Three-dimensional measurement and analysis of morphological parameters of the uterus in infertile women

Feng, Yankun; Zhang, Shaojing; Zhou, Ying; He, Guibing; Hong, Liting; Shi, Li; Wang, Jianmei; Zhang, Ping; Zhai, Lili

doi:10.21037/qims-21-812

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…With the development of ultrasound technology, the 3D imaging function of ultrasound equipment has become almost universal ( 24 ). This universality makes the measurement of EV easier to achieve in clinical practice with good repeatability ( 25 ).…”

Section: Discussionmentioning

confidence: 99%

Using 2D/3D ultrasound observation of endometrial thickness, endometrial volume, and blood flow changes to predict the outcome of frozen embryo transfer cycles: a prospective study

Liu¹,

Yue²,

Wang³

et al. 2023

Quant Imaging Med Surg

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Background: Endometrial thickness (EMT) and blood flow are commonly used indicators of endometrial receptivity. However, the results of single ultrasound examination studies differ. Therefore, we used 3-dimensional (3D) ultrasound to study the influence of changes in EMT, endometrial volume, and endometrial blood flow on frozen embryo transfer cycles.Methods: This was a prospective cross-sectional study. Women who underwent in vitro fertilization (IVF) at Dalian Women and Children's Medical Group and met the inclusion criteria were enrolled between September 2020 and July 2021. Ultrasound examinations were performed in patients who underwent frozen embryo transfer cycles on the day of progesterone administration, the third day after progesterone administration, and the day of embryo transplantation. Two-dimensional ultrasound was used to record EMT, 3D ultrasound was used to record endometrial volume, and 3D power Doppler ultrasound imaging was used to record the following endometrial blood flow parameters: vascular index, flow index, and vascular flow index. Changes in the 3 inspections of the EMT, volume, vascular index, flow index, and vascular flow index and 2 inspections of estrogen levels were categorized as "declining" or "nondeclining". The relationship between changes in a certain indicator and the IVF outcome was analyzed by univariate analysis and multifactorial stepwise logistic regression.Results: In total, 133 patients were enrolled in this study, 48 were excluded, and 85 were included in the statistical analysis. Among these 85 patients, 61 were pregnant (71%), 47 had a clinical pregnancy (55%), and 39 had an ongoing pregnancy (45%). The results showed that if the first change in endometrial volume was nondeclining, the outcomes of clinical and ongoing pregnancies were more likely to be unfavorable (P=0.03, P=0.01). Additionally, if the second change in endometrial volume on the day of embryo transplantation was nondeclining, the outcome of an ongoing pregnancy was more likely to be favorable (P=0.03). Conclusions:The changes in endometrial volume was a factor helpful in predicting the IVF outcome, whereas the changes in EMT and endometrial blood flow analyses were not helpful in predicting IVF outcome.

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Section: Discussionmentioning

confidence: 99%

Using 2D/3D ultrasound observation of endometrial thickness, endometrial volume, and blood flow changes to predict the outcome of frozen embryo transfer cycles: a prospective study

Liu¹,

Yue²,

Wang³

et al. 2023

Quant Imaging Med Surg

View full text Add to dashboard Cite

show abstract

“…Використовується програма VOCAL (Virtual Organ Computer Aided AnaLysis). Це дає можливість виміряти та проаналізувати у 3D-площині лінії об'єму та діаметра порожнини матки, площі поверхні, товщини, об'єму та діаметра тіла матки, а також площу поверхні, товщину та об'єм верхньої, середньої та нижньої ділянок ендометрія [21].…”

Section: об'єм ендометріяunclassified

Modern assessment of the endometrium (Literature review)

Iarova

2022

RHW

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The article reviews the literature on various aspects of diagnosis, evaluation and treatment of pathological conditions of the endometrium. From a clinical point of view, the significance of such indicators as the thickness of the endometrium, the endometrial pattern, the volume and features of endometrium vascularization, the assessment of the microbial environment of the endometrium, and molecular studies of its receptivity are described. In particular, the impact of the endometrial microbiota on reproductive outcomes in patients starting infertility treatment was considered. Considerations regarding the analysis of endometrial receptivity to implantation, data on the personalized implantation window are given. Complex methods for assessing the state of the endometrium are considered: ERA (Endometrial Receptivity Assay), EMMA (Endometrial Microbiome Metagenomic Analysis), ALICE (Analysis of Infectious Chronic Endometritis). The article summarizes the results of the most effective diagnostic methods and the modern approach to the treatment of endometrial susceptibility. Over the past decade, studies have identified a potential link between poor reproductive outcomes and chronic endometritis. The review presents data on chronic endometritis and highlights recent advances in the study of this gynecological disease. Considerations on the feasibility of antibiotic therapy in chronic endometritis are presented.The studies were analyzed, which demonstrated the clinical value of evaluating the morphological markers of endometrial receptivity, pinopodia. From a clinical point of view, the importance of chronic endometritis as the cause of the formation of “thin” endometrium in infertility is presented. In particular, the effectiveness of hysteroscopy in chronic endometritis has been demonstrated to optimize the chances of successful embryo implantation. Data from foreign and domestic articles published over the past 10 years in the Scopus, Web of Science, MedLine, Cochrane Library, Embase, Global Health, Pubmed databases are included in the review.

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Evaluation of pelvic structural abnormalities in primiparous women with stress urinary incontinence

Shi,

Zhao,

et al. 2023

Int Urogynecol J

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Three-dimensional measurement and analysis of morphological parameters of the uterus in infertile women

Cited by 5 publications

References 27 publications

Using 2D/3D ultrasound observation of endometrial thickness, endometrial volume, and blood flow changes to predict the outcome of frozen embryo transfer cycles: a prospective study

Using 2D/3D ultrasound observation of endometrial thickness, endometrial volume, and blood flow changes to predict the outcome of frozen embryo transfer cycles: a prospective study

Modern assessment of the endometrium (Literature review)

Evaluation of pelvic structural abnormalities in primiparous women with stress urinary incontinence

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