Title: Transvaginal Ultrasound scan vs Saline Sonohysterogram in Evaluation of Uterine Intra-cavitary Lesions - Our Experience in India

Authors: Dr Suvarna Latha Penukonda, Dr Janani, Dr Bhawna, Dr Usha Rani, Dr Nidhi

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i3.88

Abstract

Objective: To assess the positive predictive value and accuracy of sonohysterogram, by performing retrospective analysis of sonohysterographic  findings correlated with hysteroscopic and biopsy findings, based on the data from  two of our local hospitals.

Materials and Methods: A total of 865 Saline sonohysterograms were performed, for a period of 3 years, from  1ST February 2013 to 30thNovember 2016 for those women, who showed abnormality on transvaginal Ultrasound. These results were correlated with hysteroscopic and biopsy findings.

Results and Conclusion: Saline sonohysterogram is highly accurate in evaluating the endometrial cavity. It is a simple outpatient procedure that shows the details of endometrial lesions thereby helps treatment planning and avoids unnecessary hysteroscopy and biopsy.

Keywords: Sonohysterography, Transvaginal Ultrasound, Hysteroscopy, Polyps, Endometrium.

References

1.      Sandra J. Allison, Mindy M Horrow,  Anna S Lev. Toaff et al Pearls and pitfalls in sonohysterography ,Ultrasound clinics, April 2010 Vol 5, issue 2, pages  195-207,

2.      Lucy E. Hann, Elissa M Gretz,  Ariadne M Bache et al, Sonohysterography for women in evaluation of the Endometrium in women treated with Tomoxifen, American journal of Roentgenology, January 2001, 177, 337-342

3.      Phyllis GlancMD,  Carre Betel MD, Anna Lev Toaff FACR, Sonohysterography Technique and clinical applications, Ultrasound clinics July 2008, Volume 3 Issue 3, page 427-449

4.      Hysterosalpingography and sonohystero-graphy Lessons in technique

5.      Anna S Lev-Toaff MD, MichealE  Toaff MD, Ji Bin Liu, MD et al, Value of sonohysterography in the diagnosis and management of abnormal uterine bleeding, Radiology 1996, 201 pages 179-184

6.      Chiou Li Ong,  Saline infusion sonohyste-rography, Ultrasound clinics volume 2, Isuue 1, page 121-132

7.      Kimberly Feigin MD; Ruth Rosenbaltt MD; Rosalyn Kutcher MD et al, Applied Radiology January 2000, Volume 29, Number 1

8.      Cullinan, J, Fleischer A, Kepple D et al: A sonohysterography: A technique for endometrial evaluation. Radiographics 152:501-504, 1995

9.      Patricia C, Davis, MD, Mary Jane O’Neil, MD, Isabel C. Yoder, MD et al, Sonographic findings of Endometrial and Subendometrial Conditions. Radiogra-phics: July 2002, volume 22,803-816.

10.  Johanna R. Jorizzo, MD, Gioria J. Riccio, MD, Michael Y. Chen, MD et al Sonohysterography: The next step in the Evaluation of the Abnormal Endometrium: Radiographics October 1999, 19, 117-130.

Corresponding Author

Dr Suvarna Latha Penukonda

Department of Diagnostic Imaging, Saveetha Medical Hospital

Thandalam Tamilnadu – 600077 India

Phone numbers: Residence: +91 94458 41295, Mobile: +91 75500 85295

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.