Comparison Of Imaging Modalities In Abnormal Uterine Bleeding : Correlation With Hysteroscopic guided Biopsy
Journal Title: International Journal of Medical and Health Sciences - Year 2016, Vol 5, Issue 2
Abstract
Introduction: Transvaginal ultrasound is conventionally used in patients with abnormal uterine bleeding but saline infusion sonography is a better technique to reliably distinguish focal from diffuse endometrial lesions. This study was performed to compare the ability of transvaginal ultrasonography and saline sonography as initial modality for the diagnosis of endometrial abnormalities in women with abnormal uterine bleeding. Materials and Methods: In a prospective study, 50 women with abnormal uterine bleeding were included, sequential examination was conducted by transvaginal ultrasound, and saline sonography. The presence of focal endometrial lesions and the type of lesion (thickened endometrium, polyp, submucous myoma, atrophic endometrium) were noted. Predictive values were calculated by correlating the results with final diagnosis reached by hysteroscopy and endometrial biopsy. Results: The saline sonography had 90% sensitivity and 100% specificity compared to 77% sensitivity and 85% specificity achieved by transvaginal sonogram. There was 91% agreement between saline sonography and hysteroscopy as compared to 69% for TVS (p = 0.000). The diagnostic performance of saline sonography for 3 main endometrial abnormalities (i.e. endometrial hyperplasia, polyps and submucous myoma) was better than transvaginal sonogram. The best results were seen in cases of submucous myoma where sensitivity and specificity of Transvaginal sonogram & saline sonography were100% respectively. Conclusion: Saline sonography is a better tool than transvaginal sonogram for the assessment of endometrial intra-cavity lesions. By providing accurate differentiation between focal and diffuse endometrial lesions, it can help in decision making regarding selection of cases for hysteroscopy and directed biopsy. Hence, saline sonography can be used as an initial investigation in cases of abnormal uterine bleeding.
Authors and Affiliations
Vasanthi V,Prabha Ganapathy, Indira N, Chinnappa Kokatnoor
Keywords
Related Articles
- EP ID EP39954
- DOI -
- Views 314
- Downloads 0
Running Speed and Agility according to Bruininks Oseretsky Test of Motor Proficiency, 2nd edition
Introduction: Evaluation of running speed and agility in school going children of age 5 to 15 years. Running speed and agility (RSA) is essential in children like other factors like strength, endurance and power. The pu...
CNS Vasculitis Following Hair Dye Poisoning- A Rare Case Report
Hair dye ingestion is one of the common causes of suicidal poisoning in young females. It contains mainly Paraphenylenediamine (PPD), which is very toxic, resulting in high mortality in the form of acute renal failure, m...
Squamous Cell Carcinoma Of Renal Pelvis- A Rare Case Report
The kidney is not an uncommon site for malignancy. In the majority of cases, renal cell carcinoma dominates lesion from renal cortex and transitional cell carcinoma from collecting duct system. Besides these neoplasms,...
Efficacy of Sildenafil therapy in Paediatrics & Neonates with Pulmonary Artery Hypertension– A study from a Tertiary Care University Hospital
Background: Sildenafil citrate is one of the predominant drugs for treatment of paediatric and neonatal pulmonary artery hypertension (PAH). But there is an uncertainty in the current treatment pattern of sildenafil in...
A study on bacteriology of burn wound, antibiotic sensitivity pattern and management
Background: Infection is an important cause of mortality in burn patients. The microorganism causing burn wound infection may differ from one hospital to another, therefore it is necessary to review the bacteriological...