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Related Concept Videos

Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
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A Novel Use of Three-dimensional High-frequency Ultrasonography for Early Pregnancy Characterization in the Mouse
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Classification of Uterine Anomalies by 3-Dimensional Ultrasonography Using ESHRE/ESGE Criteria: Interobserver

C Bermejo1, P Martínez-Ten1, L Ruíz-López2

  • 11 Delta Ecografía, Centro de Diagnóstico por la Imagen en Obstetricia, Ginecología y Mama, Madrid, Spain.

Reproductive Sciences (Thousand Oaks, Calif.)
|August 30, 2017
PubMed
Summary

Transvaginal 3D ultrasound demonstrates good interobserver repeatability for classifying uterine malformations (UM) using ESHRE/ESGE criteria. This imaging technique reliably assesses uterine anomalies, aiding in accurate diagnosis and classification.

Keywords:
classificationinterobserver variabilitythree-dimensional imagingultrasonographyuterine anomalies

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Area of Science:

  • Reproductive Medicine
  • Medical Imaging
  • Gynecology

Background:

  • Uterine malformations (UM) are congenital anomalies affecting female reproductive health.
  • Accurate classification of UM is crucial for diagnosis and treatment planning.
  • The ESHRE/ESGE consensus provides standardized criteria for UM classification.

Purpose of the Study:

  • To evaluate the interobserver repeatability of coronal view measurements and classification of uterine malformations (UM).
  • To assess the reliability of transvaginal three-dimensional ultrasound (3D-US) in conjunction with ESHRE/ESGE criteria.
  • To determine the reproducibility of measurements and classifications made by expert operators.

Main Methods:

  • 89 transvaginal 3D-US volumes were analyzed post-hoc by two blinded expert operators.
  • Measurements included uterine wall thickness, cavity indentation, and fundal indentation.
  • Classification and sub-classification followed ESHRE/ESGE recommendations.
  • Interobserver reproducibility was assessed using intraclass correlation coefficients (ICC) and kappa statistics (k).

Main Results:

  • High interobserver repeatability was found for measurements: ICC for uterine wall thickness (0.93), cavity indentation (0.93), and fundal indentation (0.93).
  • Good agreement was observed for overall UM classification (k=0.73).
  • Specific sub-classifications also showed substantial agreement: U2 (k=0.56), U3 (k=0.69), and perfect agreement for U4 (k=1.00).

Conclusions:

  • Transvaginal 3D-US provides a reliable method for assessing and classifying uterine malformations.
  • The ESHRE/ESGE criteria can be effectively applied using 3D-US with good interobserver repeatability.
  • This technique demonstrates strong potential for consistent diagnosis of uterine anomalies.