Comparison between the findings on trans-vaginal 3D ultrasound scan and hysteroscopy in patients diagnosed with subtle incomplete uterine septum/arcuate uterine anomaly on hysteroscopy

Abuzeid, O.; Zaghmout, O.; Corrado, J.; Hébert, J.; Ashraf, M.; Abuzeid, M.

doi:10.1016/j.fertnstert.2015.07.085

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, based on the findings on hysteroscopy, this comparison was repeated for patients with moderate internal indentation length (10-14 mm) and those with significant internal indentation length (> 15 mm). We also calculated the incidence of all subgroups (1)(2)(3)(4) in patients with IUS and AUA in the total population, in patients with moderate significant, and in those with significant internal indentation length. Statistical analysis was performed using Student's paired T test, chi-square analysis, and correlation analysis where appropriate.…”

Section: Methodsmentioning

confidence: 99%

“…Our group has used TV 3D US in screening patients with reproductive failure for uterine septum and arcuate uterine anomaly since 2006. By 2008, we started to observe a discrepancy between IILFM as measured by TV 3D US and as measured at time of diagnostic hysteroscopy in patients with IUS and those with AUA [1,4]. The purpose of this study is to determine the accuracy of measurement of an IILFM on TV 3D US with or without saline infusion hysterogram (SIH) in detecting patients with an IUS or a significant AUA that was diagnosed on diagnostic hysteroscopy based on the actual IILFM.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Methodsmentioning

confidence: 99%

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

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, limited data published by our group suggest that HSG and TV 2D US are not accurate in detecting subtle fundal indentation in patients with RPL or infertility [12,13]. Furthermore, some work by our group showed that even TV 3D US may not be accurate in detecting such subtle fundal indentation in patients with RPL or infertility [13][14][15][16]. If a diagnosis of such uterine anomalies is missed by the abovementioned radiological tests, such patients may be categorized under unexplained RPL.…”

Section: Introductionmentioning

confidence: 89%

“…If a diagnosis of such uterine anomalies is missed by the abovementioned radiological tests, such patients may be categorized under unexplained RPL. Therefore, some investigators suggest that a diagnostic hysteroscopy should be part of the work-up of RPL, especially to rule out subtle uterine anomalies such as PSU [12][13][14][15][16]. The aim of this study is to compare the accuracy of detecting PSU in patients with unexplained RPL when using TV 3D US versus hysteroscopy.…”

Section: Introductionmentioning

confidence: 99%

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan

et al. 2019

Self Cite

View full text Add to dashboard Cite

Purpose: To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL). Methods: This retrospective study included 113 patients with an initial diagnosis of unexplained RPL, who were subsequently found to have PSU on diagnostic hysteroscopy and who had TV 3D US prior to surgery. The diagnosis of PSU was made at the time of a diagnostic hysteroscopy based on ESHRE-ESGE classification of Müllerian anomalies. Based on hysteroscopic findings, patients were divided into two groups: those with PSU and a central point of indentation at an acute angle < 90°(PSUAA) [30.1%], and those who had PSU and a central point of indentation at an obtuse angle (PSUOA) [69.9%]. We compared the mean internal indentation length at the fundal midline (IILFM) in millimeters on TV 3D US and on diagnostic hysteroscopy. For the purpose of this study, a diagnosis of PSU on hysteroscopy was made if IILFM measured ≥ 10 mm. Results: The mean IILFM (mm) on hysteroscopy was significantly higher than the mean IILFM (mm) measured on TV 3D US in patients with PSUAA (18.5 ± 6.5 vs 4.9 ± 4.4; P < 0.001), in patients with PSUOA (14.1 ± 3.8 vs 4.3 ± 3.4; P < 0.001), and in the overall population (15.3 ± 5.1 vs 4.1 ± 4.4; P < 0.001). Conclusions: The data suggest that mean IILFM in patients with RPL and PSU can be underestimated on TV 3D US. Therefore, its diagnostic accuracy in such patients may need further evaluation.

show abstract

Comparison between the findings on trans-vaginal 3D ultrasound scan and hysteroscopy in patients diagnosed with subtle incomplete uterine septum/arcuate uterine anomaly on hysteroscopy

Cited by 2 publications

References 0 publications

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

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

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan

Contact Info

Product

Resources

About