Detection of feeding artery improves the ultrasound diagnosis of endometrial polyps in asymptomatic patients

Jakab, Attila; Ovari, Laszlo; Juhász, Béla; Birinyi, László; Bacskó, György; Tóth, Zoltán

doi:10.1016/j.ejogrb.2004.06.044

Cited by 39 publications

(19 citation statements)

References 17 publications

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“…A third limitation was that there were no cancers identified in our study group. However, the expected incidence of cancer in our study population is relatively low (0.5%-3%), [15][16][17] and other studies have found few if any endometrial cancers in their populations of patients with abnormal vaginal bleeding. 3,12 Nonetheless, we do not have the needed data to analyze whether the interrupted mucosa sign is helpful in differentiating endometrial polyps from cancers.…”

Section: Discussionmentioning

confidence: 65%

Sonographic Evaluation for Endometrial Polyps

Kamaya

Lloyd

et al. 2016

J of Ultrasound Medicine

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The Interrupted Mucosa Sign ndometrial polyps are benign focal overgrowths of endometrial tissue, often with variable amounts of vascularity and stroma encased by epithelium. Although the etiology of polyp development is unclear, endometrial polyps are quite common, identified in 13% to 50% of women with dysfunctional uterine bleeding and 10% of asymptomatic patients undergoing routine sonographic imaging. 1 Standard treatment is hysteroscopic removal to alleviate bleeding symptoms and exclude malignancy. 2 Aya Kamaya, MD, Pauline Chang Yu, MD, Carla Ramas Lloyd, MD, Bertha H. Chen, MD, Terry S. Desser, MD, Katherine E. Maturen, MD Received November 24, 2015, from the Departments of Radiology (A.K., T.S.D.) and Obstetrics and Gynecology (B.H.C.) Results-The mean age of the patients was 44.99 (SD, 9.88) years, 79.1% of whom were premenopausal. Pathologic diagnosis confirmed polyps in 58 (70.73%). A single feeding vessel was visualized in 36 patients with polyps (62.07%), whereas the interrupted mucosa sign was visualized in 34 (58.62%). The presence of a feeding vessel, the interrupted mucosa sign, or both detected 48 (82.76%) of the polyps. In the multivariate analysis, only the interrupted mucosa sign was a statistically significant predictor of pathologic diagnosis of a polyp (P = .035), with an odds ratio of 3.83 (95% confidence interval, 1.10-13.29). Other sonographic findings were not independent predictors of a polyp: mass (P = .35), single feeding vessel (P = .31), endometrial thickness (P = .88), and endometrial echogenicity (P = .45). The sensitivity, specificity, and positive predictive value of the interrupted mucosa sign were 59%, 75%, and 85%, respectively.Conclusions-The interrupted mucosa sign is a promising sonographic sign for identification of endometrial polyps, with greater predictive power than previously described signs. It has the potential to improve the diagnostic performance of sonography, especially when used in combination with other described signs.

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Section: Discussionmentioning

confidence: 65%

Sonographic Evaluation for Endometrial Polyps

Kamaya

Lloyd

et al. 2016

J of Ultrasound Medicine

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“…In our study the presence of a feeding artery was found in 13 patients, 11 of whom had pathological confirmation of an endometrial polyp. Jakab et al similarly found that feeding artery detection was 97% sensitive in diagnosing endometrial polyps [7]. There are also reports of using color Doppler to differentiate polyps from other endometrial abnormalities based on vascularization structure [13].…”

Section: Discussionmentioning

confidence: 99%

“…If an endometrial polyp is suspected, another diagnostic tool is preliminary verification using color Doppler to show a spiral artery penetrating the polyp as its feeding artery [7].…”

Section: Introductionmentioning

confidence: 99%

Usefulness of saline infusion sonohysterography and feeding artery imaging in endometrial polyp diagnosis

Anioł

Dec²,

Wojda³

et al. 2017

Ginekol Pol

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Objectives: The aim of this study was to assess the usefulness of sonohysterography with feeding artery visualization using transvaginal sonography to diagnose endometrial polyps. Material and methods:We conducted an observational study of 60 perimenopausal patients referred to the Department of Fetal Medicine and Gynaecology, Medical University of Lodz with abnormal uterine bleeding or suspicion of endometrial pathology based on sonography scan. In all 60 patients transvaginal sonography scan showed a possibility of an endometrial polyp. Of these, 46 underwent saline infusion sonohysterography with sonography visualization of a feeding artery.Pathological examination was performed on material collected during hysteroscopy.Results: Sonography detection of endometrial polyp based on feeding artery visualization had a 40% sensitivity, whereas sonohysterographic polyp detection had a sensitivity of 75% and a specificity of 100%. The positive and negative predictive values of saline infusion sonohysterography in diagnosing endometrial polyps were estimated at 75% and 72% (95% CI: 52-86%), respectively. The combination of sonohysterography and feeding artery imaging in transvaginal sonography was 84% sensitive and 95% specific in detecting endometrial polyps. The positive and negative predictive values were: PPV = 96% and NPV = 89%. Conclusion:Saline infusion sonohysterography with feeding artery visualization may become a standard method in the diagnostics of endometrial polyps in perimenopausal women.

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“…11.5 ) [ 11 ]. The use of power Doppler sonography with identifi cation of a single-vessel pattern improves diagnostic sensitivity to 89 % and specifi city to 87 % for an endometrial polyp [ 36 ], in comparison to the multivessel ( Fig. 11.6 ) or scattered pattern seen in malignant lesions or endometrial hyperplasia [ 34 ].…”

Section: Transvaginal Ultrasonographymentioning

confidence: 97%

Endometrial Polyps

Bocca

2013

Ultrasound Imaging in Reproductive Medicine

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Detection of feeding artery improves the ultrasound diagnosis of endometrial polyps in asymptomatic patients

Cited by 39 publications

References 17 publications

Sonographic Evaluation for Endometrial Polyps

Sonographic Evaluation for Endometrial Polyps

Usefulness of saline infusion sonohysterography and feeding artery imaging in endometrial polyp diagnosis

Endometrial Polyps

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