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3D Modeling of a Myometrially Embedded Intrauterine Device.
Richard Hsu1, Jacquelyn Stephens1, Christopher Kliethermes1
1Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI (all authors).
Journal of Minimally Invasive Gynecology
|February 17, 2026
Summary
This study presents a new method to create 3D models of deeply embedded intrauterine devices (IUDs) from standard ultrasounds. These 3D models improve surgical planning and patient understanding of IUD removal.
Area of Science:
- Medical Imaging
- Surgical Planning
- 3D Modeling
Background:
- Intrauterine device (IUD) use is increasing globally.
- Malpositioned and deeply embedded IUDs pose challenges for removal.
- Standard imaging modalities may require adjunctive tools for complex cases.
Purpose of the Study:
- To describe a novel technique for visualizing deeply embedded intrauterine devices (IUDs) using 3D models.
- To demonstrate the utility of these models in perioperative planning and patient counseling.
- To assess the feasibility of generating 3D models from standard 2D ultrasound data.
Main Methods:
- A patient with a deeply embedded levonorgestrel IUD underwent transvaginal ultrasound.
- Longitudinal ultrasound images were used to construct a volumetric dataset.
- 3D modeling software segmented the uterus and IUD for spatial analysis and visualization.
Main Results:
- A patient-specific 3D model of the deeply embedded IUD was successfully generated from 2D ultrasound data.
- The 3D model provided precise spatial analysis of the IUD's depth and orientation.
- The model facilitated structured patient counseling and surgical planning.
Conclusions:
- Reconstructing patient-specific 3D models from existing 2D ultrasound data is technically feasible.
- This 2D-derived 3D modeling can serve as a valuable adjunct for visualizing deeply embedded IUDs.
- Further studies are needed to evaluate the reproducibility and clinical impact of this technique.

