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 articlepeer-review

    10 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
    Publication statusPublished - 2004

    Keywords

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

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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