Comparison of MR Hysterography and Sonohysterography in Women with Abnormal Uterine Bleeding: An Interventional Study
Introduction: Abnormal Uterine Bleeding (AUB) is very common and major public health issue. AUB along with its sub-group often affects 14.25% women of reproductive age and have major impact on their physical, social, emotional and material quality of life. It not only has direct impact on the wo...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14870/46357_CE[Ra1]_F[SK]_PF1(SC_RK)_PFA(SC_KM)_PN(KM).pdf |
| Summary: | Introduction: Abnormal Uterine Bleeding (AUB) is very common
and major public health issue. AUB along with its sub-group
often affects 14.25% women of reproductive age and have major
impact on their physical, social, emotional and material quality of
life. It not only has direct impact on the woman and her family,
but also on both economy and health services.
Aim: To compare Magnetic Resonance (MR) hysterography and
Sonohysterography (SSHG) for detection of uterine pathologies
in women with AUB.
Materials and Methods: An interventional cross-sectional study
was conducted over a period from July 2019 to July 2020, among
30 patients with severe AUB. SSHG and MR hysterography were
used to assess endometrial pathology, and endometrial pathology
was assessed by both the diagnostic modality and considering
histopathology as gold standard. We calculate sensitivity,
specificity, positive predictive value and negative predictive value
for both the diagnostic modalities.
Results: Very good agreement was noted in case of the cervical
carcinoma whilst fibroid and endometrial hyperplasia showed
good and fair agreement respectively by both the diagnostic
modality. Sensitivity of fibroid and cervical carcinoma was
100%, polyp was 33.33%, and endometrial hyperplasia was
87.50%. Whereas specificity of fibroid was 91.67%, endometrial
hyperplasia was 86.30% and cervical carcinoma was 100%.
Polyp and submucosal fibroid both showed 96.30% specificity.
For pathology like cervical carcinoma, endometrial hyperplasia,
fibroid had very high agreement with kappa value 1, 0.684
and 0.814 respectively, whereas agreement for two tests for
pathology like submucous fibroid, dual pathology was less.
Conclusion: MR Hysterography and Sonohysterography were
having almost equal sensitivity and specificity for abnormal
uterine bleeding and can be used as per patient preference,
patient discomfort, and availability of investigation. |
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| ISSN: | 2249-782X 0973-709X |