Diagnostic accuracy of three-dimensional sonohysterography compared with office hysteroscopy and its interrater/intrarater agreement in uterine cavity.

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Diagnostic accuracy of three-dimensional sonohysterography compared with office hysteroscopy and its interrater/intrarater agreement in uterine cavity assessment after hysteroscopic metroplasty Artur Ludwin, M.D., Ph.D., Inga Ludwin, M.D., Ph.D., Marek Kudla, M.D., Ph.D., Kazimierz Pitynski, M.D., Ph.D., Tomasz Banas, M.D., Ph.D., M.P.H., Robert Jach, M.D., Ph.D., Anna Knafel, M.D., Ph.D. Fertility and Sterility Volume 101, Issue 5, Pages 1392-1399.e4 (May 2014) DOI: 10.1016/j.fertnstert.2014.01.039 Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Various uterine cavity shapes observed after hysteroscopic metroplasty. (A, B) Coronal views. (C) Multiplanar view. A-1, B-1, and C-1 show normal shape with fundal notch <1 cm and absence of intrauterine adhesions; A-2, B-2, and C-2 show abnormal results on uterine cavity assessment with abnormal shape (arcuate or septate) or fundal notch ≥1 cm or intrauterine adhesions noted on three-dimensional sonohysterography). Fertility and Sterility 2014 101, 1392-1399.e4DOI: (10.1016/j.fertnstert.2014.01.039) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Standards for the Reporting of Diagnostic Accuracy Studies flow diagram for uterine cavity assessment after hysteroscopic metroplasty diagnosed with the use of three-dimensional sonohysterography (3D-SIS). An abnormal result represents abnormal uterine cavity shape and/or current size of fundal notch ≥1 cm and/or the presence of intrauterine adhesions on 3D-SIS, further classified based on the presence or absence of the target condition on pathologic examination in second-look hysteroscopy. Fertility and Sterility 2014 101, 1392-1399.e4DOI: (10.1016/j.fertnstert.2014.01.039) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Three-dimensional sonohysterography (coronal view and HDlive rendering) for diagnosis of septate uterus. Depth of fundal indentation in the outer uterine surface was (A) 0 or (B) < 1 cm (22, 23), and the division of the uterine cavity covered a segment >1.5 cm (23, 26). Fertility and Sterility 2014 101, 1392-1399.e4DOI: (10.1016/j.fertnstert.2014.01.039) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 2 Three-dimensional sonohysterography (coronal view and HDlive surface rendering) after hysteroscopic metroplasty. (A–H) Normal uterine cavity shape and fundal notch <1 cm; (I–L) abnormal uterine shape or fundal notch ≥1 cm. Fertility and Sterility 2014 101, 1392-1399.e4DOI: (10.1016/j.fertnstert.2014.01.039) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 3 Intrauterine adhesion (*) and subnormal uterine cavity shape with fundal notch <1 cm after hysteroscopic metroplasty in three-dimensional sonohysterography. (A–C) multiplanar view and (D) coronal view with HDlive surface rendering. Fertility and Sterility 2014 101, 1392-1399.e4DOI: (10.1016/j.fertnstert.2014.01.039) Copyright © 2014 American Society for Reproductive Medicine Terms and Conditions