Accuracy of magnetic resonance imaging and transvaginal ultrasonography in the diagnosis, mapping, and measurement of uterine myomas

被引:222
作者
Dueholm, M [1 ]
Lundorf, E
Hansen, ES
Ledertoug, S
Olesen, F
机构
[1] Aarhus Univ Hosp, Dept Gynecol & Obstet, DK-8000 Aarhus, Denmark
[2] Aarhus Univ Hosp, Dept Magnet Resonance Imaging, DK-8000 Aarhus, Denmark
[3] Aarhus Univ Hosp, Dept Pathol, DK-8000 Aarhus, Denmark
[4] Aarhus Univ Hosp, Res Unit Gen Practice, DK-8000 Aarhus, Denmark
[5] Aarhus Univ, Dept Obstet & Gynecol, DK-8000 Aarhus, Denmark
[6] Aarhus Univ, Dept Magnet Resonance Imaging, DK-8000 Aarhus, Denmark
[7] Aarhus Univ, Dept Pathol, DK-8000 Aarhus, Denmark
[8] Aarhus Univ, Res Unit Gen Practice, DK-8000 Aarhus, Denmark
关键词
magnetic resonance imaging; transvaginal ultrasonography; uterus;
D O I
10.1067/mob.2002.121725
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of this study was to evaluate and compare the accuracy of magnetic resonance imaging and transvaginal ultrasonography in myoma diagnosis, mapping, and measurement. STUDY DESIGN: This was a double-blind study of 106 consecutive premenopausal women who underwent hysterectomy for benign reasons. Myomas (total, 257) were exactly mapped by magnetic resonance imaging and transvaginal ultrasonography; in each patient, we counted correctly identified myomas with pathologic position as true value. RESULTS: The presence of myomas was detected with the same high level of precision by both methods (magnetic resonance imaging: sensitivity, 0.99; specificity, 0.86; transvaginal ultrasonography: sensitivity, 0.99; specificity, 0.91). The mean number of correctly identified myomas was significantly higher by magnetic resonance imaging than by transvaginal ultrasonography (mean difference, 0.51 +/- 1.03; P < .001), a difference that narrowed to 0.08 +/- 0.76 (P = .60) in 26 patients with 1 to 4 myomas and uterine volumes <375 mL. Magnetic resonance imaging and transvaginal ultrasonography myoma diameter measurements had equal and high accuracies in patients with 1 to 4 myomas. CONCLUSION: Transvaginal ultrasonography is as efficient as magnetic resonance imaging in detecting myoma presence, but its capacity for exact myoma mapping falls short of that of magnetic resonance imaging, especially in large (>375 mL) multiple-myoma (>4) uteri.
引用
收藏
页码:409 / 415
页数:7
相关论文
共 26 条
[1]  
ANDOLF E, 1990, J ULTRAS MED, V9, P71
[2]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[3]   Quantitative MRI of uterine leiomyomas during triptorelin treatment: Reproducibility of volume assessment and predictability of treatment response [J].
Broekmans, FJ ;
Heitbrink, MA ;
Hompes, PGA ;
Schoute, E ;
Falke, T ;
Schoemaker, J .
MAGNETIC RESONANCE IMAGING, 1996, 14 (10) :1127-1135
[4]   Uterine fibroleiomyoma: MR imaging appearances before and after embolization of uterine arteries [J].
Burn, PR ;
McCall, JM ;
Chinn, RJ ;
Vashisht, A ;
Smith, JR ;
Healy, JC .
RADIOLOGY, 2000, 214 (03) :729-734
[5]   TRANSABDOMINAL SONOHYSTEROGRAPHY, TRANSVAGINAL SONOGRAPHY, AND HYSTEROSCOPY IN THE EVALUATION OF SUBMUCOUS MYOMAS [J].
CICINELLI, E ;
ROMANO, F ;
ANASTASIO, PS ;
BLASI, N ;
PARISI, C ;
GALANTINO, P .
OBSTETRICS AND GYNECOLOGY, 1995, 85 (01) :42-47
[6]   Role of vaginal sonography and hysterosonography in the endoscopic treatment of uterine myomas [J].
Cohen, LS ;
Valle, RF .
FERTILITY AND STERILITY, 2000, 73 (02) :197-204
[7]   TRANS-VAGINAL AND TRANS-ABDOMINAL SONOGRAPHY - PROSPECTIVE COMPARISON [J].
COLEMAN, BG ;
ARGER, PH ;
GRUMBACH, K ;
MENARD, MK ;
MINTZ, MC ;
ALLEN, KS ;
ARENSON, RL ;
LAMON, KA .
RADIOLOGY, 1988, 168 (03) :639-643
[8]   Imaging leiomyomas prior to endoscopic surgery: the role of magnetic resonance imaging [J].
Dover, RW ;
Powell, MC .
GYNAECOLOGICAL ENDOSCOPY, 1999, 8 (04) :197-203
[9]   UTERINE LEIOMYOMAS IN THE INFERTILE PATIENT - PREOPERATIVE LOCALIZATION WITH MR IMAGING VERSUS US AND HYSTEROSALPINGOGRAPHY [J].
DUDIAK, CM ;
TURNER, DA ;
PATEL, SK ;
ARCHIE, JT ;
SILVER, B ;
NORUSIS, M .
RADIOLOGY, 1988, 167 (03) :627-630
[10]   Reproducibility of evaluation of the uterus by transvaginal sonography, hysterosonographic examination, hysteroscopy and magnetic resonance imaging [J].
Dueholm, M ;
Lundorf, E ;
Sorensen, JS ;
Ledertoug, S ;
Olesen, F ;
Laursen, H .
HUMAN REPRODUCTION, 2002, 17 (01) :195-200