Contrast sonography for uterine cavity assessment: a comparison of conventional two-dimensional with three-dimensional transvaginal ultrasound; a pilot study.

Abstract:

OBJECTIVE:To compare conventional two- (2-D) and three-dimensional (3-D) scanning of the uterine cavity with and without saline contrast medium. DESIGN:Observational pilot study. SETTING:University-based fertility service. PATIENT(S):Ten IVF patients requiring uterine cavity assessment. INTERVENTION(S):Two-dimensional and 3-D transvaginal scans before and after injection of saline into the uterine cavity. MAIN OUTCOME MEASURE(S):Number and type of uterine cavity abnormalities detected by each technique. RESULT(S):The 2-D scanning suggested cavity abnormalities in 4 of 10 women (fibroids, 3; hyperechoeic thick endometrium, 1). The 3-D scanning confirmed these and revealed one additional abnormality suggestive of a uterine septum. The 2-D scanning with saline injection diagnosed abnormalities in 5 of 10 (uterine septum, 1; fibroids, 3; endometrial polyp, 1). The 3-D contrast scanning with saline did not add any further information to 2-D contrast scanning with saline. CONCLUSION(S):In this pilot study, 3-D scanning to assess the uterine cavity appeared to offer no advantages over conventional 2-D contrast sonography.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ayida G,Kennedy S,Barlow D,Chamberlain P

doi

10.1016/s0015-0282(16)58651-8

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

848-50

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)58651-8

journal_volume

66

pub_type

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