Colour Doppler Enhances The Accuracy of Transvaginal Ultrasound For Diagnosing Adenomyosis
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 6
Abstract
Adenomyosis is a benign disorder affecting women during reproductive years[1]. It is a distressing condition for the women and often presents as dysmenorrhea and menorrhagia. Most of these women are not relieved with medical management and ultimately get permanent relief by hysterectomy only. Objective- Role of addition of colour Doppler to transvaginal ultrasound in diagnosing adenomyosis compared to transvaginal ultrasound alone. Method: In this prospective observational study, 30 women with complaints of abnormal uterine bleeding and/ or dysmenorrhea were screened for a clinical diagnosis of adenomyosis. After making a clinical diagnosis, sonographic examination was performed by transvaginal ultrasound and doppler, iU22 Philips ultrasound and Doppler machine with probe of 3-9 MHz. Following these investigations patients were taken up for hysterectomy as planned and the uterus was sent for histopathological examination. Histopathology was taken as gold standard of diagnosis. Descriptive statistics were analyzed with SPSS version 17.0 software. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated to analyze the diagnostic accuracy of Transvaginal Ultrasound alone and transvaginal ultrasound with Doppler in diagnosis and correlated with findings of Histopathology. RESULT: Transvaginal ultrasound alone had a sensitivity of 75% and specificity of 100%. Whereas when doppler is added to this the sensitivity is increased to 100% and specificity is almost the same as with TVS alone (92.8%). The accuracy of the test also increased from 86.7% to 96.7%. Conclusion: the addition of colour doppler to examine the vascular pattern while conducting transvaginal scan, can improve the accuracy of diagnosis and also help prognosticate and manage the patients with adenomyosis.
Authors and Affiliations
Shriya Attri
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