Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis
| Autor: | Duygu Kara Bozkurt, Eray Çalışkan, Mert Ulaş Barut, Aynur Erşahin, Murat Bozkurt, Ahmet Said Çil |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Multimodal Imaging Sensitivity and Specificity Endosonography Endometrium 03 medical and health sciences symbols.namesake 0302 clinical medicine Predictive Value of Tests Transvaginal sonography medicine Humans Adenomyosis 030212 general & internal medicine 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Ultrasonography Doppler Middle Aged medicine.disease Predictive value Preliminary diagnosis Concomitant Vagina symbols Female Radiology business Doppler effect |
| Zdroj: | Journal of Obstetrics and Gynaecology. 37:888-895 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443615.2016.1256952 |
| Popis: | This study was planned to investigate whether measuring of Doppler indices with TV-DUS improved the diagnosis of adenomyosis. Preoperative Doppler indices of subjects with a preliminary diagnosis of adenomyosis were compared with the histopathological results of excised specimens. Sensitivity, specificity and positive/negative predictive values (PPV, NPV) of the measured indices were also calculated. Sensitivity, specificity, PPV and NPV and positive and negative likelihood ratios (LR+) and (LR−) of TV-US in the diagnosis of adenomyosis were found to be 70.8%, 62.1%, 40.4%, 85.4%, 1.96 and 0.47, respectively. Sensitivity, specificity, PPV, NPV, LR + and LR − in the diagnosis of adenomyosis following the addition of TV-DUS were found to be 90%, 94.2%, 81.8%, 97%, 15.5 and 0.10, respectively. Concomitant use of TV-US and TV-DUS improved correct diagnosis of adenomyosis with high sensitivity. |
| Databáze: | OpenAIRE |
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