for the diagnosis of intracavitary lesions. In contrast, 3D-SIS had a sensitivity, specificity, positive predictive value, and negative predictive value of 99.3, 98.7, 93.4, and 97.54%, respectively. Conclusion 2D and 3D sonohysterography can accurately diagnose and localize intracavitary lesions almost as accurately as hysteroscopy. 3D-SIS is comparable to hysteroscopy in classifying fibroids according to their degree of protrusion into the uterine cavity and can assess feasibility for hysteroscopic resection, with the advantage of visualizing the intramyometrial portion and identifying associated pathologies. Their accuracy in estimating the protrusion index of fibroids declines as the intramural component increases.

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Section: Discussionsupporting

confidence: 81%

“…Several studies have previously demonstrated that 3D-SIS has an accuracy approaching 100% in the detection of intrauterine polyps and fibroids [14,17,19,22,23]. A comparison of Hysteroscopy showing an endometrial polyp.…”

Section: Discussionmentioning

confidence: 99%

Comparison between 2D sonohysterography, 3D sonohysterography, and diagnostic hysteroscopy for assessment of intrauterine lesions in premenopausal bleeding patients and their correlation with the histopathology

Nasr

Kader

Salem

et al. 2015

Evidence Based Womenʼs Health Journal

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show abstract

“…Sconfienza et al (21) studied Three-dimensional sonohysterography for examination of the uterine cavity in women with abnormal uterine bleeding and found that 3D sonohysterography has 100% sensitivity, specificity, PPV, NPV and accuracy when compared to hysteroscopy as the gold standard.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the uterine cavity by magnetic resonance imaging, three dimensional hysterosonography and diagnostic hysteroscopy in women with pre- and post-menopausal bleeding

Ahmad

Sadek

Ragheb

2015

Middle East Fertility Society Journal

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Objective: To compare the diagnostic potential of magnetic resonance imaging (MRI), three dimensional (3D) hysterosonography and diagnostic hysteroscopy in evaluation of the uterine cavity in women with premenopausal and postmenopausal bleeding.Design: Comparative study. Setting: Zagazig University hospital. Materials and methods: 30 patients with premenopausal bleeding and 30 patients with postmenopausal bleeding scheduled for hysterectomy were submitted to MRI, 3D hysterosonography and hysteroscopy to evaluate the endometrial cavity. Results were compared with histopathologic examination at hysterectomy (the gold standard).Results: In the premenopausal group; the sensitivity of MRI was 71.43%, 3D hysterosonography 85.71% and hysteroscopy 80.95%, the specificity of MRI was 55.56%, 3D hysterosonography 66.67% and hysteroscopy 88.89% and the degree of agreement with histopathology was 0.47 for MRI, 0.65 for 3D hysterosonography and 0.73 for hysteroscopy (P = .000, 0.000 and 0.000, respectively). In the postmenopausal group; the sensitivity of MRI was 88.24%, 3D hysterosonography 88.24% and hysteroscopy 88.24%, the specificity of MRI was 69.23%, 3D hysterosonography 84.61% and hysteroscopy 84.61% and the degree of agreement with histopathology was 0.60 for MRI, 0.72 for 3D hysterosonography and 0.73 for hysteroscopy (P = .000, 0.000 and 0.000, respectively) and for both groups; the sensitivity of MRI was 78.75%, 3D hysterosonography 86.84% and hysteroscopy 84.21%, the specificity of MRI was 63.64%, 3D hysterosonography 77.27% and * Corresponding author. Address:

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“…Hysteroscopy in combination with histopathology is the gold standard for diagnosis and treatment of endometrial polyps [16][17][18][19]. Although invasive methods are very helpful in finding the possible causes of abnormal uterine bleeding, they can sometimes be expensive and uncomfortable [20,21]. Noninvasive methods are applicable to diagnose abnormal uterine bleeding before or after menopause and enable the individual to determine which invasive procedure (e.g.…”

Section: Introductionmentioning

confidence: 99%

Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in evaluating the endometrial polyps in women with abnormal uterine bleeding: a systematic review and meta-analysis.

Kaveh

Sadegi

Salarzaei

et al. 2020

Videosurgery and Other Miniinvasive Techniques

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Introduction: In women with abnormal uterine bleeding (AUB), endometrial polyps are a frequent finding, and the risk of a focal (pre)malignancy in a polyp is up to 6%. Because of this reported risk, the detection of polyps in these women is important. Aim: To evaluate and compare the diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in detecting endometrial polyps in women with AUB. Material and methods: The searches were conducted by two independent researchers to find the relevant studies published from 1/1/2009 until the end of 30/06/2019. We searched for published literature in English language in MEDLINE, EMBASETM, The Cochrane Library, and Trip database. For literature published in other languages, we searched national databases (Magiran and SID), KoreaMed, and LILACS. The risk of bias of every article was evaluated by using QUADAS-2. Results: After selection and quality assessment, 11 studies were included. Based on the random effect model the total prevalence of endometrial polyps in women with abnormal uterine bleeding was 38%. The sensitivity and specificity of saline infusion sonohysterography in diagnosis of endometrial polyps were 0.87 and 0.86, respectively. The sensitivity and specificity of transvaginal ultrasonography were 0.62 and 0.73 and the sensitivity and specificity of hysteroscopy were 0.92 and 0.85, respectively. Conclusions: Although that sonohysterography is a safe and relatively cheap method, which allows ruling out or confirming endometrial polyps, it cannot be replaced with hysteroscopy due to the fact that hysteroscopy combined with biopsy is the gold standard for ruling out malignancies in an endometrial polyp.

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Three-dimensional sonohysterography for examination of the uterine cavity in women with abnormal uterine bleeding: Preliminary findings

Cited by 9 publications

References 22 publications

Comparison between 2D sonohysterography, 3D sonohysterography, and diagnostic hysteroscopy for assessment of intrauterine lesions in premenopausal bleeding patients and their correlation with the histopathology

Comparison between 2D sonohysterography, 3D sonohysterography, and diagnostic hysteroscopy for assessment of intrauterine lesions in premenopausal bleeding patients and their correlation with the histopathology

Evaluation of the uterine cavity by magnetic resonance imaging, three dimensional hysterosonography and diagnostic hysteroscopy in women with pre- and post-menopausal bleeding

Comparison of diagnostic accuracy of saline infusion sonohysterography, transvaginal sonography, and hysteroscopy in evaluating the endometrial polyps in women with abnormal uterine bleeding: a systematic review and meta-analysis.

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