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Chapter 2 - Evaluation of Uterine Fibroids Using Two-Dimensional and Three-Dimensional Ultrasonography

Published online by Cambridge University Press:  10 October 2020

By
Sotirios H. Saravelos
Edited by
Mostafa Metwally  and
Tin-Chiu Li
Mostafa Metwally
Affiliation:
University of Sheffield
Tin-Chiu Li
Affiliation:
The Chinese University of Hong Kong
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Summary

Uterine fibroids are perhaps the commonest benign tumours a gynaecologist will encounter, with an estimated lifetime prevalence of approximately 30%; however, approximately three-quarters of cases are thought to be asymptomatic [1]. Given that the majority of fibroids are asymptomatic, they are likely to be encountered for the first time within the context of infertility investigations, assuming that couples will undergo a baseline screening which will invariably include an ultrasound scan of the female pelvis.

Type
Chapter
Information
Modern Management of Uterine Fibroids , pp. 14 - 21
Publisher: Cambridge University Press
Print publication year: 2020

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References

Younas, A, Hadoura, E, Majoko, F, Bunkheila, A. A review of evidence-based management of uterine fibroids. Obstet Gynaecol 2016;18:33–42.Google Scholar
Pritts, EA, Parker, WH, Olive, DL. Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril 2009;91:1215–23.CrossRefGoogle ScholarPubMed
Bajekal, N, Li, T-C. Fibroids, infertility and pregnancy wastage. Hum Reprod Update 2000;6:614–20.CrossRefGoogle ScholarPubMed
Munro, MG, Critchley, HO, Fraser, IS, Group FMDW. The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 2011;95:2204–8, 8.e1–3.CrossRefGoogle ScholarPubMed
Somigliana, E, Vercellini, P, Daguati, R, et al. Fibroids and female reproduction: a critical analysis of the evidence. Hum Reprod Update 2007;13:465–76.Google Scholar
Leone, FP, Timmerman, D, Bourne, T, et al. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol 2010;35:103–12.Google Scholar
Van den Bosch, T, Dueholm, M, Leone, FP, et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol 2015;46:284–98.CrossRefGoogle ScholarPubMed
Fedele, L, Bianchi, S, Dorta, M, et al. Transvaginal ultrasonography versus hysteroscopy in the diagnosis of uterine submucous myomas. Obstet Gynecol 1991;77:745–8.Google ScholarPubMed
Cicinelli, E, Romano, F, Anastasio, PS, et al. Transabdominal sonohysterography, transvaginal sonography, and hysteroscopy in the evaluation of submucous myomas. Obstet Gynecol 1995;85:42–7.Google Scholar
Indman, PD. Abnormal uterine bleeding. Accuracy of vaginal probe ultrasound in predicting abnormal hysteroscopic findings. J Reprod Med 1995;40:545–8.Google ScholarPubMed
Becker, E Jr., Lev-Toaff, AS, Kaufman, EP, et al. The added value of transvaginal sonohysterography over transvaginal sonography alone in women with known or suspected leiomyoma. J Ultrasound Med Off J Am Inst Ultrasound Med 2002;21:237–47.Google Scholar
Vitiello, D, McCarthy, S. Diagnostic imaging of myomas. Obstet Gynecol Clin North Am 2006;33:85–95.Google Scholar
Saravelos, SH, Jayaprakasan, K, Ojha, K, Li, T-C. Assessment of the uterus with three-dimensional ultrasound in women undergoing ART. Hum Reprod Update 2017;23:188–210.Google Scholar
Kupesic, S, Kurjak, A, Skenderovic, S, Bjelos, D. Screening for uterine abnormalities by three-dimensional ultrasound improves perinatal outcome. J Perinat Med 2002;30:9–17.CrossRefGoogle ScholarPubMed
Sylvestre, C, Child, TJ, Tulandi, T, Tan, SL. A prospective study to evaluate the efficacy of two- and three-dimensional sonohysterography in women with intrauterine lesions. Fertil Steril 2003;79:1222–5.Google Scholar
Armstrong, L, Fleischer, A, Andreotti, R. Three-dimensional volumetric sonography in gynecology: an overview of clinical applications. Radiol Clin North Am 2013;51:1035–47.Google Scholar
Groszmann, YS, Benacerraf, BR. Complete evaluation of anatomy and morphology of the infertile patient in a single visit: the modern infertility pelvic ultrasound examination. Fertil Steril 2016.Google Scholar
Salim, R, Lee, C, Davies, A, et al. A comparative study of three-dimensional saline infusion sonohysterography and diagnostic hysteroscopy for the classification of submucous fibroids. Hum Reprod 2005;20:253–7.Google Scholar
Seshadri, S, El-Toukhy, T, Douiri, A, Jayaprakasan, K, Khalaf, Y. Diagnostic accuracy of saline infusion sonography in the evaluation of uterine cavity abnormalities prior to assisted reproductive techniques: a systematic review and meta-analyses. Hum Reprod Update 2015;21:262–74.Google Scholar
Dueholm, M, Lundorf, E, Hansen, ES, Ledertoug, S, Olesen, F. Accuracy of magnetic resonance imaging and transvaginal ultrasonography in the diagnosis, mapping, and measurement of uterine myomas. Am J Obstet Gynecol 2002;186:409–15.Google Scholar
Dueholm, M, Lundorf, E, Sorensen, JS, et al. Reproducibility of evaluation of the uterus by transvaginal sonography, hysterosonographic examination, hysteroscopy and magnetic resonance imaging. Hum Reprod 2002;17:195–200.CrossRefGoogle ScholarPubMed
Campo, S, Campo, V, Benagiano, G. Adenomyosis and infertility. Reprod Biomed Online 2012;24:35–46.CrossRefGoogle ScholarPubMed
de Ziegler, D, Pirtea, P, Galliano, D, Cicinelli, E, Meldrum, D. Optimal uterine anatomy and physiology necessary for normal implantation and placentation. Fertil Steril 2016;105:844–54.CrossRefGoogle ScholarPubMed
Galliano, D, Bellver, J, Diaz-Garcia, C, Simon, C, Pellicer, A. ART and uterine pathology: how relevant is the maternal side for implantation? Hum Reprod Update 2015;21:13–38.Google Scholar
Brolmann, H, Tanos, V, Grimbizis, G, et al. Options on fibroid morcellation: a literature review. Gynecol Surg 2015;12:3–15.CrossRefGoogle ScholarPubMed
Exacoustos, C, Romanini, ME, Amadio, A, et al. Can gray-scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma? J Clin Ultrasound (JCU) 2007;35:449–57.Google Scholar
Goto, A, Takeuchi, S, Sugimura, K, Maruo, T. Usefulness of Gd-DTPA contrast-enhanced dynamic MRI and serum determination of LDH and its isozymes in the differential diagnosis of leiomyosarcoma from degenerated leiomyoma of the uterus. Int J Gynecol Cancer 2002;12:354–61.Google Scholar

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