CONTRIBUTIONWhat are the novel findings of this work? The prevalence, clinical relevance and appropriateness of management of T-shaped uterus is not fully understood, due to the lack of objective criteria for its diagnosis. This study developed an objective definition of T-shaped uterus based on the diagnosis made most often by representative expert clinicians, surgeons and sonologists. We identified three uterine morphometric measurements in the coronal plane, with cut-offs (lateral internal indentation depth ≥ 7 mm, lateral indentation angle ≤ 130 • and T-angle ≤ 40 • ) that have good diagnostic test accuracy and fair-to-moderate reliability for the diagnosis of T-shaped uterus.What are the clinical implications of this work? These three measurements, with cut-offs, can be used to confirm the diagnosis when there is suspicion of T-shaped uterus on subjective assessment of the uterine cavity. When these CUME definitions and criteria are used, doctors and patients can be confident that the diagnosis Correspondence to: Prof. A. Ludwin, of T-shaped uterus has high probability of being correct. Using these criteria will allow elucidation in future studies of the prevalence, clinical relevance and management of T-shaped uterus.
ABSTRACT
Objectives To identify uterine measurements that are reliable and accurate to distinguish between T-shaped and normal/arcuate uterus, and define T-shaped uterus, using Congenital Uterine Malformation by Experts (CUME) methodology, which uses as reference standard the decision made most often by several independent experts.Methods This was a prospectively planned multirater reliability/agreement and diagnostic accuracy study, performed between November 2017 and December 2018, using a sample of 100 three-dimensional (3D) datasets of different uteri with lateral uterine cavity indentations, acquired from consecutive women between 2014 and 2016. Fifteen representative experts (five clinicians, five
This Consensus Opinion summarizes the main aspects of several techniques for performing ovarian antral follicle count (AFC), proposes a standardized report
ObjectivesTo examine the quality of methods used and the accuracy of the interpretation of agreement in existing studies that examine the reliability of ultrasound measurements and judgments in obstetrics and gynecology.
Methods
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