Comparison of transvaginal ultrasonography with hysterosonography as a screening method in patients with abnormal uterine bleeding

Jeong Ah Ryu, Bohyun Kim, Jongmee Lee, Sooah Kim, Sang Hoon Lee

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Objective: To assess the utility of hysterosonography (HS) as a screening method in patients with abnormal uterine bleeding. Materials and Methods: We retrospectively reviewed transvaginal ultrasonography (TVS) and HS for 105 patients whose diagnosis was confirmed pathologically. All 105 patients were initially evaluated on the same day with both TVS and HS. On TVS and HS examination, endometrial cavitary lesions were classified as diffuse hyperplasia, endometrial polyp, endometrial cancer, uterine synechia and submucosal leiomyoma. Hysteroscopy with biopsy (n=35), curettage (n=60) or hysterectomy (n=10) was performed, and the results of TVS and HS examination were correlated with the pathological findings. Results: The sensitivity and specificity were 79.0% and 45.8% for TVS, and 95.1% and 83.3% for HS, respectively. The positive and negative predictive values were 83.0% and 39.3% for TVS, and 95.1% and 83.3% for HS, respectively. Twenty-seven showed a discrepancy between the TVS and HS, and eight cases showed a discrepancy between HS and the pathologic diagnosis. Conclusion: TVS is a sensitive method to evaluate the endometrial cavitary lesions, but it often does not provide the physician with sufficient diagnostic information. With its higher sensitivities, specificities and positive and negative predictive values, HS can be better used than TVS in evaluating those patients with abnormal uterine bleeding.

Original languageEnglish
Pages (from-to)39-46
Number of pages8
JournalKorean journal of radiology
Volume5
Issue number1
DOIs
StatePublished - 2004 Jan 1

Fingerprint

Uterine Hemorrhage
Ultrasonography
Gynatresia
Endometrial Hyperplasia
Sensitivity and Specificity
Hysteroscopy
Curettage
Leiomyoma
Endometrial Neoplasms
Polyps
Hysterectomy
Physicians
Biopsy

Keywords

  • Abnormalities
  • Comparative studies
  • Endometrium
  • Transvaginal
  • Ultrasound
  • Uterus

Cite this

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title = "Comparison of transvaginal ultrasonography with hysterosonography as a screening method in patients with abnormal uterine bleeding",
abstract = "Objective: To assess the utility of hysterosonography (HS) as a screening method in patients with abnormal uterine bleeding. Materials and Methods: We retrospectively reviewed transvaginal ultrasonography (TVS) and HS for 105 patients whose diagnosis was confirmed pathologically. All 105 patients were initially evaluated on the same day with both TVS and HS. On TVS and HS examination, endometrial cavitary lesions were classified as diffuse hyperplasia, endometrial polyp, endometrial cancer, uterine synechia and submucosal leiomyoma. Hysteroscopy with biopsy (n=35), curettage (n=60) or hysterectomy (n=10) was performed, and the results of TVS and HS examination were correlated with the pathological findings. Results: The sensitivity and specificity were 79.0{\%} and 45.8{\%} for TVS, and 95.1{\%} and 83.3{\%} for HS, respectively. The positive and negative predictive values were 83.0{\%} and 39.3{\%} for TVS, and 95.1{\%} and 83.3{\%} for HS, respectively. Twenty-seven showed a discrepancy between the TVS and HS, and eight cases showed a discrepancy between HS and the pathologic diagnosis. Conclusion: TVS is a sensitive method to evaluate the endometrial cavitary lesions, but it often does not provide the physician with sufficient diagnostic information. With its higher sensitivities, specificities and positive and negative predictive values, HS can be better used than TVS in evaluating those patients with abnormal uterine bleeding.",
keywords = "Abnormalities, Comparative studies, Endometrium, Transvaginal, Ultrasound, Uterus",
author = "Ryu, {Jeong Ah} and Bohyun Kim and Jongmee Lee and Sooah Kim and Lee, {Sang Hoon}",
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Comparison of transvaginal ultrasonography with hysterosonography as a screening method in patients with abnormal uterine bleeding. / Ryu, Jeong Ah; Kim, Bohyun; Lee, Jongmee; Kim, Sooah; Lee, Sang Hoon.

In: Korean journal of radiology, Vol. 5, No. 1, 01.01.2004, p. 39-46.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Comparison of transvaginal ultrasonography with hysterosonography as a screening method in patients with abnormal uterine bleeding

AU - Ryu, Jeong Ah

AU - Kim, Bohyun

AU - Lee, Jongmee

AU - Kim, Sooah

AU - Lee, Sang Hoon

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Objective: To assess the utility of hysterosonography (HS) as a screening method in patients with abnormal uterine bleeding. Materials and Methods: We retrospectively reviewed transvaginal ultrasonography (TVS) and HS for 105 patients whose diagnosis was confirmed pathologically. All 105 patients were initially evaluated on the same day with both TVS and HS. On TVS and HS examination, endometrial cavitary lesions were classified as diffuse hyperplasia, endometrial polyp, endometrial cancer, uterine synechia and submucosal leiomyoma. Hysteroscopy with biopsy (n=35), curettage (n=60) or hysterectomy (n=10) was performed, and the results of TVS and HS examination were correlated with the pathological findings. Results: The sensitivity and specificity were 79.0% and 45.8% for TVS, and 95.1% and 83.3% for HS, respectively. The positive and negative predictive values were 83.0% and 39.3% for TVS, and 95.1% and 83.3% for HS, respectively. Twenty-seven showed a discrepancy between the TVS and HS, and eight cases showed a discrepancy between HS and the pathologic diagnosis. Conclusion: TVS is a sensitive method to evaluate the endometrial cavitary lesions, but it often does not provide the physician with sufficient diagnostic information. With its higher sensitivities, specificities and positive and negative predictive values, HS can be better used than TVS in evaluating those patients with abnormal uterine bleeding.

AB - Objective: To assess the utility of hysterosonography (HS) as a screening method in patients with abnormal uterine bleeding. Materials and Methods: We retrospectively reviewed transvaginal ultrasonography (TVS) and HS for 105 patients whose diagnosis was confirmed pathologically. All 105 patients were initially evaluated on the same day with both TVS and HS. On TVS and HS examination, endometrial cavitary lesions were classified as diffuse hyperplasia, endometrial polyp, endometrial cancer, uterine synechia and submucosal leiomyoma. Hysteroscopy with biopsy (n=35), curettage (n=60) or hysterectomy (n=10) was performed, and the results of TVS and HS examination were correlated with the pathological findings. Results: The sensitivity and specificity were 79.0% and 45.8% for TVS, and 95.1% and 83.3% for HS, respectively. The positive and negative predictive values were 83.0% and 39.3% for TVS, and 95.1% and 83.3% for HS, respectively. Twenty-seven showed a discrepancy between the TVS and HS, and eight cases showed a discrepancy between HS and the pathologic diagnosis. Conclusion: TVS is a sensitive method to evaluate the endometrial cavitary lesions, but it often does not provide the physician with sufficient diagnostic information. With its higher sensitivities, specificities and positive and negative predictive values, HS can be better used than TVS in evaluating those patients with abnormal uterine bleeding.

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KW - Comparative studies

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JO - Korean Journal of Radiology

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