First-trimester uterine scar assessment by transvaginal ultrasound.

Abstract:

OBJECTIVE:The objective of the study was to describe the assessment of lower segment uterine scar (LSCS) by transvaginal ultrasound (TVUS) during a first-trimester scan. STUDY DESIGN:Patients with a history of LSCS were prospectively enrolled over a 6 month period. Four groups were defined: type 1A, thin scar within cervicoisthmic canal (CIC); type 1B, thin above the internal os (IO); type 2A, dehiscent within the CIC; type 2B, dehiscent above the IO. Accuracy of first-trimester TVUS was investigated by blind testing a panel of 14 operators over a web-based dataset. RESULTS:The scar was visualized in 122 of 123 patients enrolled. Types 1A, 1B, 2A, and 2B occurred in 49.2%, 3.3%, 38.3%, and 9.2%, respectively. When blind tested, fetal medicine specialists achieved a median sensitivity of 82% and specificity of 100% for the detection of a scar. These were 83% and 87% for nonspecialists. CONCLUSION:First-trimester uterine scar assessment may become a valuable tool in early recognition of patients at risk of subsequent perinatal complications.

journal_name

Am J Obstet Gynecol

authors

Stirnemann JJ,Chalouhi GE,Forner S,Saidji Y,Salomon LJ,Bernard JP,Ville Y

doi

10.1016/j.ajog.2011.06.104

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

551.e1-6

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)00899-4

journal_volume

205

pub_type

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