Evaluation of sonographic endometrial patterns and endometrial thickness as predictors of ectopic pregnancy

Yadav, Poonam; Singla, Anshuja; A, Sidana; Suneja, Amita; Vaid, Neelam

doi:10.1002/ijgo.12020

Cited by 7 publications

(12 citation statements)

References 20 publications

(67 reference statements)

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“…12 Furthermore, the endometrium is significantly thinner in an ectopic pregnancy than in an intrauterine pregnancy. 13 Characteristic fallopian tube rings are often present during early tubal pregnancy. 14 This condition is due to thickening of the fallopian tube wall by edema, and formation of pregnancy tissue and blood clots in the tube cavity together.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

et al. 2020

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Objective To investigate ultrasonographic characteristics and diagnostic approaches of unruptured tubal pregnancy (UTP). Methods One hundred forty-six cases of early tubal pregnancy, which were confirmed surgically, were analyzed. Results Among 146 cases of UTP, 130 were diagnosed by ultrasonography. Furthermore, 16 cases of UTP were missed by ultrasonography. A total of 130 patients had a mass detected by ultrasonography, among whom the mass and ipsilateral ovary were distinguishable in 102. The embryo sac type was found in 40.00% (52/130), while the heterogeneous mass type was found in 60.00% (78/130) of patients. The maximum length and diameter of the ectopic pregnancy mass ranged from 10 to 68 mm (mean size, 26.42 ± 11.39 mm). No blood flow was observed in or around the mass in 67.69% (88/130) of patients. Lateral tubal thickening of the mass was found in 47.69% (62/130) of patients. Endometrial thickness was ≤10 mm in 67.80% (99/146) of patients. The intima was mostly hyperechoic in 72.60% (106/146) of patients. Conclusion A paraovarian mass, thickened fallopian tube, uterine endometrium with a thickness of ≤10 mm, and high echo are important indicators of early UTP. Ultrasound examinations should focus on these indicators to help improve detection of early tubal pregnancy.

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Section: Discussionmentioning

confidence: 99%

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

et al. 2020

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“…The work of Yadav et al 11 suggested that the combination of endometrial stripe thickness and an endometrial sonographic pattern was a sensitive and specific way of predicting pregnancy outcome. They suggested the cut-off point of 9.8 mm for initial endometrial stripe thickness, which differentiated EP from IUP.…”

Section: Discussionmentioning

confidence: 99%

“…This is why some studies have focused on the role of endometrial stripe thickness and sonographic endometrial pattern, as predictors of an outcome with a PUL. 10–16…”

Section: Key Takeawaysmentioning

confidence: 99%

Predicting the Outcome of a Pregnancy of Unknown Location: What Can the Endometrial Stripe Thickness Reveal?

Hajiahmadi

Adibi

Sardashti

et al. 2022

Journal of Diagnostic Medical Sonography

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Objectives: To investigate the role of the uterine endometrial thickness and sonographic pattern as potential predictors for a pregnancy with an unknown location (PUL) and its possible outcomes. Materials and Methods: A convenient sample of 330 symptomatic extra preposition female patients were enrolled in this study with a diagnosis of PUL. The clinical variables of endometrial stripe thickness and endometrial sonographic pattern were determined with transvaginal sonography. These sonographic examinations (it seems that examination in this context is a countable noun) were conducted during the first 24 hours of referral, and their predictive values for PUL outcomes (normal intrauterine pregnancy (IUP), ectopic pregnancy (EP), and pregnancy loss) were assessed after clinical follow-up sessions provided a definite outcome. The statistical significance was set a priori at a P value < .05. Results: The mean initial endometrial stripe thickness among participants, with a normal IUP, was more than those patients with an abnormal pregnancy outcome ( P < .05). The optimum cut-off value for predicting a an EP, compared to a normal IUP was 11 mm and had a sensitivity of 73.3% and specificity of 39% ( P < .001). These results also demonstrated no statistically significant relationship between the PUL outcome and the categories of endometrial sonographic pattern ( P = .15). Conclusion: In this large cohort of patients, the endometrial stripe thickness of more than 11 mm, among those who were symptomatic and deemed as PUL, had the potential to predict ectopic pregnancy as an unlikely diagnosis.

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“…Observation of endometrial morphology: The echoes of the endometrium was observed. Then, the endometrial patterns were divided into three types based on the Gonen system: type A, trilaminar pattern (endometrial three-layer pattern), consisting of hyperechoic outer and middle layers, hypoechoic inner layers, and evident echo at the intrauterine midline; type B, relatively homogeneous hyperechoic endometrium, with unclear endometrial layers, obscure intrauterine midline echo, but clear interface between endometrial and muscular layers; and type C, homogeneous hyperechoic endometrium without intrauterine midline echo [5] (Fig. 1).…”

Section: Two-dimensional Gray-scale Ultrasound Modementioning

confidence: 99%

Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

et al. 2020

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Background: This study aimed to evaluate the value and feasibility of ultrasound multimodal score in the evaluation of endometrial receptivity in patients with artificial abortion (AA). Methods: Sixty-eight patients with AA (AA group) and 70 women of the childbearing age without any history of abortion (control group) were recruited between January 2018 and December 2018. All subjects received the examination of endometrium in the middle luteum phase (7-9 days after ovulation) with two-dimensional grayscale ultrasound, two-dimensional color Doppler ultrasound, and three-dimensional ultrasound, and the quantitative scores were obtained and compared between two groups. Results: The quantitative score of endometrial receptivity was 10.46 ± 2.99 in the AA group and 13.49 ± 2.21 in the control group showing significant difference (p < 0.05). Conclusions: Ultrasound multimodal quantitative scores can be used to evaluate the endometrial receptivity of patients with AA.

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Evaluation of sonographic endometrial patterns and endometrial thickness as predictors of ectopic pregnancy

Abstract: Evaluation of endometrial thickness and pattern by TVS helps to identify women with a pregnancy of unknown location for close supervision.

Cited by 7 publications

References 20 publications

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

Predicting the Outcome of a Pregnancy of Unknown Location: What Can the Endometrial Stripe Thickness Reveal?

Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

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