Diagnostic Accuracy of Transvaginal Sonography in Adenomyosis Taking Histo- pathology as Gold Standard in Infertile Women

Iram Iqbal, Shahzad Saeed, Uzma Sarwar, Ameenah Khan, Sana Rehman, Yasir Qavi
In: Esculapio · 2023 · vol. 20(1) , pp. 21–24 · doi:10.51273/esc24.25132015 · W4395700511
article OA: gold CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-07, 2026-07-03 ⓘ

Transvaginal sonography demonstrated 90.16% overall accuracy, with 90.74% sensitivity and 87.10% specificity, in diagnosing adenomyosis among infertile women compared to histopathology.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-07, 2026-07-03 · read from full text ⓘ

This study evaluated the diagnostic accuracy of transvaginal sonography (TVS) for adenomyosis using histopathology as the gold standard in 193 infertile women with suspected adenomyosis. Participants underwent TVS and subsequent surgical interventions including dilatation and curettage, with histopathological diagnosis used to compare results. Histopathology confirmed adenomyosis in 162 women (83.9%), while TVS identified adenomyosis in 151 (78.2%); TVS showed sensitivity 90.74%, specificity 87.10%, positive predictive value 97.35%, negative predictive value 64.29%, and overall accuracy 90.16%. This paper is centrally about adenomyosis—transvaginal sonography’s diagnostic performance against histopathology in infertile women.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Objective: To assess the accuracy of transvaginal sonography in the detection of adenomyosis, with histopathological examination serving as the gold standard, among a population of women struggling with infertility. Material and Methods: In this study, a group of 193 women with infertility & suspected adenomyosis was included. Each subject was examined using transvaginal ultrasound, followed by surgical interventions such as dilatation and curettage, accompanied by detailed follow-up assessments. The effectiveness of transvaginal sonography in identifying adenomyosis was evaluated by comparing it to the histopathological diagnosis. Results: Histopathological analysis confirmed adenomyosis in 162 (83.9%) of the 193 patients, whereas transvaginal sonography identified 151 (78.2%). The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of transvaginal sonography in diagnosing adenomyosis were calculated to be 90.74%, 87.10%, 97.35%, 64.29%, and 90.16%, respectively. Conclusion: Transvaginal sonography demonstrates considerable sensitivity and specificity in diagnosing adenomyosis, obviating the necessity for supplementary diagnostic investigations.
Full text 1,665 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Objective

To assess the accuracy of transvaginal sonography in the detection of adenomyosis, with histopathological examination serving as the gold standard, among a population of women struggling with infertility.

Material and methods

In this study, a group of 193 women with infertility & suspected adenomyosis was included. Each subject was examined using transvaginal ultrasound, followed by surgical interventions such as dilatation and curettage, accompanied by detailed follow-up assessments. The effectiveness of transvaginal sonography in identifying adenomyosis was evaluated by comparing it to the histopathological diagnosis.

Results

Histopathological analysis confirmed adenomyosis in 162 (83.9%) of the 193 patients, whereas transvaginal sonography identified 151 (78.2%). The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of transvaginal sonography in diagnosing adenomyosis were calculated to be 90.74%, 87.10%, 97.35%, 64.29%, and 90.16%, respectively.

Conclusion

Transvaginal sonography demonstrates considerable sensitivity and specificity in diagnosing adenomyosis, obviating the necessity for supplementary diagnostic investigations. Downloads Published How to Cite Issue Section License Copyright (c) 2024 Esculapio Journal of SIMS This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosisinfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (100)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK