Congenital Müllerian anomalies: diagnostic accuracy of three-dimensional ultrasound.
OBJECTIVE
To determine whether it is possible to identify and diagnose accurately Müllerian anomalies with three-dimensional (3-D) ultrasound (US).


METHODS
Controlled blinded clinical study.


METHODS
Normal human volunteers undergoing infertility evaluation in a university hospital.


METHODS
Forty-two patients who underwent laparoscopy and hysterosalpingography as part of their work up for infertility and were found to have either a normal uterus (30 patients) or a Müllerian abnormality (12 patients) consented to be evaluated with 3-D US by sonographers who were unaware of their infertility history or of their laparoscopy and hysterosalpingography diagnoses.


METHODS
Transvaginal 3-D US evaluation over a 10- to 15-minute duration.


METHODS
Three-dimensional imaging was successful in all cases.


RESULTS
Sonographers identified a Müllerian anomaly in all cases and came up with the correct classification in 11 of 12 cases. All patients with a normal uterus were identified correctly.


CONCLUSIONS
In all patients with Müllerian anomalies, 3-D US examination of the endometrial cavity correlated with hysterosalpingography. In 91.6% of patients, 3-D US correlated with the external uterine configuration observed by laparoscopy. This technique may be used reliably in an office setting to diagnose and classify Müllerian anomalies.
Raga
F
F
Universidad de Valencia, Spain.
Bonilla-Musoles
F
F
Blanes
J
J
Osborne
N G
NG
D000328:Adult; D000818:Animals; D005069:Evaluation Studies as Topic; D006801:Humans; D007091:Image Processing, Computer-Assisted; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D014463:Ultrasonography