Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis

Duygu Kara Bozkurt, Murat Bozkurt, Ahmet Said Cil, Ahmet Said Çil, Mert Ulaş Barut, Aynur Adeviye Ersahin, Aynur Erşahin, Eray Çalıskan, Eray Çalışkan
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2017 · vol. 37(7) , pp. 888–895 · doi:10.1080/01443615.2016.1256952 · PMID:28766365 · W2742025074
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This study found that combining transvaginal ultrasonography with Doppler indices significantly improved the diagnosis of adenomyosis, yielding higher sensitivity and specificity compared to ultrasonography alone.

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Abstract

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.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Endosonography Multimodal Imaging Ultrasonography, Doppler Adenomyosis Adult Endometrium Endometrium Endometrium Endosonography Female Humans Middle Aged Multimodal Imaging Predictive Value of Tests Sensitivity and Specificity Ultrasonography, Doppler Vagina Vagina

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.

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