title: Comparison of three-dimensional ultrasound and magnetic resonance imaging diagnosis in surgically proven Müllerian duct anomaly cases.
abstract: OBJECTIVE
  To determine and compare the diagnostic accuracy of 3-dimensional ultrasound (3D US) and magnetic resonance imagining (MRI) in patients with surgically diagnosed Mullerian duct anomaly (MDA).
  
  
  METHODS
  Charts of patients with MDA were retrospectively evaluated. Patients who underwent both laparoscopic and hysteroscopic surgery and had 3D US and MRI examinations were included in the study. The diagnoses achieved via 3D US and MRI were compared with the surgical diagnoses to determine the diagnostic accuracy of these imagining techniques.
  
  
  RESULTS
  Twenty-nine patients were included in the study. Three-dimensional ultrasound detected 28 out of 29 (96%) patients correctly. Only one patient was diagnosed with a uterine septum instead of uterine arcuatus. Magnetic resonance imaging detected 23 out of 29 patients correctly (79%). The Kappa indexes of the 3D US and MRI were 0.896 and 0.592, respectively.
  
  
  CONCLUSIONS
  Our results indicate that 3D US has a higher diagnostic accuracy level than MRI in evaluating MDA, especially when used in experienced hands. However, additional, well-designed studies are needed to better compare the diagnostic accuracy of the 3D US and MRI.
authors.affiliation: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey.
authors.forename: Ahmet Mete
authors.initials: AM
authors.lastname: Ergenoglu
authors.affiliation: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey.
authors.forename: Çagdas
authors.initials: Ç
authors.lastname: Sahin
authors.affiliation: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey. Electronic address: drdenizsimsek@hotmail.com.
authors.forename: Deniz
authors.initials: D
authors.lastname: Şimşek
authors.affiliation: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Akdemir
authors.affiliation: Ege University School of Medicine, Department of Obstetrics and Gynecology, Izmir, Turkey.
authors.forename: Ahmet Özgür
authors.initials: AÖ
authors.lastname: Yeniel
authors.affiliation: Başkent University School of Medicine, Department of Radiology, Izmir, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Yerli
authors.affiliation: Acibadem University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Sendag
mesh_terms: D000328:Adult; D015331:Cohort Studies; D012734:Disorders of Sex Development / Q000175:diagnosis*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D021621:Imaging, Three-Dimensional; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities*; D012189:Retrospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology; D055815:Young Adult
keywords: Magnetic resonance imaging; Müllerian duct anomaly; Three-dimensional ultrasonography