Welcome Editorial Advances in Gynaecological Ultrasound
Journal Title: JBR Journal of Clinical Diagnosis and Research - Year 2017, Vol 5, Issue 1
Abstract
It gives me great pleasure to welcome our readers to an exciting issue of JBR Journal of Clinical Diagnosis and Research to start the New Year. The related articles on Advances in Gynecological Ultrasound will include screening and diagnosis of mullerian congenital anomalies, screening and diagnosis of uterine cancer, menopause and ultrasound in infertility. Many debates surrounded the most appropriate approach of mullerian anomalies diagnosis. In congenital uterine anomalies 3D ultrasound is critical in reaching the correct diagnosis, by means of assessing the coronal plane of the uterus. Canalization defects reduce fertility and increase rates of miscarriage and preterm delivery. Unification defects seem to preserve fertility, but some are associated with miscarriage and preterm delivery. Arcuate uteri seem associated with second-trimester miscarriage. All uterine anomalies increase the chance of fetal malpresentation at delivery [1]. However, before the routine use of 3D scanning for uterine anomalies can be recommended, research should be dedicated to reproducibility of the diagnosis of uterine abnormalities, to the reproductive risk associated with an incidental diagnosis of congenital uterine anomaly, and to the true prevalence in general population, not known yet. 3D transvaginal ultrasound represents a new dawn for those of us who, in practicing gynaecological ultrasound, have become reliant on invasive procedures, like hysterosalpingography, laparoscopy and hysteroscopy, all underperforming if compared to ultrasound. Very few studies published so far have included a formal assessment of diagnostic reproducibility. There is no agreement on the criteria to diagnose different types of anomalies in 3D. The need to address this issue is clearly illustrated by the large variation in the prevalence of uterine anomalies between different studies using three-dimensional ultrasound.
Authors and Affiliations
Tudorache S
Keywords
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- EP ID EP358996
- DOI 10.4172/2376-0311.1000e107
- Views 40
- Downloads 0
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