title: Accuracy of three dimensional ultrasound and treatment outcomes of intrauterine adhesion in infertile women.
abstract: OBJECTIVE
  To determine the accuracy and usefulness of three-dimensional transvaginal ultrasound (3D-TVUS) in diagnosing intrauterine adhesion (IUA) and to evaluate treatment outcomes associated with fertility.
  
  
  METHODS
  IUA patients (110) underwent hysteroscopy to definitively diagnose and treat adhesiolysis. Morphologic characteristics of endometrium suggesting IUA, such as marginal irregularity, thinning, defects, obliteration, fibrosis, and calcification, were identified and recorded by 3D-TVUS. The sensitivity of 3D-TVUS findings and the attainment of postoperative fertility were evaluated prospectively. The clinical records were followed up for 2 years for obstetrical outcomes and analyzed.
  
  
  RESULTS
  On comparing the findings of 3D-TVUS with those of hysteroscopy in 110 patients, 45 (88.23%) patients were confirmed as IUA by hysteroscopy among 51 (46.36%) patients, with one finding in 3D-TVUS; 42 (97.67%) patients were confirmed among 43 (39.09%) patients with two findings; and 16 (100%) patients were confirmed among 16 (14.55%) patients with over three findings. A pregnancy rate of eight out of 47 (17.02%) was achieved in patients who desired fertility.
  
  
  CONCLUSIONS
  3D-TVUS assessment of the uterus provides an accurate depiction of adhesion and extent of cavity damage in patients with suspected IUA.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Min Jeong
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, Kosin University, Busan, South Korea.
authors.forename: Youngjin
authors.initials: Y
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Inje University Sanggye Paik Hospital, Seoul, South Korea.
authors.forename: Chulmin
authors.initials: C
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Busan, South Korea.
authors.forename: Sungwook
authors.initials: S
authors.lastname: Chun
authors.affiliation: Department of Obstetrics and Gynecology, Wonkwang University College of Medicine, Iksan, South Korea.
authors.forename: Ari
authors.initials: A
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, Kosin University, Busan, South Korea.
authors.forename: Heung Yeol
authors.initials: HY
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, South Korea. Electronic address: jylee@kuh.ac.kr.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D021621:Imaging, Three-Dimensional; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery; D011237:Predictive Value of Tests; D011247:Pregnancy; D018873:Pregnancy Rate; D000267:Tissue Adhesions / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography; D014591:Uterine Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D014599:Uterus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
keywords: fertility; intrauterine adhesion; pregnancy; three-dimensional transvaginal ultrasound; uterine synechiae