Related Experiment Videos
Contrast sonography for uterine cavity assessment: a comparison of conventional two-dimensional with
1Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford Radcliffe Hospital, Headington, United Kingdom.
Objective:
To compare conventional two- (2-D) and three-dimensional (3-D) scanning of the uterine cavity with and without saline contrast medium.
Design:
Observational pilot study.
Setting:
University-based fertility service.
Patient(S):
Ten IVF patients requiring uterine cavity assessment.
Intervention(S):
Two-dimensional and 3-D transvaginal scans before and after injection of saline into the uterine cavity.
Main Outcome Measure(S):
Number and type of uterine cavity abnormalities detected by each technique.
Result(S):
The 2-D scanning suggested cavity abnormalities in 4 of 10 women (fibroids, 3; hyperechoeic thick endometrium, 1). The 3-D scanning confirmed these and revealed one additional abnormality suggestive of a uterine septum. The 2-D scanning with saline injection diagnosed abnormalities in 5 of 10 (uterine septum, 1; fibroids, 3; endometrial polyp, 1). The 3-D contrast scanning with saline did not add any further information to 2-D contrast scanning with saline.
Conclusion(S):
In this pilot study, 3-D scanning to assess the uterine cavity appeared to offer no advantages over conventional 2-D contrast sonography.