Gynecologic imaging: comparison of transabdominal and transvaginal sonography.

Mendelson, Ellen B.; Böhm-Vélez, Marcela; Joseph, Neal; Neiman, H L

doi:10.1148/radiology.166.2.3275976

Cited by 99 publications

(41 citation statements)

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“…5 Most practitioners, therefore, recommend a combination of transabdominal and transvaginal scanning, since the transvaginal approach will give better detail of the pelvic organs, but the transabdominal approach will provide clear information about large pelvic masses or fibroids difficult to see transvaginally due to the limited field of view. [1][2][3][4][5] We agree with the results described above in that the transabdominal scan cannot be abandoned completely in favor of the transvaginal approach. Surely, 34 of 206 patients (16.5%) required a transabdominal scan to visualize the pelvis adequately in our study.…”

Section: Discussionsupporting

confidence: 90%

“…[1][2][3][4] Tessler and colleagues showed that the transvaginal study was superior in 60% of patients, equal in another 36%, and inferior in only four patients (3.7%) compared with the transabdominal scan. 1 Leibman and coauthors also reported that more information was obtained from a transvaginal scan than from a transabdominal scan in 76% of patients.…”

Section: Discussionmentioning

confidence: 99%

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Is a full bladder still necessary for pelvic sonography?

Benacerraf

Shipp

Bromley

2000

Journal of Ultrasound in Medicine

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The objective was to determine whether a full bladder is routinely necessary for a complete sonographic evaluation of the female pelvis. Over the course of 1 month, all women having a gynecologic sonogram were scanned initially transabdominally through a full bladder by the sonographer (standard images taken). A physician then joined the sonographer and scanned the patient transvaginally without prior knowledge of the findings seen transvesically. The physician finished the examination transabdominally, with the bladder empty. The physician and sonographer then determined (1) whether the scan was sufficient transvaginally only, (2) whether the scan was sufficient transvaginally and transabdominally with an empty bladder, or (3) or whether a full bladder was necessary. Two hundred and six consecutive patients were scanned prospectively. The transvaginal scan alone was sufficient to demonstrate all findings for 172 (83.5%) patients. The transvaginal and transabdominal scans through an empty bladder were needed for 31 (15.1%) patients. Three patients (1.5%) required a full bladder in addition to the other two techniques to visualize one normal ovary each. In conclusion, transvaginal scanning with an adjunctive transabdominal empty bladder approach can replace the full bladder technique for routine pelvic sonography. The transabdominal scan with an empty bladder is necessary, particularly for patients with enlarged uteri. It is no longer reasonable, however, to subject all patients undergoing pelvic sonography to bladder distention.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Is a full bladder still necessary for pelvic sonography?

Benacerraf

Shipp

Bromley

2000

Journal of Ultrasound in Medicine

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“…Synechiae occurring after a D&C are well-known uter• ine sequela and, until recently, have only been imaged with hysterosalpingography. Mendelson et al recently described hypoechoic or cystic areas within the endo~ metrium, which they believe correspond to synechiae resulting from D&C. 1 • 2 We did not observe this finding in any of the patients in our study group, and to our knowledge none of our patients had undergone hysterosalpingography.…”

Section: Discussioncontrasting

confidence: 44%

Uterine inner myometrial echogenic foci. Relationship to prior dilatation and curettage and endocervical biopsy.

Burks

Stainken

Burkhard

et al. 1991

Journal of Ultrasound in Medicine

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The frequent presence of small echogenic foci within the inner myometrium in women who have had prior uterine instrumentation is reported. Bright foci were observed in 35 of 80 patients who had had prior dilatation and curettage or endocervical biopsy and in only 2 of 174 patients who gave no history of either procedure (P < 0.005). These foci tend to be small (3 to 6 mm), linear, usually nonshadowing, single or multiple, and located immediately adjacent to the endometrium anywhere along the length of the endometrial cavity; they can be seen many years after the D uring pelvic sonography, we have occasionally noted the presence of small, brightly echogenic foci within the inner layer (junctional zone) of the myometrium, close to the myometrialendometrial junction (Fig. 1). We were initially uncertain as to the cause of these foci but, through patient inquiries, we anecdotally found these foci likely to be related to prior uterine instrumentation. The present study was undertaken to confirm that the presence of these foci is statistically related to prior uterine instrumentation. PATIENTS AND METHODSDuring a five month period, all women referred for nonobstetrical pelvic sonography were asked to comReceived September 17, 1990 from the Departments of Radiology and Clinical Investigation, Naval Hospital, San Diego, California. Revised manuscript accepted for publication February 8, 1991 .Address correspondence and reprint requests to LCDR Z. N. Balsara: c/o Clinical Investigation Department, Naval Hospital. San Diego, CA 92134-5000.The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government. procedure was performed. The histopathologic features of these foci are unconfirmed, but we suspect they represent calcification or fibrosis at sites of mechanical injury to myometrium. The presence of these foci serves as a marker of prior instrumentation and probably has no clinical significance. However, sonographers who are aware of their possible occurrence, can avoid mistaking them for leiomyoma calcifications or for air in the endometrium or myometrium in patients with suspected endometritis. plete a patient questionnaire relevant to their obstetrical and gynecologic medical history (Table 1). Of the 407 women referred for pelvic sonography during this time, questionnaires were completed and returned by 68% (277 patients). Twenty-three of these women had had hysterectomies and were excluded from analysis. The study group consisted of the remaining 254 patients.Transabdominal pelvic sonography with a full bladder technique was performed on all patients and many also underwent transvaginal sonography. All transab· dominal scans were obtained with a 3 MHz, 3.5 MHz, or 5 MHz transducer (Acuson, Mountain View, CA, and Advanced Technology Laboratories, Bothell, WA), and all transvaginal scans were obtained with a 5 MHz transducer. The presence or absence of small echogenic foci within the inner myome...

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“…After the introduction of TV scanning method many investigators concentrated on the accuracy of assessment of follicular dynamics [7][8][9]. A good number of studies were done later comparing transabdominal (TA) and transvaginal (TV) methods of studying the pelvic organs [10][11][12][13]. TVS is still to achieve momentum in India mainly due to (i) non availability of TV probes, (ii) ignorance/reluctance of the referring physicians (iii) lack of adequate knowledge of TVS and altered anatomical orientation.…”

Section: Discussionmentioning

confidence: 99%

Follicular Monitoring: Comparison of Transabdominal and Transvaginal Sonography

Debnath¹,

Satija²,

Suri³

et al. 2000

Medical Journal Armed Forces India

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Transabdominal sonography (TAS) and Transvaginal sonography (TVS) were compared for follicular monitoring in 73 patients of infertility. These patients were referred for follicular monitoring in normal and stimulated cycles from infertility clinic. Patient compliance and acceptance was excellent for TVS technique as compared to TAS technique. The overall resolution of ovarian and follicular anatomy was much better in TVS. With TAS only 35.6% had good visualisation of follicles as compared to 80.8% (p<0.05) in TVS. TVS olTered advantage of much better detection rate of smaller follicles (<10mm) and higher accuracy in assessing number of follicles.

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Gynecologic imaging: comparison of transabdominal and transvaginal sonography.

Cited by 99 publications

References 0 publications

Is a full bladder still necessary for pelvic sonography?

Is a full bladder still necessary for pelvic sonography?

Uterine inner myometrial echogenic foci. Relationship to prior dilatation and curettage and endocervical biopsy.

Follicular Monitoring: Comparison of Transabdominal and Transvaginal Sonography

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