• J Obstet Gynaecol · Oct 2017

    Concomitant use of transvaginal sonography and Doppler indices improve diagnosis of adenomyosis.

    • Duygu Kara Bozkurt, Murat Bozkurt, Ahmet Said Cil, Mert Ulaş Barut, Aynur Adeviye Ersahin, and Eray Çalıskan.
    • a Department of Radiology , Kafkas University School of Medicine , Kars , Turkey.
    • J Obstet Gynaecol. 2017 Oct 1; 37 (7): 888-895.

    AbstractThis 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.

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