Value of 3-dimensional sonohysterography in infertility work-up.
OBJECTIVE
To compare the diagnostic value of 2-dimensional (2D) and 3-dimensional (3D) sonohysterography (SHG) and outpatient hysteroscopy (OH) in detecting intrauterine lesions in infertile women.


METHODS
Comparative, observational, cross-sectional study (Canadian Task Force Classification II-2).


METHODS
University hospital.


METHODS
One hundred eighty women with a normal uterine cavity at transvaginal ultrasound and hysterosalpingography (HSG) underwent infertility workup at our outpatient clinic.


METHODS
All patients underwent 2D-SHG, 3D-SHG, and OH.


RESULTS
Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 2D-SHG and 3D-SHG were compared with OH in detecting intrauterine lesions. For 2D-SHG, sensitivity was 0.70 (95% confidence interval [CI], 0.49-0.85), specificity was 1.0 (95% CI, 0.96-1.0), PPV was 1.0 (95% CI, 0.79-1.0), NPV was 0.95 (95% CI, 0.9-0.97), and accuracy was 95.5%. For 3D-SHG, sensitivity was 0.92 (95% CI, 0.74-0.98), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (05% CI, 0.83-1.0), NPV was 0.98 (95% CI, 0.95-0.99), and accuracy was 98.8%. For OH, sensitivity was 1.0 (95% CI, 0.85-1.0), specificity was 1.0 (95% CI, 0.97-1.0), PPV was 1.0 (95% CI, 0.84-1.0), NPV was 1.0 (0.97-1.0), and accuracy was 100%. Thus, 3D-SHG is comparable to OH in diagnosing intrauterine lesions (p = .23), and both are superior to 2D-SHG (p <0.001).


CONCLUSIONS
The diagnostic value of 3D-SHG is comparable to OH in detecting intrauterine lesions, and both are superior to 2 D-SHG. 3D-SHG should be included in the infertility workup even in women with a normal uterine cavity at transvaginal ultrasound or hysterosalpingography.
El-Sherbiny
Walid
W
Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt. wssherbiny@yahoo.com
Nasr
Ahmed S
AS
D000328:Adult; D003430:Cross-Sectional Studies; D019160:Endosonography; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D021621:Imaging, Three-Dimensional; D007247:Infertility, Female / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity