Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis
Background: The septate uterus is the most common congenital uterine anomaly, and hysteroscopy is the gold standard for diagnosing it. The goal of this meta-analysis is to perform a pooled analysis of the diagnostic performance of two-dimensional transvaginal ultrasonography, two-dimensional transva...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | info:eu-repo/semantics/review |
| Language: | English |
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2023
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| Online Access: | https://hdl.handle.net/10171/66053 |
| _version_ | 1793399934311989248 |
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| author | Alcazar, J.L. (Juan Luis) Carriles-Rivero, I. (Isabel María) Cajas, M.B. (María Belén) Fabra, S. (Sofia) Cabrero, M. (María) Castro, E. (Elena) Tomaizeh, A. (Aida) Laza, M.V. (María Victoria) Monroy, A. (Alba) Martínez, I. (Irene) Aguilar, M.I. (María Isabel) Hernani, E. (Elena) Castellet, C. (Cristina) Oliva, A. (Agustín) Pascual, M.A. (Maria Angela) Guerriero, S. (Stefano) |
| author_facet | Alcazar, J.L. (Juan Luis) Carriles-Rivero, I. (Isabel María) Cajas, M.B. (María Belén) Fabra, S. (Sofia) Cabrero, M. (María) Castro, E. (Elena) Tomaizeh, A. (Aida) Laza, M.V. (María Victoria) Monroy, A. (Alba) Martínez, I. (Irene) Aguilar, M.I. (María Isabel) Hernani, E. (Elena) Castellet, C. (Cristina) Oliva, A. (Agustín) Pascual, M.A. (Maria Angela) Guerriero, S. (Stefano) |
| author_sort | Alcazar, J.L. (Juan Luis) |
| collection | DSpace |
| description | Background: The septate uterus is the most common congenital uterine anomaly, and hysteroscopy is the gold standard for diagnosing it. The goal of this meta-analysis is to perform a pooled analysis of the diagnostic performance of two-dimensional transvaginal ultrasonography, two-dimensional transvaginal sonohysterography, three-dimensional transvaginal ultrasound, and three-dimensional transvaginal sonohysterography for the diagnosis of the septate uterus. Methods: Studies published between 1990 and 2022 were searched in PubMed, Scopus, and Web of Science. From 897 citations, we selected eighteen studies to include in this meta-analysis. Results: The mean prevalence of uterine septum in this meta-analysis was 27.8%. Pooled sensitivity and specificity were 83% and 99% for two-dimensional transvaginal ultrasonography (ten studies), 94% and 100% for two-dimensional transvaginal sonohysterography (eight studies), and 98% and 100% for three-dimensional transvaginal ultrasound (seven articles), respectively. The diagnostic accuracy of three-dimensional transvaginal sonohysterography was only described in two studies, and we did not calculate the pooled sensitivity and specificity for this method. Conclusion: Three-dimensional transvaginal ultrasound has the best performance capacity for the diagnosis of the septate uterus. |
| format | info:eu-repo/semantics/review |
| id | oai:dadun.unav.edu:10171-66053 |
| institution | Universidad de Navarra |
| language | English |
| publishDate | 2023 |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-660532023-06-05T05:10:19Z Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis Alcazar, J.L. (Juan Luis) Carriles-Rivero, I. (Isabel María) Cajas, M.B. (María Belén) Fabra, S. (Sofia) Cabrero, M. (María) Castro, E. (Elena) Tomaizeh, A. (Aida) Laza, M.V. (María Victoria) Monroy, A. (Alba) Martínez, I. (Irene) Aguilar, M.I. (María Isabel) Hernani, E. (Elena) Castellet, C. (Cristina) Oliva, A. (Agustín) Pascual, M.A. (Maria Angela) Guerriero, S. (Stefano) Ultrasound Sonohysterography Septate uterus Mullerian anomalies Mullerian duct anomalies Female genital-tract Congenital uterine anomalies Transvaginal sonography Cavity assessment Infertile women Eshre-esge Accuracy Classification Background: The septate uterus is the most common congenital uterine anomaly, and hysteroscopy is the gold standard for diagnosing it. The goal of this meta-analysis is to perform a pooled analysis of the diagnostic performance of two-dimensional transvaginal ultrasonography, two-dimensional transvaginal sonohysterography, three-dimensional transvaginal ultrasound, and three-dimensional transvaginal sonohysterography for the diagnosis of the septate uterus. Methods: Studies published between 1990 and 2022 were searched in PubMed, Scopus, and Web of Science. From 897 citations, we selected eighteen studies to include in this meta-analysis. Results: The mean prevalence of uterine septum in this meta-analysis was 27.8%. Pooled sensitivity and specificity were 83% and 99% for two-dimensional transvaginal ultrasonography (ten studies), 94% and 100% for two-dimensional transvaginal sonohysterography (eight studies), and 98% and 100% for three-dimensional transvaginal ultrasound (seven articles), respectively. The diagnostic accuracy of three-dimensional transvaginal sonohysterography was only described in two studies, and we did not calculate the pooled sensitivity and specificity for this method. Conclusion: Three-dimensional transvaginal ultrasound has the best performance capacity for the diagnosis of the septate uterus. 2023-04-20T12:28:49Z 2023-04-20T12:28:49Z 2023 info:eu-repo/semantics/review https://hdl.handle.net/10171/66053 en https://pubmed.ncbi.nlm.nih.gov/36832295/ info:eu-repo/semantics/openAccess application/pdf |
| spellingShingle | Ultrasound Sonohysterography Septate uterus Mullerian anomalies Mullerian duct anomalies Female genital-tract Congenital uterine anomalies Transvaginal sonography Cavity assessment Infertile women Eshre-esge Accuracy Classification Alcazar, J.L. (Juan Luis) Carriles-Rivero, I. (Isabel María) Cajas, M.B. (María Belén) Fabra, S. (Sofia) Cabrero, M. (María) Castro, E. (Elena) Tomaizeh, A. (Aida) Laza, M.V. (María Victoria) Monroy, A. (Alba) Martínez, I. (Irene) Aguilar, M.I. (María Isabel) Hernani, E. (Elena) Castellet, C. (Cristina) Oliva, A. (Agustín) Pascual, M.A. (Maria Angela) Guerriero, S. (Stefano) Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title | Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title_full | Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title_fullStr | Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title_full_unstemmed | Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title_short | Diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| title_sort | diagnostic performance of two-dimensional ultrasound, two-dimensional sonohysterography and three-dimensional ultrasound in the diagnosis of septate uterus-a systematic review and meta-analysis |
| topic | Ultrasound Sonohysterography Septate uterus Mullerian anomalies Mullerian duct anomalies Female genital-tract Congenital uterine anomalies Transvaginal sonography Cavity assessment Infertile women Eshre-esge Accuracy Classification |
| url | https://hdl.handle.net/10171/66053 |
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