title: Congenital Müllerian anomalies: diagnostic accuracy of three-dimensional ultrasound.
abstract: 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.
authors.affiliation: Universidad de Valencia, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Raga
authors.forename: F
authors.initials: F
authors.lastname: Bonilla-Musoles
authors.forename: J
authors.initials: J
authors.lastname: Blanes
authors.forename: N G
authors.initials: NG
authors.lastname: Osborne
mesh_terms: 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