Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions
FAHD A. AL OMDA, M.D., A., A. MOUSTAFA, M.D., A. (2022). Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions. EKB Journal Management System, 90(12), 1971-1976. doi: 10.21608/mjcu.2022.286917
AHMED ALI M. ALI, M.Sc.; FAHD A. AL OMDA, M.D.; ABDELMONSEF A. MOUSTAFA, M.D.. "Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions". EKB Journal Management System, 90, 12, 2022, 1971-1976. doi: 10.21608/mjcu.2022.286917
FAHD A. AL OMDA, M.D., A., A. MOUSTAFA, M.D., A. (2022). 'Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions', EKB Journal Management System, 90(12), pp. 1971-1976. doi: 10.21608/mjcu.2022.286917
FAHD A. AL OMDA, M.D., A., A. MOUSTAFA, M.D., A. Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions. EKB Journal Management System, 2022; 90(12): 1971-1976. doi: 10.21608/mjcu.2022.286917

Accuracy of Three-Dimensional Saline Infusion Sono-Hysterography Versus Diagnostic Hysteroscopy in Diagnosis of Uterine Cavity Lesions

The Medical Journal of Cairo University
Volume 90, Issue 12, December 2022, Page 1971-1976  XML PDF (201.71 K)
Document Type: Original Article
DOI: 10.21608/mjcu.2022.286917
View on SCiNiTO View on SCiNiTO
Authors
AHMED ALI M. ALI, M.Sc.; FAHD A. AL OMDA, M.D.; ABDELMONSEF A. MOUSTAFA, M.D.
The Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University
Abstract
Abstract Background: Endometrial carcinoma & benign entities like normal proliferative transformation, hyperplasia, & polyps can all lead to abnormal uterine cavity. Addition of three-dimensional (3D) sonohysterography to conventional sono-hysterography improves accuracy of endometrial pathology diagnosis. Three-Dimensional Saline Infusion Sono-Hysterography (3D SIS) assess uterine contour, adhesions, & focal pathologies with confidence. Aim of Study: To compare between accuracy of three-dimensional saline infusion sono-hysterography versus diag-nostic hysteroscopy in diagnosis of uterine cavity lesions. Patients and Methods: This was a prospective cohort research, conducted at Al-Hussein Hospital of Al-Azhar University on a total of 60 cases with uterine cavity lesions from March 2021 till March 2022. Results: 3D SIS was significant in detecting uterine cavity abnormality with sensitivity of 92.5% and specificity of 95% while PPV was 97% and NPV was 86% with accuracy of 93.3 %. Conclusion: Saline infusion sonohysterography in three dimensions is safe alternative to hysteroscopy. In diagnosis of uterine cavity lesions, it is comparable to hysteroscopy, & it may be used as primary technique for assessing uterine cavity when intracavitary lesions are suspected. Hysteroscopy is still gold standard for evaluating uterine cavity.
Keywords
3D sonohysterography; Fibroid; Hysteroscopy; Polyps
Statistics
Article View: 91
PDF Download: 133