Comparative study between three-dimensional transvaginal ultrasound and hysteroscopy in evaluating uterine abnormalities among infertile women
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20260874Keywords:
Hysteroscopy, Three-dimensional transvaginal ultrasound, Diagnostic accuracy, Infertility, Uterine cavity abnormalitiesAbstract
Background: Objectives were to assess the diagnostic accuracy of three-dimensional transvaginal ultrasound (3D TVUS) compared to hysteroscopy in detecting uterine cavity abnormalities in infertile women.
Methods: This prospective study included 67 infertile women who underwent both 3D TVUS and hysteroscopy. The findings from both modalities were compared to evaluate their concordance and diagnostic performance.
Results: Of the 67 patients, 29 (43.3%) exhibited a normal uterine cavity on both 3D TVUS and hysteroscopy. Among the 38 patients with uterine abnormalities, the distribution was as follows: polypoidal endometrium: 3 patients, submucosal fibroids: 9 patients, endometrial polyps: 15 patients, uterine septum: 6 patients, intrauterine adhesions: 3 patients and endometrial hyperplasia: 2 patients. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 3D TVUS for detecting uterine abnormalities were calculated, with hysteroscopy serving as the gold standard.
Conclusions: 3D TVUS demonstrated high diagnostic accuracy in detecting uterine cavity abnormalities and showed substantial agreement with hysteroscopy findings. Given its non-invasive nature, 3D TVUS can be considered a reliable initial screening tool for evaluating uterine abnormalities in infertile women.
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