Walid El-Sherbiny1, Ahmed S Nasr. 1. Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt. wssherbiny@yahoo.com
Abstract
STUDY OBJECTIVE: To compare the diagnostic value of 2-dimensional (2D) and 3-dimensional (3D) sonohysterography (SHG) and outpatient hysteroscopy (OH) in detecting intrauterine lesions in infertile women. DESIGN: Comparative, observational, cross-sectional study (Canadian Task Force Classification II-2). SETTING: University hospital. PATIENTS: One hundred eighty women with a normal uterine cavity at transvaginal ultrasound and hysterosalpingography (HSG) underwent infertility workup at our outpatient clinic. INTERVENTIONS: All patients underwent 2D-SHG, 3D-SHG, and OH. MEASUREMENTS AND MAIN RESULTS: Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 2D-SHG and 3D-SHG were compared with OH in detecting intrauterine lesions. For 2D-SHG, sensitivity was 0.70 (95% confidence interval [CI], 0.49-0.85), specificity was 1.0 (95% CI, 0.96-1.0), PPV was 1.0 (95% CI, 0.79-1.0), NPV was 0.95 (95% CI, 0.9-0.97), and accuracy was 95.5%. For 3D-SHG, sensitivity was 0.92 (95% CI, 0.74-0.98), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (05% CI, 0.83-1.0), NPV was 0.98 (95% CI, 0.95-0.99), and accuracy was 98.8%. For OH, sensitivity was 1.0 (95% CI, 0.85-1.0), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (95% CI, 0.84-1.0), NPV was 1.0 (0.97-1.0), and accuracy was 100%. Thus, 3D-SHG is comparable to OH in diagnosing intrauterine lesions (p = .23), and both are superior to 2D-SHG (p <0.001). CONCLUSION: The diagnostic value of 3D-SHG is comparable to OH in detecting intrauterine lesions, and both are superior to 2 D-SHG. 3D-SHG should be included in the infertility workup even in women with a normal uterine cavity at transvaginal ultrasound or hysterosalpingography. Copyright Â
STUDY OBJECTIVE: To compare the diagnostic value of 2-dimensional (2D) and 3-dimensional (3D) sonohysterography (SHG) and outpatient hysteroscopy (OH) in detecting intrauterine lesions in infertile women. DESIGN: Comparative, observational, cross-sectional study (Canadian Task Force Classification II-2). SETTING: University hospital. PATIENTS: One hundred eighty women with a normal uterine cavity at transvaginal ultrasound and hysterosalpingography (HSG) underwent infertility workup at our outpatient clinic. INTERVENTIONS: All patients underwent 2D-SHG, 3D-SHG, and OH. MEASUREMENTS AND MAIN RESULTS: Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 2D-SHG and 3D-SHG were compared with OH in detecting intrauterine lesions. For 2D-SHG, sensitivity was 0.70 (95% confidence interval [CI], 0.49-0.85), specificity was 1.0 (95% CI, 0.96-1.0), PPV was 1.0 (95% CI, 0.79-1.0), NPV was 0.95 (95% CI, 0.9-0.97), and accuracy was 95.5%. For 3D-SHG, sensitivity was 0.92 (95% CI, 0.74-0.98), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (05% CI, 0.83-1.0), NPV was 0.98 (95% CI, 0.95-0.99), and accuracy was 98.8%. For OH, sensitivity was 1.0 (95% CI, 0.85-1.0), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (95% CI, 0.84-1.0), NPV was 1.0 (0.97-1.0), and accuracy was 100%. Thus, 3D-SHG is comparable to OH in diagnosing intrauterine lesions (p = .23), and both are superior to 2D-SHG (p <0.001). CONCLUSION: The diagnostic value of 3D-SHG is comparable to OH in detecting intrauterine lesions, and both are superior to 2 D-SHG. 3D-SHG should be included in the infertility workup even in women with a normal uterine cavity at transvaginal ultrasound or hysterosalpingography. Copyright Â
Authors: Lotte L Nieuwenhuis; Frederik Jr Hermans; A J Marjolein Bij de Vaate; Mariska Mg Leeflang; Hans Am Brölmann; Wouter Jk Hehenkamp; Ben Willem J Mol; T Justin Clark; Judith Af Huirne Journal: Cochrane Database Syst Rev Date: 2017-05-05