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Corresponding Author

Samar Darwish Abdeldaym

Document Type

Original Article

Abstract

Background: A major diagnostic problem for the sonographer interpreting physician is endometrial anomalies. Endometrium hemorrhage has several reasons: polyp, hyperplasia, carcinoma of endometrium, carcinoma of the cervical, and leiomyosarcoma of the uterine.

Aim: To assess the role of transabdominal, transvaginal, and Doppler mapping in the detection and characterization of pathologic endometrium.

Patients and methods: Thirty individuals participated in this prospective comparative research. The suspected endometrial pathology had been referred from the Gynecology Outpatient Clinic at Al-Azhar University Hospital to the Department of Radio Diagnosis after the exclusion of certain patient groups.

Results: The biopsy outcomes were statistically significantly connected to ultrasound results (p-value=0.000) with Substantial agreement as kappa co-efficient = 0.689 with 100 % sensitivity, 82.6 % specificity, and 87.7% accuracy within endometrial cancer patients. The mean of endometrial thickness (mm) in biopsy-negative patients was 4.44±1.23 lower than the mean in biopsy-positive patients, 19.64±2.95, which was statistically significant (p-value=0.000). The mean resistive index of the uterine artery in biopsy-negative patients was 0.69±0.10 higher than the mean in biopsy-positive patients, 0.42±0.03, which was statistically significant (p-value=0.000).

Conclusion: Histologic examination is the most efficient technique in the diagnosis of endometrial carcinoma. Also, both endometrial thickness and resistive index of the uterine artery have significant roles in the diagnosis of these tumors. When endometrial thickness and resistance index are considered, ultrasonography can become more sensitive for the direct diagnosis of endometrial pathology.

Keywords

Doppler Ultrasound; Endometrial Pathology; Transabdominal and Transvaginal Ultrasound

Subject Area

Radiology & Radiodiagnosis

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