Transvaginal ultrasound assessment of myometrial and cervical stroma invasion in women with endometrial cancer -interobserver reproducibility among ultrasound experts and gynaecologists

Autor: Eriksson, LS, Lindqvist, PG, Flöter Rådestad, A, Dueholm, Margit, Fischerova, D, Franchi, D
Jazyk: angličtina
Rok vydání: 2014
Zdroj: Jokubkiene L, Leone FP, Savelli L, Sladkevicius P, Testa AC, Van den Bosch T, Ameye L, Epstein E. 2014, ' Transvaginal ultrasound assessment of myometrial and cervical stroma invasion in women with endometrial cancer-interobserver reproducibility among ultrasound experts and gynaecologists. ', Ultrasound in Obstetrics & Gynecology .
Popis: OBJECTIVES: To assess interobserver reproducibility among ultrasound experts and gynaecologists in the prediction of deep myometrial- and cervical stroma invasion by transvaginal ultrasound in women with endometrial cancer. METHODS: Video-clips of the corpus- and cervix uteri of 53 women with endometrial cancer, examined preoperatively by the same ultrasound expert, were integrated in a digitalized survey. Nine ultrasound experts and 9 gynaecologists evaluated presence or absence of deep myometrial- and cervical stroma invasion. Histopathology from hysterectomy specimen was used as gold standard. RESULTS: As compared to gynaecologists, ultrasound experts showed higher sensitivity, specificity and agreement to pathology in the assessment of cervical stroma invasion (42%, 95% CI 31-53 % vs. 57%, 95% CI 45-68%, p
Databáze: OpenAIRE