Does the Type of Intrauterine Device Affect Conspicuity on 2D and 3D Ultrasound?

被引:24
作者
Moschos, Elysia [1 ]
Twickler, Diane M. [1 ,2 ]
机构
[1] Univ Texas SW Med Ctr Dallas, Dept Obstet & Gynecol, Div Gynecol, Dallas, TX 75390 USA
[2] Univ Texas SW Med Ctr Dallas, Dept Radiol, Dallas, TX 75390 USA
关键词
2D ultrasound; 3D ultrasound; copper intrauterine device; intrauterine device; levonorgestrel-releasing intrauterine system; Mirena; 3-DIMENSIONAL ULTRASOUND; CONTRACEPTIVE-DEVICES; SONOGRAPHY;
D O I
10.2214/AJR.10.5483
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The objective of our study was to assess the conspicuity and position evaluation of intrauterine devices (IUDs) on 2D ultrasound and 3D ultrasound in nongravid patients. MATERIALS AND METHODS. Review of the ultrasound database for the period from July 2008 through June 2009 was performed for identification of patients with IUDs, of the type and position of the IUD, and of the patient's presenting symptoms. The conspicuity of the IUD on 2D sagittal and transverse planes and 3D coronal views was scored according to a 7-point scale. Data analysis was performed using the Student t test and the Pearson chi-square test. RESULTS. Of the 269 patients with IUDs who had undergone ultrasound during the study period, 180 patients had a copper IUD; 59, a levonorgestrel-releasing device; and three, a Lippes loop. Twenty-seven IUDs were excluded because they were not seen on ultrasound (n = 15) or the type of IUD was not identifiable (n = 12). Of the 239 IUDs identified, the conspicuity score for copper IUDs (mean score, 5.3 [SD, 1.4]) differed significantly from that for levonorgestrel-releasing IUDs (mean, 3.1 [1.0]) on 2D ultrasound (p < 0.001). The difference in the conspicuity score for copper IUDs (mean, 6.6 [0.95]) versus that for levonorgestrel-releasing devices (mean, 6.2 [0.92]) on 3D ultrasound was marginally significant (p = 0.05). One hundred seventy-six IUDs (74%) were properly positioned within the endometrial cavity and 60 (25%) were malpositioned; proper positioning of three IUDs (1%) could not be confirmed. The indications for sonographic evaluation were pain (111/239, 46%), missing strings (91/239, 38%), and bleeding (34/239, 14%). Of the patients who presented with bleeding, the IUD was malpositioned in 13 (38%). CONCLUSION. The levonorgestrel-releasing IUD is significantly less conspicuous than the copper IUD on 2D imaging. Three-dimensional ultrasound enhances the conspicuity of both types of IUD.
引用
收藏
页码:1439 / 1443
页数:5
相关论文
共 50 条
  • [41] 3D intra-operative ultrasound and MR image guidance: pursuing an ultrasound-based management of brainshift to enhance neuronavigation
    Marco Riva
    Christoph Hennersperger
    Fausto Milletari
    Amin Katouzian
    Federico Pessina
    Benjamin Gutierrez-Becker
    Antonella Castellano
    Nassir Navab
    Lorenzo Bello
    [J]. International Journal of Computer Assisted Radiology and Surgery, 2017, 12 : 1711 - 1725
  • [42] Comparison between different imaging techniques in the evaluation of malignant breast lesions: can 3D ultrasound be useful?
    Clauser, Paola
    Londero, Viviana
    Como, Giuseppe
    Girometti, Rossano
    Bazzocchi, Massimo
    Zuiani, Chiara
    [J]. RADIOLOGIA MEDICA, 2014, 119 (04): : 240 - 248
  • [43] Multiplanar 3D ultrasound imaging to assess the anatomy of the upper airway and measure the subglottic and tracheal diameters in adults
    Or, D. Y. L.
    Karmakar, M. K.
    Lam, G. C. S.
    Hui, J. W. Y.
    Li, J. W.
    Chen, P. P.
    [J]. BRITISH JOURNAL OF RADIOLOGY, 2013, 86 (1030)
  • [44] Intraoperative 3D contrast-enhanced ultrasound (CEUS): a prospective study of 50 patients with brain tumours
    Arlt, Felix
    Chalopin, Claire
    Muens, Andrea
    Meixensberger, Juergen
    Lindner, Dirk
    [J]. ACTA NEUROCHIRURGICA, 2016, 158 (04) : 685 - 694
  • [45] Intraoperative Ultrasound: Bridging the Gap between Laparoscopy and Surgical Precision during 3D Laparoscopic Partial Nephrectomies
    Mihai, Ionela
    Dura, Horatiu
    Teodoru, Cosmin Adrian
    Todor, Samuel Bogdan
    Ichim, Cristian
    Grigore, Nicolae
    Mohor, Cosmin Ioan
    Mihetiu, Alin
    Oprinca, George
    Bacalbasa, Nicolae
    Tanasescu, Denisa
    Bratu, Dan Georgian
    Boicean, Adrian
    Oros, Bogdan
    Hasegan, Adrian
    [J]. DIAGNOSTICS, 2024, 14 (09)
  • [46] 3D Breast Ultrasound: A Significant Predictor in Breast Cancer Reduction under Pre-operative Chemotherapy
    Warm, Mathias
    Duda, Volker
    Eichler, Christian
    Harbeck, Nadia
    Gossmann, Axel
    Thomas, Anke
    Hoopmann, Markus
    Ohlinger, Ralf
    Breidenbach, Martina
    Kates, Ronald E.
    [J]. ANTICANCER RESEARCH, 2011, 31 (11) : 4039 - 4042
  • [47] Directional Color Doppler Aids the 2D and 3D Prenatal Diagnosis of Cleft Lip and Palate With Antenatal Single-Shot Fast-Spin Echo Magnetic Resonance Imaging Confirmation
    Tonni, Gabriele
    Lituania, Mario
    [J]. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY, 2012, 28 (04) : 187 - 189
  • [48] Assessment of neonatal adrenal size using high resolution 2D ultrasound and its correlation with birth demographics and clinical outcomes
    Karsli, Tijen
    Strickland, Diana
    Livingston, Jeffrey
    Wu, Qiang
    Mhanna, Maroun J.
    Shekhawat, Prem S.
    [J]. JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2019, 32 (03) : 377 - 383
  • [49] 3D reconstruction of sub-millimeter vessels by means of ultrasound contrast enhanced spatial compounding: in-vitro analyses
    Hansen, Ch
    Huettebraeuker, N.
    Wilkening, W.
    Ashfaq, M.
    Ermert, H.
    [J]. INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY, 2007, 2 : S35 - S37
  • [50] Three-dimensional 3D ultrasound combined with power Doppler for the differential diagnosis of endometrial lesions among infertile women
    Ni, Jia
    Han, Bingbing
    Liang, Jiabin
    Wang, Fang
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2019, 145 (02) : 212 - 218