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Ultrasound 3-D imaging correlates with hysteroscopy. ('Feasible and Fast').

OB GYN News

| January 01, 2003 | Boschert, Sherry | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW YORK--Three-dimensional ultrasound results correlated well with hysteroscopy findings and provided more diagnostic information than was obtained through two-dimensional ultrasound in a prospective study of 28 gynecologic patients.

"Three-dimensional ultrasound is feasible and fast. It's well tolerated by patients and is noninvasive. There is very good correlation between 3-D ultrasound and hysteroscopy," and 3-D ultrasound provides additional information compared with 2-D ultrasound, Dr. Andreas Lee said at the 12th World Congress on Ultrasound in Obstetrics and Gynecology.

Traditional two-dimensional transvaginal ultrasound was performed by referring physicians, who sent patients to Dr. Lee and his associates for hysteroscopy. Most patients were referred because of abnormal bleeding or infertility; others were referred because of recurrent miscarriage or findings such as a suspected malformation of the uterus. Most patients were premenopausal or perimenopausal.

Dr. Lee and an associate performed the 3-D ultrasound scans and were blinded to results from the 2-D scans. Patients then underwent outpatient diagnostic hysteroscopy under local anesthesia. In the 28 patients, 7 had 3-D ultrasound findings discordant with 2-D scan results, usually because malformations or polyps that were suspected on 2-D ultrasound were excluded by 3-D results, said Dr. Lee, professor of ob.gyn. at the University of Vienna.

In four patients, results from 2-D and 3-D ultrasound were identical but additional information was ...

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