Transvaginal color Doppler sonography versus sonohysterography in the diagnosis of endometrial polyps

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Juan Luis AlcazarManuel García-Manero

Abstract

To compare the diagnostic performance of transvaginal color Doppler sonography (TVCD) and sonohysterography (SHG) in the diagnosis of endometrial polyps. Fifty-one women (mean age, 51 years; range, 27-75 years) with clinical or B-mode sonographic suspicion of endometrial polyps were included in this prospective study. Transvaginal color Doppler sonography first and then SHG were performed in all patients. On TVCD, a polyp was suspected when a vascular pedicle penetrating the endometrium from the myometrium was identified. On SHG, a polyp was suspected when a focal polypoid lesion was seen within the endometrial cavity. All patients underwent hysteroscopy and endometrial biopsy, the findings of which were used as the criterion standard. Sensitivity and specificity for TVCD and SHG were calculated and compared by the McNemar test. Hysteroscopy and endometrial biopsy findings were as follows: endometrial polyps, 41; endometrial hyperplasia, 3; cystic atrophy, 4; proliferative endometrium, 2; and endometritis, 1. Sensitivity and specificity for TVCD and SHG were 95% and 80% and 100% and 80%, respectively (McNemar test, P = .5) Transvaginal color Doppler sonography and SHG had similar performance for diagnosing endometrial polyps.

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Citations

Jun 27, 2007·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Riko Tamura-SadamoriTatsuhiko Kawarabayashi
Jan 24, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Lanlan FangYingpu Sun
Mar 11, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Joseph C WildenbergLisa P Jones
Oct 30, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Aya KamayaKatherine E Maturen
Jul 31, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D Sanin-RamirezJ L Alcázar
Dec 21, 2016·Human Reproduction·M WongD Jurkovic
Feb 1, 2009·Australasian Journal of Ultrasound in Medicine·Elisabeth Epstein
Jul 13, 2012·Human Fertility : Journal of the British Fertility Society·Lolwa Mohammed Alansari, Peter Wardle
Mar 24, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Salvatore Giovanni VitaleUNKNOWN From the Global Community of Hysteroscopy Guidelines Committee

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