title: Diagnostic utility of saline infusion doppler sonohysterography in endometrial mass lesions.
abstract: OBJECTIVE
  To evaluate the importance of saline infusion Doppler sonohysterography (SIS-D) in the assessment of transvaginal ultrasound (TVUSG)-suspected intrauterine mass lesions in women complaining about abnormal uterine bleeding with respect to hysteroscopy (H/S) and pathologic diagnosis.
  
  
  METHODS
  This study was conducted on patients, who visited to our clinic with abnormal uterine bleeding and whose TVUSGs indicated intrauterine masses. The study covered a total of 100 patients. SIS-D and hysteroscopy were performed on those 100 patients. SIS-D results were compared with hysteroscopy results. The relation between SIS-D findings and pathology results were evaluated.
  
  
  RESULTS
  For SIS; specificity was 96%, sensitivity was 60%, positive predictive value (PPV) was 87.8%, negative predictive value (NPV) was 83.3%, and the accuracy rate was 87%. For TVUSG; PPV was 75%. According to SIS-D, 92.2% of the lesions that had single-vessel feeding patterns were endometrial polyps, and this was statistically significant (p<0.0001). 57.1% of the lesions that had multiple-vessel feeding patterns were submucous myomas, and this was statistically significant (p<0.0001).
  
  
  CONCLUSIONS
  SIS should be performed in patients before hysteroscopy because it will protect a considerable number of patients from unnecessary invasive procedures. SIS-D gives an idea on the histopathology of the mass.
authors.affiliation: Dr. Bilge Ogutcuoglu, Medeniyet University Goztepe Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Bilge
authors.initials: B
authors.lastname: Ogutcuoglu
authors.affiliation: Dr. Cihan Karadag, Marmara University Pendik Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: Karadag
authors.affiliation: Dr. Cihan Inan, Department of Obstetrics and Gynecology, Trakya University, Edirne, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: Inan
authors.affiliation: Dr. Zehra Nihal Dolgun, Department of Obstetrics and Gynecology, Trakya University, Edirne, Turkey.
authors.forename: Zehra Nihal
authors.initials: ZN
authors.lastname: Dolgun
authors.affiliation: Dr. Ahmet Tevfik Yoldemir, Marmara University Pendik Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Ahmet Tevfik
authors.initials: AT
authors.lastname: Yoldemir
authors.affiliation: Dr. Lale Aslanova, Marmara University Pendik Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Lale
authors.initials: L
authors.lastname: Aslanova
keywords: Endometrial Mass Lesions; Hysteroscopy; Saline infusion doppler sonohysterography