Three-dimensional ultrasonography and power Doppler for discrimination between benign and malignant endometrium in premenopausal women with abnormal uterine bleeding

El-Sharkawy, Mohamed; El-Mazny, Akmal; Ramadan, Wafaa; Hatem, Dina; Abdelhafiz, Aly; Hammam, Mohamed; Nada, A. A.

doi:10.1186/s12905-016-0297-3

Cited by 15 publications

(7 citation statements)

References 20 publications

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“…Transvaginal US imaging is not obscured by the abdominal wall and intestinal gas, and has a higher resolution. It has the advantages of observing the echogenic structure, blood flow, and muscle wall thickness of CSP by comparison with transabdominal US (26)(27)(28). Transvaginal 3D-US is based on the X axis of 2D ultrasound to obtain information of the Y and Z axes.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic value of transvaginal three-dimensional ultrasound combined with color Doppler ultrasound for early cesarean scar pregnancy

et al. 2021

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Background: Our study sought to obtain data which assess the diagnostic value of transvaginal threedimensional ultrasound (3D-US) combined with color Doppler ultrasound (US) for early cesarean scar pregnancy (CSP).Methods: All participants were randomly divided into a Control group diagnosed using 3D-US and a Combination group diagnosed using 3D-US combined with color Doppler US. The preoperative US results were compared with postoperative pathological results. The diagnostic coincidence rate, sensitivity, and specificity of these two examination methods were compared, and their diagnostic results for different types of CSP were analyzed. Finally, the diagnostic effects of both methods were compared and analyzed, and the imaging of CSP was summarized. Results:The diagnostic accuracy of transvaginal 3D-US combined with color Doppler US (92.96%) was significantly higher than that of transvaginal 3D-US (71.83%). For different types of CSP, the diagnostic rate of CSP with mixed echogenic mass and partial implantation of gestational sac in the Combination group was markedly higher than that in the Control group.Conclusions: Additionally, the sensitivity, specificity, and area under the receiver operating characteristic (ROC) curve (AUC) in the Combination group were higher than those in the Control group. Transvaginal 3D-US combined with color Doppler US can improve the sensitivity, specificity, and accuracy of diagnosis of early CSP, and has important reference value for clinical condition evaluation and treatment options.

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Section: Discussionmentioning

confidence: 99%

Diagnostic value of transvaginal three-dimensional ultrasound combined with color Doppler ultrasound for early cesarean scar pregnancy

et al. 2021

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“…US duplex Doppler evaluation of the vascularity of the endometrium can help identify vessels within endometrial polyps or cancer [30,56]. Currently, there are no definitive studies demonstrating whether Doppler can differentiate between benign and malignant endometrial lesions; however, research is ongoing [37,56,57].…”

Section: Us Pelvis Transabdominalmentioning

confidence: 99%

ACR Appropriateness Criteria® Abnormal Uterine Bleeding

Gyn¹,

Imaging

Robbins

et al. 2020

Journal of the American College of Radiology

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This publication summarizes the relevant literature for the imaging of patients with symptoms of abnormal uterine bleeding, including initial imaging, follow-up imaging when the original ultrasound is inconclusive, and follow-up imaging when surveillance is appropriate. For patients with abnormal uterine bleeding, combined transabdominal and transvaginal ultrasound of the pelvis with Doppler is the most appropriate initial imaging study. If the uterus is incompletely visualized with the initial ultrasou2nd, MRI of the pelvis without and with contrast is the next appropriate imaging study, unless a polyp is suspected on the original ultrasound, then sonohysterography can be performed. If the patient continues to experience abnormal uterine bleeding, assessment with ultrasound of the pelvis, sonohysterography, and MRI of the pelvis without and with contrast would be appropriate. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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“…Threedimensional sonography can obtain an endometrial volume (EV) in all planes and power Doppler vascular information within the area of interest in the endometrium. 15 The pitfalls of sonography when evaluating the endometrium and uterus are body habitus and bowel gas. Magnetic resonance imaging (MRI) and CT are useful imaging modalities in the diagnosis of endometrial carcinoma.…”

Section: Stagementioning

confidence: 99%

Sonographic Presentation of Endometrial Carcinoma Stage I: A Case Study

Castañeda

2018

Journal of Diagnostic Medical Sonography

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Endometrial carcinoma is the most commonly diagnosed malignancy in the female reproductive tract, mainly affecting women in their postmenopausal years. Although rare, it can also present in premenopausal women. The most common clinical presentation is episodes of abnormal uterine bleeding. Magnetic resonance imaging (MRI), computed tomography (CT), and sonography are imaging modalities used to detect endometrial carcinoma. However, a conclusive diagnosis is made through endometrial biopsy. A case is reported of endometrial distension with endometrial carcinoma and cervical stenosis listed as differentials and originally detected through CT. Sonographic assessment showed an irregular thickened endometrium and an endometrial cavity containing fluid with low-level echoes and areas of polypoid masslike tissue. Based on these findings, the patient underwent an endometrial biopsy that provided confirmation of endometrioid adenocarcinoma (International Federation of Gynecology and Obstetrics [FIGO] Stage 1).

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Three-dimensional ultrasonography and power Doppler for discrimination between benign and malignant endometrium in premenopausal women with abnormal uterine bleeding

Cited by 15 publications

References 20 publications

Diagnostic value of transvaginal three-dimensional ultrasound combined with color Doppler ultrasound for early cesarean scar pregnancy

Diagnostic value of transvaginal three-dimensional ultrasound combined with color Doppler ultrasound for early cesarean scar pregnancy

ACR Appropriateness Criteria® Abnormal Uterine Bleeding

Sonographic Presentation of Endometrial Carcinoma Stage I: A Case Study

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