title: Accuracy of three-dimensional ultrasound in diagnosis and classification of congenital uterine anomalies.
abstract: OBJECTIVE
  To assess the accuracy of three-dimensional (3D) ultrasound in the diagnosis of congenital uterine anomalies.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Nulliparae with three or more consecutive miscarriages.
  
  
  METHODS
  All women underwent 3D transvaginal ultrasound study of the uterine cavity.
  
  
  METHODS
  Women with negative ultrasound findings subsequently underwent office hysteroscopy, whereas a combined laparoscopic-hysteroscopic assessment was performed in cases of suspected Müllerian anomaly.
  
  
  RESULTS
  A specific Müllerian malformation was sonographically diagnosed in 54 women of the 284 included in the study group. All negative ultrasound findings were confirmed at office hysteroscopy. Among the women with abnormal ultrasound findings, the presence of a Müllerian anomaly was endoscopically confirmed in all. Concordance between ultrasound and endoscopy around the type of anomaly was verified in 52 cases, including all those with septate uterus and two out of three with bicornuate uterus.
  
  
  CONCLUSIONS
  Volume transvaginal ultrasound appears to be extremely accurate for the diagnosis and classification of congenital uterine anomalies and may conveniently become the only mandatory step in the assessment of the uterine cavity in patients with a history of recurrent miscarriage.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Bologna, Italy. tullioghi@yahoo.com
authors.forename: Tullio
authors.initials: T
authors.lastname: Ghi
authors.forename: Paolo
authors.initials: P
authors.lastname: Casadio
authors.forename: Marina
authors.initials: M
authors.lastname: Kuleva
authors.forename: Anna Myriam
authors.initials: AM
authors.lastname: Perrone
authors.forename: Luca
authors.initials: L
authors.lastname: Savelli
authors.forename: Susanna
authors.initials: S
authors.lastname: Giunchi
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Meriggiola
authors.forename: Giampietro
authors.initials: G
authors.lastname: Gubbini
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Pilu
authors.forename: Carla
authors.initials: C
authors.lastname: Pelusi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pelusi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000379:methods*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging*