To Evaluate the Accuracy of Saline Infusion Sonohysterography (SIS) for Evaluation of Uterine Cavity Abnormalities in Patients with Abnormal Uterine Bleeding
- First Online:
- 92 Downloads
To evaluate the accuracy of transvaginal sonography (TVS) and saline infusion sonohysterography (SIS) for detection of uterine cavity abnormalities in patients with abnormal uterine bleeding (AUB) taking hysteroscopy as the gold standard.
This was a prospective study done in the department of Obstetrics and Gynecology of a tertiary care academic hospital. Sixty premenopausal and postmenopausal women who presented with AUB underwent TVS, SIS, and hysteroscopy. The presence of focal abnormality and the type of abnormality, i.e., polyp, submucous myoma, and endometrial hyperplasia, were noted. The results of TVS and SIS were compared with hysteroscopy.
On hysteroscopy, 76.67 % (n = 46) patients were diagnosed with intra cavity abnormalities. SIS showed sensitivity, specificity, PPV, and NPV of 89.1, 100, 100, and 73.7 %, respectively. In comparison, TVS showed sensitivity, specificity, PPV, and NPV of 43.48, 78.57, 86.96, and 29.73 %, respectively.
SIS was found to be more sensitive and specific than TVS in detection of intra cavity abnormalities.
KeywordsSIS Hysteroscopy AUB TVS Endometrial polyps
- 2.Emanuel MH, Verdel MJC, Wamsteker K, et al. An audit of true prevalence of intrauterine pathology: the hysteroscopical findings controlled for patient selection in 1202 patients with abnormal uterine bleeding. Gynaecol Endosc. 1995;4:237–41.Google Scholar
- 3.Debra L, Berridge, Thomas C Winter. Saline infusion sonohysterography technique, indications, and imaging findings. J Ultrasound Med. 2004;23:97–112.Google Scholar
- 14.Tamura-Sadamori R, Emoto M, Naganuma Y, et al. The sonographic difference in sub mucosal uterine fibroids and endometrial polyps treated by hysteroscopic surgery. J Ultrasound Med. 1994;13:623–8.Google Scholar
- 15.Mohammad Ali Karimzadeh, Firouzabadi RD, Goharzad F. Diagnostic value of saline contrast sonohysterography comparing with hysteroscopy for detecting endometrial abnormalities in women with abnormal bleeding. Iranian J Reprod Med. 2010;9:122–99.Google Scholar