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Contrast sonography for inconclusive findings on routine sonography
F Gücer1, M C Häusler, M G Arikan
1Department of Obstetrics and Gynecology, University of Graz, Austria.
Summary
Contrast sonography improves diagnosis of endometrial conditions like polyps and myomas. This quick, inexpensive procedure is well-accepted by patients, enhancing vaginal sonography accuracy.
Area of Science:
- Gynecology
- Diagnostic Imaging
Background:
- Endometrial abnormalities require accurate diagnosis.
- Vaginal sonography can be inconclusive for certain endometrial conditions.
Purpose of the Study:
- To evaluate the diagnostic value of contrast sonography for suspect endometria.
- To assess patient acceptance of contrast sonography.
Main Methods:
- A pilot study involving 20 women with sonographically suspect endometria.
- Saline solution was injected into the uterine cavity, followed by hysteroscopy or hysterectomy.
Main Results:
- Contrast sonography accurately diagnosed polyps, submucous myomas, and other endometrial changes.
- Diagnostic accuracy of contrast sonography correlated perfectly with hysteroscopy findings.
- The procedure demonstrated high patient acceptance.
Conclusions:
- Contrast sonography is a valuable, cost-effective tool for enhancing endometrial diagnosis.
- It is particularly useful for suspected polyps or submucous myomas when initial sonography is inconclusive.