Abstract:
BACKGROUND:Endometrial polyps are localized overgrowth of glands, stroma, and blood vessels and reported in 13% to 50% of women with dysfunctional uterine bleeding. Transvaginal ultrasound (TVUS) is the initial noninvasive modality of choice for the evaluation of endometrial polyps. The addition of intrauterine contrast by adding saline during saline infusion sonohysterography (SIS) has been reported to improve diagnostic accuracy in detecting of endometrial polyps. Given all the technical advances in ultrasound instrumentation and technology over the last 10 years, we wanted to revisit the diagnostic accuracy and associated confidence level of TVUS and SIS for detecting endometrial polyps. OBJECTIVE:The aims of this study was to determine the diagnostic accuracy of TVUS in detecting endometrial polyps in patients with abnormal uterine bleeding or infertility and to determine if SIS is necessary when the level of confidence that a polyp is present is high. MATERIALS AND METHODS:A total of 144 patients who underwent both TVUS and SIS for the evaluation of abnormal uterine bleeding and infertility were retrospectively identified and independently reviewed by 2 blinded readers. Examinations were graded as polyps absent, equivocal for polyps, and polyps definitely present. Interreader agreement for TVUS grade was assessed using Cohen kappa. Hysteroscopy and histopathology were used as the reference standard for the final diagnosis. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value were calculated, and confidence intervals (CIs) were computed. RESULTS:From the combined assessments of both readers (288 reads), 24.7% were definitively positive for polyps, 47.2% were negative, and 28.1% were equivocal by TVUS. Interreader agreement was good with a kappa of 0.66 (95% CI, 0.56-0.76). Among the 108 reads where hysteroscopy/histopathology results were available, even when diagnostic confidence for the presence of polyps was high, TVUS had a PPV of 65.2% (95% CI, 42.1%-88.9%). This PPV was significantly lower than the corresponding PPV of SIS of 88.5% (95% CI, 77.4-100.0%; P = 0.021 for the difference). CONCLUSION:Saline infusion sonohysterography has better diagnostic accuracy for the detection and exclusion of endometrial polyps than TVUS, even in cases where the diagnostic confidence for the presence of polyps is high. Saline infusion sonohysterography may still be needed to confirm a TVUS diagnosis for polyps to limit the number of negative hysteroscopies.
journal_name
Ultrasound Qjournal_title
Ultrasound quarterlyauthors
Fadl SA,Sabry AS,Hippe DS,Al-Obaidli A,Yousef RR,Dubinsky TJdoi
10.1097/RUQ.0000000000000384subject
Has Abstractpub_date
2018-12-01 00:00:00pages
272-277issue
4eissn
0894-8771issn
1536-0253journal_volume
34pub_type
杂志文章abstract::Drains are routinely used after thyroidectomy and lateral neck dissection. In rare cases, the drainage tube is broken and retained in the neck. It is difficult to identify the sonographic features of the remnant tube due to variable reasons. However, through comparative and phantom observations, we noticed the double-...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000331
更新日期:2018-06-01 00:00:00
abstract::This study aims to evaluate the value of ultrasonography in the diagnosis, treatment, and follow-up of primary thyroid lymphoma. The clinical data of 12 patients, who were pathologically confirmed with thyroid lymphoma and treated in our hospital, were retrospectively analyzed. Ultrasonography was performed on the thy...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000414
更新日期:2019-09-01 00:00:00
abstract::The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000099
更新日期:2014-12-01 00:00:00
abstract::Although there is an increasing use of more imaging modalities in breast imaging, the role of breast sonography has not diminished--in fact, the applications of sonography have increased with the improvement of high-frequency equipment. Compared with other breast imaging modalities, current sonographic equipment has e...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e31816b8cdf
更新日期:2008-03-01 00:00:00
abstract::The aim of this study was to study the bioeffects of diagnostic dynamic 3-dimensional ultrasound (4D) on ultrastructure of cerebral cells of fetal mice in late pregnancy. Thirty pregnant mice carrying 18th embryonic day fetuses were randomly allocated into 6 groups, namely, control group, sham-exposed group, 5 minute-...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000216
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:Color Doppler ultrasound (CDUS) is currently preferred to screen for renal artery stenosis (RAS); however, a wide range of sensitivities and specificities have been reported. We wanted to identify potential factors contributing to this wide range and to improve CDUS screening for RAS. We noted RAS was over...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3182817b57
更新日期:2013-03-01 00:00:00
abstract::The objective of this study was to describe the diagnostic value of positron emission tomography/computed tomography (PET/CT) and ultrasound (US) for identifying metastatic axillary disease in primary breast cancer. This is a retrospective review of 240 patients with treatment-naive unilateral primary breast cancer of...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000535
更新日期:2020-11-12 00:00:00
abstract:BACKGROUND:There have been very few small studies or case reports in the literature considering noninvasive postmortem imaging as supplement to autopsy, especially in fetuses with skeletal dysplasias. Apert syndrome accounts for 4.5% of all patients with craniosynostotic syndromes. It is classically characterized by th...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181fe7484
更新日期:2010-12-01 00:00:00
abstract::Ultrasound has become a widely used diagnostic imaging modality in medicine because of its safety and portability. Because of rapid advances in technology, in recent years, sonographic imaging quality has significantly increased. Despite these advances, the potential to encounter artifacts while imaging remains.This a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3182a80d34
更新日期:2014-06-01 00:00:00
abstract::Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare disorder characterized by aplasia or hypoplasia of the uterus and vagina due to arrest in the development of the müllerian ducts. Women with this syndrome have the normal 46 XX karyotype, normal female secondary sex characteristics, and primary amenorrhea. Only ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000284
更新日期:2017-09-01 00:00:00
abstract::Biliary cast syndrome (BCS) consists of mass-like hardened collections of inspissated bile and sloughed biliary mucosa filling the intrahepatic and/or extrahepatic bile ducts, which show an alternating pattern of dilatation and stricture. It is a rare but serious complication of liver transplantation frequently necess...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000196
