Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis. (3rd October 2017)

• Record Type: Journal Article
• Authors: Kara Bozkurt, Duygu; Bozkurt, Murat; Cil, Ahmet Said; Barut, Mert Ulaş; Ersahin, Aynur Adeviye; Çalıskan, Eray
• Is Part Of: Journal of obstetrics and gynaecology. Volume 37:Number 7(2017)
• Page Start: 888
• Page End: 895
• Publication Date: 2017-10-03
• Subjects: Doppler indices -- adenomyosis -- transvaginal sonography; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.1080/01443615.2016.1256952
• Languages: English
• ISSNs: 0144-3615

Abstract

Abstract: This study was planned to investigate whether measuring of Doppler indices with TV-DUS improved the diagnosis of adenomyosis. Preoperative Doppler indices of subjects with a preliminary diagnosis of adenomyosis were compared with the histopathological results of excised specimens. Sensitivity, specificity and positive/negative predictive values (PPV, NPV) of the measured indices were also calculated. Sensitivity, specificity, PPV and NPV and positive and negative likelihood ratios (LR+) and (LR−) of TV-US in the diagnosis of adenomyosis were found to be 70.8%, 62.1%, 40.4%, 85.4%, 1.96 and 0.47, respectively. Sensitivity, specificity, PPV, NPV, LR + and LR − in the diagnosis of adenomyosis following the addition of TV-DUS were found to be 90%, 94.2%, 81.8%, 97%, 15.5 and 0.10, respectively. Concomitant use of TV-US and TV-DUS improved correct diagnosis of adenomyosis with high sensitivity.