Accuracy of Transvaginal Ultrasound in the Diagnosis of Intrauterine Lesions
| Autor: | Selmo Geber, Fernanda Silveira Machado, Junia Franco, Adriana Elisa de Miranda Murta Pereira |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Hysteroscopy Sensitivity and Specificity Kappa index transvaginal ultrasound Endometrium Polyps Obstetrics and gynaecology Pregnancy Endometrial Polyp Medicine Humans lesões intrauterinas Aged Ultrasonography Uterine Diseases hysteroscopy medicine.diagnostic_test acurácia accuracy Leiomyoma business.industry ultrassomtransvaginal Obstetrics and Gynecology intrauterine lesions Gold standard (test) Gynecology and obstetrics Middle Aged Transvaginal ultrasound Endometrial thickening Uterine Neoplasms RG1-991 histeroscopia Female Radiology business Kappa |
| Zdroj: | Revista Brasileira de Ginecologia e Obstetrícia v.43 n.7 2021 Revista brasileira de ginecologia e obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) instacron:FEBRASGO Revista Brasileira de Ginecologia e Obstetrícia, Volume: 43, Issue: 7, Pages: 530-534, Published: 18 OCT 2021 Revista Brasileira de Ginecologia e Obstetrícia, Vol 43, Iss 7, Pp 530-534 (2021) |
| ISSN: | 1806-9339 |
| Popis: | Objective To evaluate the accuracy of transvaginal ultrasound in the diagnosis of intrauterine lesions, using hysteroscopy as the gold standard. Methods This was a prospective observational study with 307 patients. All patients underwent hysteroscopy after a previous transvaginal ultrasound to compare the results. The hysteroscopy was performed by experienced examiners, and transvaginal ultrasounds were performed in various public and private services, which is reflective of routine healthcare practices in obstetrics and gynecology. The sensitivity, specificity, and accuracy of the transvaginal ultrasound were calculated using hysteroscopy as the gold standard. The level of agreement between the two exams was calculated using the Kappa test. Results Themean age was 56.55±12.3 years. For endometrial polyps, we observed a sensitivity of 39.8%, specificity of 72.7%, accuracy of 52.8%, and Kappa index of 0.11 (p=0.025). For fibroids, the sensitivity was 46.7%, specificity was 95.0%, accuracy was 87.9%, and Kappa index was 0.46 (p |
| Databáze: | OpenAIRE |
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