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Comparison of ultrasound with hysteroscopic and histological findings for intrauterine assessment

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dc.title Comparison of ultrasound with hysteroscopic and histological findings for intrauterine assessment en
dc.contributor.author Režňák, Lukáš
dc.contributor.author Kudela, Milan
dc.relation.ispartof Biomedical Papers
dc.identifier.issn 1213-8118 Scopus Sources, Sherpa/RoMEO, JCR
dc.date.issued 2018
utb.relation.volume 162
utb.relation.issue 3
dc.citation.spage 239
dc.citation.epage 242
dc.type article
dc.language.iso en
dc.publisher Univerzita Palackého v Olomouci
dc.identifier.doi 10.5507/bp.2018.010
dc.relation.uri http://biomed.papers.upol.cz/artkey/bio-201803-0012_comparison_of_ultrasound_with_hysteroscopic_and_histological_findings_for_intrauterine_assessment.php
dc.subject hysteroscopy en
dc.subject ultrasound en
dc.subject histology en
dc.subject comparison en
dc.description.abstract Introduction. Hysteroscopy with biopsy is a common diagnostic and therapeutic method in gynaecology. Its use is preceded by ultrasound examination. The success rate of predicting intrauterine findings based on ultrasound has not been assessed in the Czech Republic for a long time. In the meantime, there have been technological improvements in ultrasound devices. Method. Patients indicated for hysteroscopy underwent ultrasound examination and their medical history was recorded. The percentage agreement between ultrasound and histopathological findings was assessed. The secondary goal was to find an easier way of describing ultrasound findings in gynaecological practice. Results. The study comprised 255 patients. In 15 cases, endometrial carcinoma was confirmed by hysteroscopy and histopathological examination. Of these, malignancies were suspected based on previous ultrasound scans in 11 patients. In 95 cases, intrauterine polyps were detected. The success rate for predicting polyps by ultrasound examination was 65.1%. The agreement between ultrasound and hysteroscopic/histopathological findings was 72%. The secondary goal of making the description of the uterine cavity easier was not fulfilled. The prediction percentages for the criteria were low. The incidence of pathological findings in ultrasound findings labelled as anechogenic was 4.8%, suggesting a high negative predictive value. Conclusion. In spite of the better resolution of new ultrasound devices, their predictive value remains limited. Findings that are suspicious in ultrasound should be confirmed by hysteroscopy with biopsy. © 2018, PALACKY UNIV. All rights reserved. en
utb.faculty Faculty of Humanities
dc.identifier.uri http://hdl.handle.net/10563/1008225
utb.identifier.obdid 43879572
utb.identifier.scopus 2-s2.0-85053718927
utb.identifier.wok 000445913000012
utb.identifier.pubmed 29581594
utb.source j-scopus
dc.date.accessioned 2018-10-18T10:31:46Z
dc.date.available 2018-10-18T10:31:46Z
dc.rights Attribution 3.0 Unported
dc.rights.uri https://creativecommons.org/licenses/by/3.0/
dc.rights.access openAccess
utb.contributor.internalauthor Kudela, Milan
utb.fulltext.affiliation Lukas Reznak a, Milan Kudela b,c a Department of Gynaecology and Obstetrics, Vitkovicka Nemocnice Hospital, Ostrava, Czech Republic b Department of Gynaecology and Obstetrics, University Hospital, Olomouc, Czech Republic c Department of Health Care Sciences, Faculty of Humanities, Tomas Bata University, Zlin, Czech Republic Corresponding author: Lukas Reznak, e-mail: Reznak2@seznam.cz
utb.fulltext.dates Received: August 20, 2017 Accepted: March 19, 2018 Available online: March 27, 2018
utb.scopus.affiliation Department of Gynaecology and Obstetrics, Vitkovicka Nemocnice Hospital, Ostrava, Czech Republic; Department of Gynaecology and Obstetrics, University Hospital, Olomouc, Czech Republic; Department of Health Care Sciences, Faculty of Humanities, Tomas Bata University, Zlin, Czech Republic
utb.fulltext.faculty Faculty of Humanities
utb.fulltext.ou Department of Health Care Sciences
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