A prospective comparative study of 3-D ultrasonography and hysteroscopy in detecting uterine lesions in premenopausal bleeding

Objective: to compare the accuracy of 3D ultrasound in identifying endometrial and intramyometrial lesions in comparison to hysteroscopy.
Settings: Kasr El-Aini Hospital.
Materials and methods: Three dimensional ultrasonography was done followed by hysteroscopy for all cases (number =70). Data obtained were compared and analyzed to estimate the accuracy of 3D ultrasound.
Results: Compared to hysteroscopy, 3DUS has a sensitivity of 63.2% specificity of 80.8% , positive predictive value of 54.6% and negative predictive value of 85.7% , accuracy of 76.1.
Conclusion: Three dimensional ultrasound can be used in diagnosing uterine focal lesions with results comparable to hysteroscopy. Further research is needed to show whether this increased diagnostic capability of 3D ultrasound could be the option of choice before surgery.

Keywords
Three-D ultrasound, hysteroscopy, uterine lesions, premenopausal bleeding.