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Volume 6, Issue 4 (7-2008)
IJRM 2008, 6(4): 109-0 |
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Zvâncă M, Vlădăreanu R, Kurjak A, Al Bahar A J. Conventional versus 3D ultrasound for the investigation of infertile women. IJRM 2008; 6 (4) :109-0
URL: http://ijrm.ir/article-1-118-en.html
URL: http://ijrm.ir/article-1-118-en.html
1- Obstetrics and Gynecology Department, Elias University Hospital, Bucharest, Romania
2- Obstetrics and Gynecology Department, Elias University Hospital, Bucharest, Romania ,vladareanu@gmail.com
3- Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
4- Department of Health and Medical Services, Al Wasl Hospital, Dubai, UAE
2- Obstetrics and Gynecology Department, Elias University Hospital, Bucharest, Romania ,
3- Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
4- Department of Health and Medical Services, Al Wasl Hospital, Dubai, UAE
Abstract: (2452 Views)
Background: With the technical development, ultrasound tends to overpass its limits and to become the main investigation tool even for situations when it was traditionally considered second best. It is more convenient both for patient and doctor, less expensive and has real diagnostic value.
Objective: The present paper, and its graphic back-up, are intended as a visual testimony of the fact that the newer three dimensional (3D) ultrasound technique is much more than a simple generator of nice, commercial, images. Moreover, its use may be extended from obstetrics to gynecological pathology, especially in cases related to infertility.
Materials and Methods: We performed a review of the main local infertility causes and their perception by the 3D ultrasound, as compared to the conventional methods. General literature citations were completed with personal cases and images. In our research, we used a Kretz Voluson Expert 730 ultrasound machine with a full logistic equipment. Our database was completed over a period of 18 months and included various pathology, such as uterine anomalies, fibroids, polyps, ovarian cysts and many others.
Results: Three dimensional ultrasound represents the best tool in evaluating the uterine cavity, the endometrium, assessing its volume and vascularity pattern. It also offers a very good image of the uterine structure, the adnexal morphology and their relationship. It performs a thorough pelvic assessment by a single examination. Moreover, it may realize a histerosalpingography, which is as efficient as the radiological method, but easier and with fewer side effects.
Conclusion: Even though it is technically more difficult and time consuming, a good practice and high quality ultrasound equipment offer a series of benefits over any other kind of investigation.
Objective: The present paper, and its graphic back-up, are intended as a visual testimony of the fact that the newer three dimensional (3D) ultrasound technique is much more than a simple generator of nice, commercial, images. Moreover, its use may be extended from obstetrics to gynecological pathology, especially in cases related to infertility.
Materials and Methods: We performed a review of the main local infertility causes and their perception by the 3D ultrasound, as compared to the conventional methods. General literature citations were completed with personal cases and images. In our research, we used a Kretz Voluson Expert 730 ultrasound machine with a full logistic equipment. Our database was completed over a period of 18 months and included various pathology, such as uterine anomalies, fibroids, polyps, ovarian cysts and many others.
Results: Three dimensional ultrasound represents the best tool in evaluating the uterine cavity, the endometrium, assessing its volume and vascularity pattern. It also offers a very good image of the uterine structure, the adnexal morphology and their relationship. It performs a thorough pelvic assessment by a single examination. Moreover, it may realize a histerosalpingography, which is as efficient as the radiological method, but easier and with fewer side effects.
Conclusion: Even though it is technically more difficult and time consuming, a good practice and high quality ultrasound equipment offer a series of benefits over any other kind of investigation.
Type of Study: Original Article |
References
1. Donal B, Fenster A, Williams JC. Clinical utility of three-dimensional Ultrasound. Radiographics 2000; 20:559-571. [DOI:10.1148/radiographics.20.2.g00mc19559]
2. Hill ML. Infertility and reproductive assistance. In: Neiberg DA, Hill LM, Bohm-Velez M, Mendelson EB (Eds). Transvaginal Ultrasound, St. Louis, Mosby Year Book 1992.
3. Soares SR, Barbosa dos Reis MM, Camargos AF. Diagnostic accuracy of sonohysterography, transvaginal sonography, and hysterosalpingography in patients with uterine cavity diseases. Fertil Steril 2000; 73:406-410. [DOI:10.1016/S0015-0282(99)00532-4]
4. Salle B, Gaucherand P, de Saint Hilaire P, Rudigoz RC. Transvaginal sonohysterographic evaluation of intrauterine adhesions. J Clin Ultrasound 1999; 27:131-135.
https://doi.org/10.1002/(SICI)1097-0096(199903/04)27:3<131::AID-JCU5>3.0.CO;2-3 [DOI:10.1002/(SICI)1097-0096(199903/04)27:33.0.CO;2-3]
5. de Kroon CD, Jansen FW, Louwé LA, Dieben SW, van Houwelingen HC, Trimbos JB. Technology assessment of saline contrast hysterosonography. Am J Obstet Gynecol 2003; 188: 945-950. [DOI:10.1067/mob.2003.264]
6. Oliveira FG, Abdelmassih VG, Diamond MP, Dozortsev D, Melo NR, Abdelmassih R. Impact of subserosal and intramural uterine fibroids that do not distort the endometrial cavity on the outcome of in vitro fertilization-intracytoplasmic sperm injection. Fertil Steril 2004; 81:582. [DOI:10.1016/j.fertnstert.2003.08.034]
7. Kurjak A, Kupesic-Urek S, Miric D. The assessment of benign uterine tumor vascularization by transvaginal color Doppler. Ultrasound Med Biol 1992; 18: 645-649. [DOI:10.1016/0301-5629(92)90079-P]
8. Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update 2001; 7:161-166. [DOI:10.1093/humupd/7.2.161]
9. Acien P. Incidence of Mullerian defects in fertile and infertile women. Hum Reprod 1997; 12:1372-1375. [DOI:10.1093/oxfordjournals.humrep.a019588]
10. Salim Day. US evaluation of uterine anomalies, In: Jaffe, Person & Abramowicz. Imaging in infertility and reproductive endocrinology. Eds: Lippincott Williams & Wilkins, 1994.
11. Heinonen PK. Complete septate uterus with longitudinal vaginal septum. Fertil Steril 2006; 85:700-703. [DOI:10.1016/j.fertnstert.2005.08.039]
12. Troiano RN, McCarthy SM. Mullerian duct anomalies: imaging and clinical issues. Radiology 2004; 233:19-23 [DOI:10.1148/radiol.2331020777]
13. Stassart JP, Nagel TC, Prem KA, Phipps WR. Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: the University of Minnesota experience. Fertil Steril 1992; 57:756-761. [DOI:10.1016/S0015-0282(16)54955-3]
14. Kurjak A, Kupesic-Urek S, Schulman H, Zalud I. Transvaginal color flow Doppler in the assessment of ovarian and uterine blood flow in infertile women. Fertil Steril 1991; 56:870-874. [DOI:10.1016/S0015-0282(16)54657-3]
15. Bourne, TH, Hagstrom HG, Hahlin, M, Ultrasound Josefsson B, Granberg S, Collins WP. Studies of vascular and morphological changes in the human corpus luteum during the menstrual cycle. Fertil Steril 1996; 65:753-759. [DOI:10.1016/S0015-0282(16)58209-0]
16. Hill ML. Infertility and reproductive assistance. In: Neiberg DA, Hill LM, Bohm-Velez M, Mendelson EB (Eds). Transvaginal Ultrasound, St. Louis, Mosby Year Book 1992.
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