EP29.06: Accuracy of 3D ultrasound in the diagnosis of uterine pathology in patients with postmenopausal bleeding.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology(2016)

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Abstract
To evaluate diagnostic accuracy of 3D TVUS in detection of myometrial /endometrial abnormalities in comparison with uterine pathology in patients with PMB. 2D TVUS to measure endometrial thickness and to detect the presence of any endometrial and myometrial focal lesions. 3D TVUS to acquire multiplanner view of the uterine cavity and detect presence or absence of any cavitary or myometrial lesions.Power Doppler ultrasound to measure Resistance index (RI), Pulsatility index (PI) and Peak Systolic Velocity (PSV) of remarkable vessel. Endometrial Biopsies: Dilatation and Curettage, Hysterectomy Histopathological Assessment. The sensitivity and specificity of 3D TVUS as a diagnostic test for Fibroid were 94.11% & 93.6% respectively. The sensitivity & specificity of 3D TVUS in diagnosing Adenomyosis were 88.88% & 95.77% respectively. Regarding Velocimetric Parameters, the cut off values of RI=0.76,PI=1.26 &PSV=6.25 for Discriminating between Normal & Abnormal endometrium had sensitivity of 98.1%,73.6% & 75.5% respectively. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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Key words
postmenopausal bleeding,uterine pathology,ultrasound
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