Sonohysterography: The Utility of Diagnostic Criteria Sets

Mousumi Bhaduri, Mahmoud A. Khalifa, Mahmoud Khalifa, George Tomlinson, Phyllis Glanc
AJR. American journal of roentgenology · 2011 · vol. 198(1) , pp. W83–W88 · doi:10.2214/ajr.10.6316 · PMID:22194520 · W2114145920
article OA: bronze CC0 ⤵ 2 in-corpus citations
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Applying standardized diagnostic criteria to sonohysterography interpretations by a less experienced reader improved diagnostic accuracy compared to initial interpretations.

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Abstract

OBJECTIVE: The objective of our study was to determine whether applying specific diagnostic criteria to the interpretation of sonohysterography would improve the diagnostic accuracy of the interpretation. MATERIALS AND METHODS: This retrospective study included 200 consecutive patients who underwent both sonohysterography and a procedure that resulted in a positive pathologic diagnosis. The initial interpretation (reader 1) was performed at the time of the examination. Subsequently, a reviewer with limited expertise (reader 2) interpreted the sonohysterograms masked to both the original medical imaging report and the final pathologic diagnosis. Reader 2 used a set of standardized diagnostic criteria to aid in arriving at one of the following diagnoses: normal, endometrial polyp, endometrial hyperplasia, endometrial carcinoma, submucosal fibroid, adenomyosis, adhesions, or clots. These results were compared with the initial diagnostic report (reader 1) and the final pathologic findings. RESULTS: Overall agreement with pathology findings was 76.7% for reader 1 and 84.9% for reader 2. Comparison of the readers' interpretations using the pathologic diagnosis as the reference standard showed that reader 2's interpretations, which were established using the diagnostic criteria set, were uniformly better than those of reader 2. CONCLUSION: The application of standardized diagnostic criteria may enhance the diagnostic accuracy of sonohysterography.

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Condition tags

adenomyosis

MeSH descriptors

Uterine Diseases Adult Aged Aged, 80 and over Biopsy Curettage Diagnosis, Differential Female Humans Middle Aged Retrospective Studies Ultrasonography Uterine Diseases Uterine Diseases

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