更新日期:2016-09-01 00:00:00
abstract::This article describes the sonographic appearance of a variety of soft tissue masses. We review the current indications for performing musculoskeletal sonography as a screening and diagnostic tool in the clinical management of soft tissue masses. ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000191657.87569.08
更新日期:2005-12-01 00:00:00
abstract::Commercial central line vascular access trainers are available but have significant limitations including cost, size, and limited durability when used for the complete procedure. A unique central venous access trainer was constructed using silicone loaf pan, ballistic gel, copper pipe and aluminum rods as vessels cond...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000493
更新日期:2020-09-01 00:00:00
abstract::Carotid and vertebral artery spectral Doppler ultrasound waveforms can be affected by many types of local lesions, proximal cardiovascular disease, and devices, as well as distal cerebrovascular disease. Recognizing abnormal spectral Doppler ultrasound waveforms and their significance is important for proper managemen...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e31821c7f6a
更新日期:2011-06-01 00:00:00
abstract::Early and accurate prenatal diagnosis of intrauterine growth restriction is important. Commonly used biometric parameters have limited specificity and require accurate dating. Fetal abdominal wall thickness (AWT) could be a useful supplemental parameter. We performed a retrospective study of 100 third trimester ultras...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000310
更新日期:2017-09-01 00:00:00
abstract::Ultrasonography (US) is believed to be the most available method of detecting hepatic portal venous gas (HPVG) with real-time imaging capability. Hepatic portal venous gas has characteristic image appearances in various ultrasound modes such as bright mode, Doppler mode, and even motion (M) mode. In this article, we g...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000376
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:This study aimed to determine the ability of ultrasound to predict survival and detect more aggressive tumors in women with ovarian masses. MATERIALS AND METHODS:Institutional review board approval was obtained. A total of 167 patients who presented with adnexal mass/masses were included. These were documented...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000401
更新日期:2019-03-01 00:00:00
abstract::Fungal inflammatory pseudotumor (FIPT) of the liver is a rare disease that may be mistaken for a malignant tumor. It is difficult to diagnose because of its nonspecific clinical and imaging features. We report the case of a 46-year-old Asian man who presented with a mass in the right upper quadrant of the abdomen. The...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000285
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Pneumonia is one of the most frequent widespread and severe infectious diseases in pediatric patients worldwide. Pneumonia is characterized by high incidence and possibility of complications in the course of the disease in pediatric patients. For this reason, there is a need to have a rapid and safe diagnost...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,meta分析,评审
doi:10.1097/RUQ.0000000000000411
更新日期:2019-06-01 00:00:00
abstract::Breast adenomyoepithelioma is considered as an uncommon breast tumor. It is evaluated as a variant of intraductal papilloma. The treatment of choice is local resection with free margins. It is the first case of breast adenomyoepithelioma reported with conventional ultrasonography, elastography (both free-hand and acou...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000119
更新日期:2015-09-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000371
更新日期:2018-09-01 00:00:00
abstract::HDlive (high-definition live or real-time US), a new ultrasound software, combines a movable virtual adjustable light source in a software that calculates the proportion of light reflecting through surface structures, depending on light direction. The light source can be manually positioned to illuminate the desired a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e31829a582b
更新日期:2013-09-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/00013644-200106000-00003
更新日期:2001-06-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000280
更新日期:2017-12-01 00:00:00
abstract::Noninvasive characterization of focal liver lesions is largely based on their enhancement patterns on contrast-enhanced imaging. The use of microbubble contrast agents combined with specialized ultrasound (US) techniques has significantly expanded the role of US in the diagnosis of focal liver lesions based on their v...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:To determine pelvic ultrasound characteristics in women after radiofrequency endometrial ablation (EA) and evaluate the association of those characteristics with symptoms and the need for subsequent therapeutic intervention. METHODS:This retrospective cohort study evaluated patients who underwent transvagin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e318276653b
更新日期:2012-12-01 00:00:00
abstract::Intraoperative ultrasound provides spatial resolution of the pancreas superior to computed tomography, magnetic resonance imaging, and transabdominal sonography. This pictorial essay will review common benign and malignant pancreatic processes including the following: pancreatic ductal adenocarcinoma, pancreatitis, en...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181901ce4
更新日期:2009-03-01 00:00:00
abstract::Tethered spinal cord is associated with closed and open neural tube defects. With prenatal screening, spinal defects are consistently diagnosed during fetal life. We show that the conus medullaris can be seen well with prenatal ultrasound, and the diagnosis of tethered spinal cord can be made during fetal life. In thi...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181a32218
更新日期:2009-06-01 00:00:00
abstract::This article reviews salient features of pediatric gynecologic ultrasound. It reviews technologic factors, technique, and normal anatomy used to evaluate the pediatric gynecologic tract for abnormality. It reviews and illustrates clinical imaging information necessary to know in the ultrasonic analysis of several clin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/00013644-200409000-00007
更新日期:2004-09-01 00:00:00
abstract::The author provides some suggestions for those considering travel to developing countries to provide training in ultrasound at small medical facilities. Issues discussed will include planning before the trip, personal safety and health while there, as well as equipment and travel issues. ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000043
更新日期:2014-03-01 00:00:00